Jan 5, 2010 | Medical billing basics
dressing holder/binder A4462 Absorption dressing A6251-A6256 Access system A4301 Adhesive A4364 bandage A6413 disc or foam pad A5126 Air travel and nonemergency transportation A0140 Alcohol A4244 Alcohol wipes A4245 Alert device A9280 Alginate dressing A6196-A6199...
Jan 5, 2010 | Medical billing basics
stump sock L8470-L8485 shunt L8612 Arch support L3040-L3100 Cornea L8609 larynx L8500 Auditory osseointegrated device L8690 replacement for cochlear implant device L8623-L8624 Benesch boot L3212-L3214 Body sock L0984 Bulking agent L8604 hand restoration L6900-L6915...
Jan 5, 2010 | Medical billing basics
Abarelix J0128 Abatacept J0129 Abciximab J0130 Acetazolamide sodium J1120 Acetylcysteine injection Acyclovir J0133 Adalimumab J0135 Adenosine J0150 Adrenalin J0170 Agalsidase beta J0180 Aggrastat J3245 A-hydroCort J1710 Alatrofloxacin mesylate J0200 Aldesleukin (IL2)...
Jan 5, 2010 | Medical billing basics
Effective January 1, 2010, the consultation codes are no longer recognized for Medicare Part B payment. Physicians shall code patient evaluation and management visit with E/M codes that represent where the visit occurs and that identify the complexity of the visit...
Jan 4, 2010 | Medical billing basics
I have listed some injection CPT codes and its admin codes as a reference. Please reconfirm with your resources before using it. J1100 – INJ DEXETHOSONE SODIM PHOSHATE 1 MG j2001 – Lidocaine injection J1885 – INJ KETOROLAC TROMETHAMINE 15 MG J7509...
Jan 4, 2010 | Medical billing basics
The below appeal sample letter for appealing against timely filing limit denial, we need to submit this letter with claim submission proof. Practice name Address Phone# ________________________________________________________________________ 11th September 2009 To The...
Jan 4, 2010 | Medical billing basics
Appealing with insurance against the denials are very important process. Here i have given the sample appeal letter for your reference. This letter used to asking the insurance to reprocess the claims which are denied for Medical records. Practice Name Address Phone#...
Dec 30, 2009 | Medical billing basics
CPT modifier 21 Prolonged evaluation and management services – Use only with highest level of care code for the category when the face-to-face or floor/unit service provided is prolonged or otherwise greater than that usually required for the highest level code....
Dec 30, 2009 | Medical billing basics
0660 Calculated payment equals zero. Other insurance paid more than Medicaid Allowable.Adjusted the claim (Medicaid write off) 2091 Recipient services covered by HMO planClaim would be filed to Medicaid HMO’s 0142 Claim exceeds 12 month filing limitClaim...
Dec 24, 2009 | Medical billing basics
204 This service/equipment/drug is not covered under the patients current benefit planCheck whether patient has any other insurance or Need to bill the patient18 Duplicate claim/service.Need to check the claim status and take appropriate stepOA-23 Payment adjusted due...
