Apr 14, 2021 | Medical billing basics
Ritalin• The first ADHD medication used since 1950s* Comes in 3 preparations• Immediate release [IR] (lasting ~2-4 hours)• Sustained release [SR] (~4-6 hours, seldom used)• Long acting [LA] (~8 hours)* Advantage of Ritalin LA versus Concerta is this may be...
Mar 26, 2021 | Medical billing basics
Code1 Code Description 44360 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) $663.06 44361 Small...
Mar 20, 2021 | Medical billing basics
What is an Esophagogastroduodenoscopy (EGD)?It is an endoscopic procedure that visualizes the upper part of the gastrointestinal tract up to the duodenum.CPT© codes in this series (43235- 43259) identify services performed during an...
Feb 9, 2021 | Medical billing basics
Modifier code and DescriptionModifier 33 – Preventive Services: Preventive Services: 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...
Dec 4, 2020 | Medical billing basics
Procedure code and Description S5100 Day care services, adult; per 15 minutesS5110 Home care training, family; per 15 minutesS5102 Day care services, adult; per diemS5105 Day care services, center-based; services not included in program...
Oct 21, 2020 | Medical billing basics
CPT code and Description99411 Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 30 minutes N Y Category 299412 Preventive medicine counseling and/or risk...
Jul 28, 2020 | Medical billing basics
Background Information Modifiers Modifiers are two-character suffixes (alpha and/or numeric) that are attached to a procedure code. CPT modifiers are defined by the American Medical Association (AMA). HCPCS Level II modifiers are defined by the Centers for Medicare...
Jun 12, 2020 | Medical billing basics
Modifiers XE, XS, XP, XU, and 59 – Distinct Procedural Service Scope This policy applies to all Commercial medical plans, Medicare Advantage plans, and Oregon Medicaid/EOCCO plans. Reimbursement Guidelines Effective for dates of service January 1, 2015 and...
Feb 21, 2020 | Medical billing basics
Present On Admission (POA) Indicators Scope Description:Applies to Present On Admission (POA) Indicator requirement for all BlueCross BlueShield of TN lines of business.Subject: Present On Admission (POA) requirement Purpose:To establish guidelines for Present...
Jan 5, 2020 | Medical billing basics
Procedure code and DescriptionQ2034: Influenza virus vaccine, split virus, for intramuscular use (Agriflu)Q2035: Influenza virus vaccine, split virus, when administered to individuals 3 years of age & older, for intramuscular use (AFLURIA)Q2036: Influenza virus...
