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Audiology billing Guide - CPT code list

Policy DefinitionAudiology is the study of hearing and hearing disorders and includes habilitation and rehabilitation for individuals who have hearing lossProvider Billing Guidelines and...

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Use of the AT modifier for chiropractic billing

BackgroundIn 2014, the comprehensive error testing program (CERT) that measures improper payments in the Medicare feefor- service program reported a 54 percent error rate for chiropractic services. The...

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ICD-10 codes that support medical necessity for chiropractor services

The chiropractic local coverage determinations (LCDs) for MACs include ICD-10 coding Information for ICD-10 codes that support the medical necessity for chiropractorservices. There may be additional...

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CPT CODES 81001, 81002, 81003 AND 81025

CPT CODES: 81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific  gravity, urobilinogen, any number of these...

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CRITICAL CARE SERVICES (CODES 99291-99292)

A. Use of Critical Care CodesPay for services reported with CPT codes 99291 and 99292 when all the criteria for critical care and critical care services are met. Critical care is defined as the direct...

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CPT CODE 99243 - Office visit consultation level 3

CPT CODE 99243 - Office consultation for a new or established patientFee amount - In the range of $95 - $12099241 Office consultation for a new or established patient, which requires these three key...

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CPT CODE J3301 - Kenalog-40 Injection billing Guide

CPT CODE J3301 - Kenalog-40 InjectionKenalog-40 Injection (triamcinolone acetonide injectable suspension, USP) is a synthetic glucocorticoid corticosteroid with anti-inflammatory action.Each mL of the...

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URIBEL - Drug usage, cost, warning and precautions

URIBEL- methenamine, sodium phosphate, monobasic, monohydrate, phenyls alicylate, methylene blue, and hyoscyamine sulfate capsuleUribel is a medicine mainly used to cause relief for the pain and...

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Critical Care Services and Physician Time

Critical care is a time- based service, and for each date and encounter entry, the physician's progress note(s) shall document the total time that critical care services were provided. More than one...

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CPT CODE 64550 - Surface neurostimulator

CPT CODE  64550 - Application of surface (transcutaneous) neurostimulator - Average fee amount $17Billing Codesphysical and occupational therapists must use the appropriate CPT® and HCPCS codes 64550,...

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CPT Code 97760. 97761 and 97762 -Orthotic, prosthetic training

CPT CODE, DESCRIPTION AND FEE amount97760 - Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(s), lower extremity(s) and/or trunk, each...

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Counting of Units of Critical Care Services - CPT 99291 AND 99292

The CPT code 99291 (critical care, first hour) is used to report the services of a physician providing full attention to a critically ill or critically injured patient from 30-74 minutes on a given...

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Detailed review of CPT 99291 AND 99292

Critical Care Services Provided by Physicians in Group Practice(s)Medically necessary critical care services provided on the same calendar date to the same patient by physicians representing different...

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Afluria Vaccine - CPT CODE Q2035 & 90656

AfluriaAfluria is a vaccine that is used to prevent the effects of influenza virus. Influenza virus develops every year and is getting stronger day by day. To cope with this dilemma, this vaccine has...

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CPT code 86485, 86490, 86580

CPT CODE AND Description86485 - Skin test; candida86490 - Skin test; coccidioidomycosis - Average Fee amount $65 - $9086580 - Skin test; tuberculosis, intradermal - Average Fee amount $7 - $10ALL CPT...

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CPT CODE 90791, 90792 ,90785 - Psychiatric diagnostic evaluation

CPT CODE and Description90785 - Interactive complexity (List separately in addition to the code for primary procedure)90791 - Psychiatric diagnostic evaluation - Average fee amount $120 -$15090792 -...

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CPT CODE Q2037, 90657 - Fluvirin

FluvirinFluvirin is used in fighting against influenza. It is for the patients above the age of 4 years. It is a strong vaccination and must not be used for younger patients. It triggers the production...

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CPT CODE 96116, 96118, 96119, 96120 -Neuropsychological testing

CPT CODE and Description96116 - Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, eg, acquired knowledge, attention, language, memory, planning and problem solving,...

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CPT CODE 20680, 20670 - Removal of implant

cpt code and description20680 - Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate) - average fee amount-$600 - $65020670 - Removal of implant; superficial (eg,...

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CPT CODE 27096, G0259, g0260 - SACROILIAC (SI) JOINT INJECTIONS

cpt code and description27096 - Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed - average fee amount - $120 -...

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