Medical billing cpt modifiers and list of Medicare modifiers.
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Does out of state patient eligible for coverage ?

by Medical Billing | May 23, 2019 | CPT modifiers

COVERAGE OUT OF STATE A member, who is temporarily out of the state but still a resident of Arizona, is entitled to receive AHCCCS benefits under any of the following conditions: 1. Medical services are required because of a medical emergency. Documentation of the...
CPT code 99231, 99232. 99233 – Medical necessity tips

CPT code 99231, 99232. 99233 – Medical necessity tips

by Medical Billing | May 2, 2019 | CPT modifiers

Define Medical necessity: Medical necessity of a service is the overarching criterion for payment in addition to the individual requirements of a CPT code. It would not be medically necessary or appropriate to bill a higher level of evaluation and management service...

Arizona Long Term Care System (ALTCS) program Basic information

by Medical Billing | Mar 29, 2019 | CPT modifiers

ARIZON HEALTH CARE COST CONTAINMENT SYSTEM FEE-FOR-SERVICE PROVIDER BILLING MANUALGENERAL INFORMATIONAll Arizona residents can apply for AHCCCS services or the Arizona Long Term Care System (ALTCS) program. There are many programs that individuals may qualify for in...

CPT 81538 – Proteomic Testing for Targeted Therapy in Non-Small Cell Lung Cancer

by Medical Billing | Jan 10, 2019 | CPT modifiers

Coding Code DescriptionCPT81538 Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival Proteomic Testing for Targeted Therapy in Non-Small Cell...

CPT 0003u, 81503 – Multimarker Serum Testing Related to Ovarian Cancer

by Medical Billing | Dec 29, 2018 | CPT modifiers

Coding Code Description CPT0003U Oncology (ovarian) biochemical assays of five proteins (apolipoprotein A-1, CA 125 II, follicle stimulating hormone, human epididymis protein 4, transferrin), utilizing serum, algorithm reported as a likelihood score – is specific to...

CPT 0345T, 0483T, 0484T, 33418, 33419 – Transcatheter Mitral Valve Repair

by Medical Billing | Dec 8, 2018 | CPT modifiers

Code Description CPT0345T Transcatheter mitral valve repair percutaneous approach via the coronary sinus0483T Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed (new...

CPT 33340 – Percutaneous Left Atrial Appendage Closure Devices

by Medical Billing | Nov 27, 2018 | CPT modifiers

Coding Code Description CPT33340 Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed,...

CPT code Prolotherapy therapy (proliferative therapy) – 20999

by Medical Billing | Nov 8, 2018 | CPT modifiers

IntroductionProlotherapy therapy (proliferative therapy) is a method to try to heal joints and connective  tissue. A solution is injected in the area. The solution irritates the tissue, causing inflammation.  This inflammation is supposed to stimulate the...

CPT CODE 0398T, 0071T, 0072T – Magnetic resonance procedure

by Medical Billing | Oct 24, 2018 | CPT modifiers

IntroductionMagnetic resonance – guided  high – intensity ultrasound uses two technologies: magnetic  resonance imaging (MRI) and ultrasound. It is a noninvasive procedure, which means  the skin is  not cut .  MRI uses a magnetic...

Basics of Dental Billing and vision care billing in APG payments

by Medical Billing | Aug 24, 2018 | CPT modifiers

DENTAL BILLING:Dental services provided in the clinic setting (hospital or free-standing) are to be billed using the APG payment methodology. The only exception to this policy is orthodonture, which is to be billed to the dental practitioner fee schedule and not to...
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CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). All Rights Reserved to AMA.
The revenue codes and UB-04 codes are the IP of the American Hospital Association. All Rights Reserved to AMA.
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