Jan 19, 2017 | Medical billing basics
Procedure Codes and Description Group 1 Paragraph: N/A Group 1 Codes: 11920 TATTOOING, INTRADERMAL INTRODUCTION OF INSOLUBLE OPAQUE PIGMENTS TO CORRECT COLOR DEFECTS OF SKIN, INCLUDING MICROPIGMENTATION; 6.0 SQ CM OR LESS 11921 TATTOOING, INTRADERMAL INTRODUCTION OF...
Jan 16, 2017 | Medical billing basics
Procedure codes and Description Group 1 Codes: 64450 INJECTION, ANESTHETIC AGENT; OTHER PERIPHERAL NERVE OR BRANCH Group 2 Paragraph: Note: Use of the following CPT/HCPCS Codes for these treatments is inappropriate and will be denied: Group 2 Codes: 76881 ULTRASOUND,...
Jan 13, 2017 | Medical billing basics
Procedure code and Description • 72141 Magnetic resonance imaging, spinal canal and contents, cervical; without contrast material • 72142 Magnetic resonance imaging, spinal canal and contents, cervical; with contrast material(s) • 72156 Magnetic resonance imaging,...
Jan 10, 2017 | Medical billing basics
Procedure Codes and Description Group 1 Paragraph: 36299* is used for sclerotherapy with mechanical agitation (e.g. Clarivein® device). 37799* should be used to report “Trivex Procedure” 36299 UNLISTED PROCEDURE, VASCULAR INJECTION 36470 INJECTION OF...
Jan 7, 2017 | Medical billing basics
• Up to twelve diagnoses can be reported in item 21 on the CMS-1500 paper claim (02/12) DIAGNOSIS – ICD Indicator Enter 9 for ICD-9 diagnosis codes and 0 for ICD-10 diagnosis codes. The correct code set is determined by date of service. Item 21 – Enter the...
Jan 5, 2017 | Medical billing basics
what is copay? Copayments are fixed dollar amounts (for example, $15) you pay for covered health service to the provider, usually when you receive the service. Definition of terms: Copayment (copay): A predetermined fee for physician office visits, prescriptions or...