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...
Jan 4, 2017 | Medical billing basics
Hyposmolality and/or hyponatremia E87.0 Hyperosmolality and hypernatremia E87.1 Hypo-osmolality and hyponatremia E87.2 Acidosis E87.4 Mixed disorder of acid balance E87.3 Alkalosis Nephrology ICD-10 Codes E87.0 Hyperosmolality and hypernatremia E87.1 Hypo-osmolality...
Dec 31, 2016 | Medical billing basics
Coverage Indications, Limitations, and/or Medical Necessity Background A major limitation of external beam radiation therapy (EBRT) is a curative dose cannot be used because normal tissues cannot be completely protected from the radiation. Conventional x-ray beams...
Dec 27, 2016 | Medical billing basics
Background Repetitive Transcranial Magnetic Stimulation (rTMS) is a non-invasive treatment that uses magnetic resonance pulsed fields to induce an electric current in the brain. Repetitive TMS can either decrease or increase the excitability of the targeted...
Dec 15, 2016 | Medical billing basics
Filing Adjustments for a Medicare/Medicaid Claim When a provider has filed a claim with Medicare, Medicare reimburses the claim, then the claim becomes a “crossover” to Medicaid for consideration of payment of the Medicare deductible and/or...
