May 23, 2024 | Medical billing basics
Ambulance Billing Ambulance services provided to Total Health Care members, must be reported with the appropriate ambulance HCPCS code, and correct origin and destination modifiers or the service will be denied. Modifiers identifying place of origin and destination of...
May 16, 2024 | Medical billing basics
CPT code and Description: CPT Code: 88120 Cytopathology, In Situ Hybridization (Eg, Fish), Per Specimen; Each Probe CPT Code 81161: DMD Gene Analysis (Duchenne Muscular Dystrophy)DMD (Duchenne Muscular Dystrophy) gene analysis, known mutation, deletion, duplication...
Dec 6, 2023 | Medical billing basics
Return unprocessable claim (RUC) reason code CO24 FAQ Q: We received a RUC for claim adjustment reason code (CARC) CO24. What steps can we take to avoid this RUC code? Denial – Charges are covered under a capitation agreement/managed care plan. A: This reason...
Sep 25, 2023 | Medical billing basics
CPT Code and Description 10040 – Acne Surgery (Eg, Marsupialization, Opening Or Removal Of Multiple Milia, Comedones, Cysts, Pustules). 10060 – Incision And Drainage Of Abscess (Eg, Carbuncle, Suppurative Hidradenitis, Cutaneous Or Subcutaneous Abscess,...
Jul 27, 2023 | Medical billing basics
CPT Code and Description 0007U – Drug Test(S), Presumptive, With Definitive Confirmation Of Positive Results, Any Number Of Drug Classes, Urine, Includes Specimen Verification Including Dna Authentication In Comparison To Buccal Dna, Per Date Of Service. 0008U...
Jun 11, 2023 | Medical billing basics
CPT code and Description Reporting CPT code 99499 (Unlisted evaluation and management service) should be limited to cases where there is no other specific E/M code payable by Medicare that describes that service Reporting CPT code 99499 requires submission of medical...
Mar 28, 2023 | Medical billing basics
SKILLED SPEECH LANGUAGE PATHOLOGY SERVICES: Nevada Medicaid may pay for the services of a licensed speech pathologist to provide service as ordered by the physician and identified in a signed POC. Reimbursement is based upon diagnosis and treatment of speech and...
Jan 29, 2023 | Medical billing basics
CPT code and Description 90791 Psychiatric Diagnostic Examination without medical services 90792 Psychiatric Diagnostic Examination with medical services +90785 – Use the add-on code with 90791 or 90792 for interactive psychiatric diagnostic interview...
Dec 27, 2022 | Medical billing basics
CPT 81479 Description Brief description – Noninvasive Prenatal Testing for Fetal Aneuploidies Using Cell-Free Fetal DNA Information required – • Maternal age 35 years or older at delivery;• Fetal ultrasonographic findings indicating increased risk of...
Nov 21, 2022 | Medical billing basics
Procedure code and Description 94640 – Pressurized or non-pressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or...
