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  • Ionm | Medical Billing and Coding Forum - AAPC
    Hello, I am needing some help coding Intraoperative Neuro Monitoring! We are having some issues with insurance paying and claims getting denied Thank you
  • Separate Procedure 55520+49505 - AAPC
    Per CPT Assistant, September 2000, Vol 10 Issue 9 "Code 55520, Excision of lesion of spermatic cord (separate procedure), is designated as a "separate procedure " Codes with the "separate procedure" designation normally would not be additionally reported when the procedure or service is performed as an integral component of another procedure or service However, when codes designated as
  • RFA 64635 and 64636 | Medical Billing and Coding Forum - AAPC
    Hoping someone can help or has experienced a similar problem We keep getting denials from MNBCBS for 64635 and 64636 These are done bilaterally and we have tried billing 64635-50, 64636-50 x 3 64635-50 and then the 64636-50 billed with 1 unit per line x 3 and the denial we have been
  • CPT® Code 20985 - Other Procedures on the Musculoskeletal . . . - AAPC
    The Current Procedural Terminology (CPT ®) code 20985 as maintained by American Medical Association, is a medical procedural code under the range - Other Procedures on the Musculoskeletal System
  • Screening colonoscopy via stoma - AAPC
    Medicare patient has had a partial colectomy and creation of stoma for cancer They now present for colon evaluation due to past history of colon cancer Dr performed procedure through stoma (44388) Does Medicare consider 44388 with Z85 038 (personal history of intestinal malignancy) a
  • How Many Units of 95165 Can You Bill, Really? - AAPC
    Three credible sources give three different answers, and only one is right The definition for billing units of allergy serum preparation for patients was
  • 11055 11721 | Medical Billing and Coding Forum - AAPC
    Routine Footcare Modifiers RT LT and 50 are not appropriate for codes 11055-11057 "Excision Benign Hypertrophic Skin Lesions" You bill by total number of lesions debrided not per foot as the left and right foot are considered the same anatomical site When looking at the diagnosis to use for 11055-11057 keep in mind that Medicare states in the billing coding guidelines for Routine Foot Care
  • Consult codes | Medical Billing and Coding Forum - AAPC
    You should double check me, but in general, I know the following do not pay for consult codes: Aetna, AVMED, Cigna, Department of Labor, Kaiser, Medicare, Medicare Replacement Plans, Medicaid, Meritain, United Health Care, UMR, and Tricare
  • Z47. 89 surgery aftercare code with UMR - AAPC
    UMR reps are stating that they have increased their scrutiny of ICD 10 codes and require specificity but unless I'm missing something, I don't see how we can code these general procedures any more specifically
  • CPT® Code 64493 - Introduction Injection of Anesthetic Agent . . . - AAPC
    The Current Procedural Terminology (CPT ®) code 64493 as maintained by American Medical Association, is a medical procedural code under the range - Introduction Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Paravertebral Spinal Nerves and Branches





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