Dec 9, 2016 | Medical billing basics
Modifier 33: Preventive service; when the primary purpose of the service is the delivery of an evidence based service in accordance with a US Preventive Services Task Force A or B rating in effect and other preventive services identified in preventive services...
Dec 9, 2016 | Medical billing basics
49585 Repair umbilical hernia, age 5 years or older; reducible Hospital Outpatient Department APC 5341 APC Description Peritoneal and Abdominal Procedures (CPT codes: 49491, 49492, 49495, 49496, 49500, 49501, 49505, 49507, 49520, 49521, 49525, 49540, 49550, 49553,...
Dec 9, 2016 | Medical billing basics
Repair initial incisional or ventral hernia; reducible 49560 Incarcerated or strangulated 49561 Implantation of mesh or other prosthesis for open incisional or ventral hernia repair, or closure of debridement (use with 11004–11006, 49560–49566) +49568 Question:...
Dec 7, 2016 | Medical billing basics
Procedure Code and Description procedure code 30802 – Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg. electrocautery, radiofrequency ablation, or tissue volume reduction), intramural (ie. submucosal)...
Dec 5, 2016 | Medical billing basics
Induced Abortion Medicaid payment for induced abortion is restricted to those that meet the following criteria: • A physician has found, and so certifies in his/her own handwriting, that on the basis of his/her professional judgment, the life of the pregnant woman...
Nov 29, 2016 | Medical billing basics
A. Any entity which provides and/or bills members and/or BCBSKS for health care services which advertises or represents itself to the general public as being owned, controlled, managed, affiliated with, or operated by a contracting provider must also be contracting...
