Oct 19, 2016 | Medical billing basics
procedure code and description 69209- Removal impacted cerumen using irrigation/lavage, unilateral – average fee payment – $10 -$20 69210 Removal impacted cerumen requiring instrumentation, unilateral G0268: Removal of impacted cerumen (one or both ears)...
Oct 18, 2016 | Medical billing basics
procedure code and description 90832 Individual psychotherapy, insight oriented, behavior modifying and/or supportive, 30 minutes with the patient and/or family member (time range 16-37 minutes) 90833 – Use add-on code for Individual psychotherapy, insight...
Oct 16, 2016 | Medical billing basics
The HCPCS has been selected as the approved coding set for entities covered under the Health Insurance Portability and Accountability Act (HIPAA), for reporting outpatient procedures. The HCPCS is based upon the American Medical Association’s (AMA) “Physicians’...
Oct 12, 2016 | Medical billing basics
Diagnosis codes must be reported based on the date of service (including, when applicable, the date of discharge) on the claim and not the date the claim is prepared or received. A/B MACs (A), (B), (HHH), and DME MACs are required to edit claims on this basis,...
Oct 8, 2016 | Medical billing basics
Inpatient Claim Diagnosis Reporting On inpatient claims providers must report the principal diagnosis. The principal diagnosis is the condition established after study to be chiefly responsible for the admission. Even though another diagnosis may be more severe than...
Oct 8, 2016 | Medical billing basics
procedure code and description 99241 – Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or...
Oct 7, 2016 | Medical billing basics
procedure code and description 99221 – Initial hospital care -average fee payment – $100 – $120 99221 : Inpatient hospital visits: Initial and subsequent initial hospital care, per day, for the evaluation and management of a patient, which...
Oct 6, 2016 | Medical billing basics
Implementation of New Influenza Virus Vaccine Code Billing for Influenza: New CPT Code 90674 The American Medical Association issued a new Current Procedural Terminology (CPT) code for influenza vaccine Flucelvax, CPT 90674, effective August 1, 2016 for Medicare...
Oct 4, 2016 | Medical billing basics
Institutional providers may submit a taxonomy code on claims they submit to Medicare. Medicare does not use the taxonomy code for matching a provider’s NPI to the appropriate legacy identifier. Medicare uses other claims data for this purpose. Medicare does not use...
Oct 3, 2016 | Medical billing basics
97799 Unlisted physical medicine/rehabilitation service or procedure: For all claims submitted for unlisted services or procedures, the following documentation must be submitted: * A description of the service or procedure; and, * A treatment plan including...
