Category I CPT Codes, requirements and basics and comparison vs Category III...
Category I CPT CodesCategory I CPT codes describe a procedure or service identified with a five-digit CPT code and descriptor nomenclature. The inclusion of a descriptor and its associated specific...
View ArticleCPT Category II codes, why and what is the purpose,description, example
What is the purpose of CPT II codes?CPT II codes help define nationally established performance measures by facilitating data collection regarding the quality of care rendered.CPT II codes describe:•...
View Articlewhat is Medicare as secondary payer - different situation
Medicare Second Payer Medicare Secondary Payer (MSP) is the term used by Medicare when Medicare is not responsible for paying first. (The private insurance industry generally talks about "Coordination...
View ArticleCPT Category III Codes, definition, guidelines and examples
CPT Category III CodesThe following CPT codes are an excerpt of the CPT Category III code set, a temporary set of codes for emerging technologies, services, procedures, and service paradigms. For more...
View ArticleMedical billing (RCM) Process - step by step explained
An efficient RCM process in medical billing can enhance medical practice revenues.The primary job of any medical practice is to provide the best medical care to ensure positive results. However, bogged...
View ArticleMedical billing specialist salary - How much they can earn and requirements
Medical billing specialist salaryBecoming a proficient medical biller isn't easy as one should invest proper time in learning. Specialists are relatively expert in verifying medical bills, claims and...
View ArticleMedical Bill dispute - How to avoid and how to resolve
The crucial Guide of Disputing Medical Bills or Insurance Policy (Complete Guide)Over the years, the majority of the folks are encountering complicated issues with medical billing. Therefore, it is...
View ArticleCPT code 92540, 92541, 92543, 92545- 92547 - Vesticular Evaluation
Procedure code and Description92540 Basic vestibular evaluation…92541 Spontaneous nystagmus including gaze and nystagmus, with recording test, fixation92542 Positional nystagmus test, minimum of 4...
View ArticleCPT code 99050, 99051, 99053, 99056 - After Office hour procedures
Procedure code and Description99050 Services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed (eg, holidays, Saturday or Sunday),...
View ArticleCPT H0031 - Mental health assessment program
Procedure Code and Unit of Service: H0031– Mental Health Assessment by a Non-Mental Health Therapist – per 15 minutes Mental Health Assessment Guidelines from MedicaidMental Health Assessment means...
View ArticleCPT 99217, 99218, 99219, 99220 - Observation care codes
CPT Code Description99217 Observation care discharge day management (This code is to be utilized to report all services provided to a patient on discharge from outpatient hospital "observation status"...
View ArticlePatient discharge status code List and Definition
Patient Discharge Status Code - DefinitionA patient discharge status code is a two-digit code that identifies where the patient is at the conclusion of a health care facility encounter (this could be a...
View ArticlePartial Hospitalization Program and services
Partial Hospitalization Services Partial hospitalization programs (PHPs) are structured to provide intensive psychiatric care through active treatment that utilizes a combination of the clinically...
View ArticleCPT G0104, G0105, G0106, G0120 - Colorectal cancer screening
Procedure code and Description• CPT 82270 (HCPCS G0107) - Colorectal cancer screening; fecal-occult blood tests, 1-3 simultaneousdeterminations;• HCPCS G0104 - Colorectal cancer screening; flexible...
View ArticleCPT U0001,U0002, 87635 - Coronavirus - ICD J12.89, A41.89, B34.2
CPT code and DescriptionU0001 - 2019 Novel Coronavirus (2019-nCoV) Real-Time RT-PCR Diagnostic Panel should be used when specimens are sent to the CDC and CDC-approved local/state health department...
View ArticleCPT code 12001,12018 - Laceration repair
CPT Codes for Laceration Repair Laceration Simple/Superficial-Scalp, Neck, Axillae, External Genitalia, Trunk, Extremities : 2.5 cm or less - cpt 12001Simple RepairsCPT Codes 12001 – 12018** Usually...
View ArticleFinger Modifier Guidelines and usage examples
A. PolicyAetna Better Health of Louisiana implements comprehensive and robust policies to ensure alignment with Louisiana Department of Health (LDH) and to warrant that regulatory standards are met....
View ArticleMost used Anesthesia CPT codes and time units
Anesthesia CPT codes and Time units00100 ANESTHESIA PROC SALIVARY GLANDS INCLUDING BIOPSY 500102 ANES-PROC INVOLVING PLASTIC REPAIR CLEFT LIP 600103 ANESTHESIA RECONSTRUCTIVE PROCEDURES OF EYELID...
View ArticleCPT 99401, 99402, g0446, g0447 and G0473
CPT CODE and Description• 99401 – preventive medicine counseling and/or risk factor intervention/s provided to an individual (separate procedure); approximately 15 minutes• 99402 – preventive medicine...
View ArticleCPT code 87635, 87426, 87428, 87811
Procedure code and Description CPT 87635 - Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]),...
View ArticleCPT 47560, 47561, 47562, 47563, 47564, 47570 and 47579
Procedure code and Description 47560 Laparoscopy, surgical; with guided transhepatic cholangiography, without biopsy47561 with guided transhepatic cholangiography with biopsy47562 cholecystectomy47563...
View ArticleCPT code 49082, 49083, 49084 - abdominal paracentesis
Procedure Code Changes and Description• Deleted Codes* 49080 - Peritoneocentesis, abdominal paracentesis, or peritoneal lavage (diagnostic or therapeutic); initial* 49081 - Peritoneocentesis, abdominal...
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Medicare ACO - Accountable care Organizations - All the update and Guideline
Accountable Care Organizations (ACOs)What is an ACO?ACOs are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high-quality care to their...
View ArticleModifier 22 - Unusual increased procedural services - tips and reimbursement...
MODIFIER 22-UNUSUAL PROCEDURAL SERVICESThis modifier indicates that a procedure was complicated, complex, difficult, or took significantly more time than usually required by the provider to complete...
View ArticleCPT 30075, 30473, 30688 - Panendoscopy
CPT CODE and Description30075-16 [977] Biopsy of pancreas30473-00 [1005] Panendoscopy to duodenum30688-00 [1949] Endoscopic ultrasoundDOUBLE BALLOON ENTEROSCOPYDouble balloon enteroscopy (DBE) is an...
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