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  • McKesson Edits | Medical Billing and Coding Forum - AAPC
    Does anyone have any information on the McKesson edits? Are they different from the CCI edits? I know Medicare and some insurance companies follow CCI, but not all If so, where do you get information on McKesson or do they create specific edits for each client? Thanks!
  • 90471 is getting denied | Medical Billing and Coding Forum - AAPC
    Good Day I would like to know how to properly report codes for 90471 for immunization Patient went to outpatient office because of chest pain It is then confirmed by the doctor that the chest pain is a contusion front wall of thorax Patient was given ibuprofen oral for the pain Patient
  • Psychiatry Education Forum – Make faster, more confident medication . . .
    Academy Membership Make faster, more confident medication decisions A clinical reference library built around the questions you actually ask in practice — treatment strategy, drug safety, interactions, and side effects — without digging through guidelines
  • Auvelity: New Oral Fast Acting FDA Approved Antidepressant
    On Aug 19, 2022 Axsome Therapeutics announced the FDA Approval of Auvelity, as the first and Only Oral NMDA Receptor Antagonist for the treatment of Major Depressive Disorder in adults We have summarized this FDA-approved medication in the following Psychiatry Education Forum Academy Updates:
  • 2410 Loop Rejection | Medical Billing and Coding Forum - AAPC
    Anytime I code a J3301 - Kenalog - injection with injection CPT it kicks back in the system stating a 2410 loop This is the rejection: 06 15 2022 view less Payer Rejected J3301 H MISSING OR INVALID INFORMATION ADDITIONAL DETAILS WILL FOLLOW IF AVAILABLE (J3301) Missing or invalid
  • self pay for Medicare patient - AAPC
    The Social Security Act states that participating providers must bill Medicare for covered services The only time a participating-provider can accept "self-payments" is for a non-covered service For Non-participating providers, the patient can pay and be charged up to 115% of the Medicare Fee Schedule Whether the provider is a Medicare Participating or Non-Participating Provider and they
  • Modifier 25 with X-Rays? | Medical Billing and Coding Forum - AAPC
    Hello everyone! I have an outside coding vendor telling me that some changes went into effect on January 1st in which the status indicator of many x-ray codes have changed, which now require the appending of modifier 25 to the e m charge reported with those codes The only literature I have
  • Modifier 59 on administration codes for injections. - AAPC
    I have also been directed to Clear Claim Connections on the Availity website, which doesn't help as it allows with or without the Modifier 59 We are going to try and bill without the modifier 59 on the 90471 Please let me know if anyone finds out any different information
  • cpt code 90384 denied | Medical Billing and Coding Forum - AAPC
    I went into Availity, under "More", and Research Procedure Code Edits, and entered 90384 and 96372, and 90384 was disallowed I then used J2790 Rho (D) and 96372 for the admin and both lines were allowed
  • Tarsal Tunnel Injection | Medical Billing and Coding Forum - AAPC
    What code would normally be used for a tarsal tunnel injection? Please advise?





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