Inpatient Consult Codes | How to Bill for Medicare Billing for Inpatient Consult Admitted Patient in the Hospital
Mar17

Inpatient Consult Codes | How to Bill for Medicare Billing for Inpatient Consult Admitted Patient in the Hospital

Inpatient Consult Codes – How to Bill for Medicare Billing for Inpatient Consult Admitted Patient in the Hospital Codes Your choice of code are based on the 3 Key Components of the Evaluation and Management E/M Services which are the: 1. History, 2. Examination, and 3. Medical decision-making. When billing initial hospital care, all three key… Please LOGIN HERE to view this content. Or, REGISTER HERE Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...

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CPT Code for Urine Drug Screen | Pain Management Clinic Drug Testing
Oct14

CPT Code for Urine Drug Screen | Pain Management Clinic Drug Testing

  *** 2017 NEW CPT CODES FOR URINE DRUG SCREENING – READ AND CLICK HERE! CPT Code for Urine Drug Screen | Pain Management Clinic Drug Testing G0431 (DELETED December 2015) G0434 (DELETED December 2015) New Codes: January 2016 CPT Code for Urine Drug Screen Presumptive CPT Code for Drug Screen Testing G0477 QW Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures, (eg, immunoassay) capable of being read by direct optical observation only (eg, dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service. G0478 Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures, (eg, immunoassay) read by instrument-assisted direct optical observation (eg, dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service. G0479 Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers (eg, immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when performed, per date of service. Definitive CPT Code for Drug Screen Testing G0480 Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (eg, IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)); qualitative or quantitative, all sources, includes specimen validity testing, per day, 1-7 drug class(es), including metabolite(s) if performed. G0481 Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (eg, IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)); qualitative or quantitative, all sources, includes specimen validity testing, per day, 8-14 drug class(es), including metabolite(s) if performed. G0482 Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (eg, IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)); qualitative or quantitative, all sources, includes specimen validity testing, per day, 15-21 drug class(es), including metabolite(s) if performed.) G0483 Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding...

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How to Bill for BCA Body Composition Analysis for Obesity Services | CPT Code for Body Composition Analysis
Aug19

How to Bill for BCA Body Composition Analysis for Obesity Services | CPT Code for Body Composition Analysis

  “The American Medical Association’s (AMA) recent revision of Current Procedural Technology (CPT) Category III Code 0358T, the code that insurance companies use to recognize Whole Body Composition Analysis tests whose results are generated through a scale called the bioelectric impedance analysis (BIA). Previously, code 0358T had only covered body composition tests that were conducted while a subject tested in the supine position.  A testing period for the revised code will now follow the CPT editorial board’s decision.  The code is scheduled for early release onJuly 1st, 2015, and patients and practitioners can begin contacting their insurance companies for billing options from this date.  Implementation will follow on January 1st, 2016.” So here’s what we need to know, the BCA or the Body Composition code that we can utilize is from the revised Category III code 0358T which will take effect January 1st, 2016 but the providers has to start calling their insurance payors since this code is a CAT III (Contains Temporary Set of Codes) and may not be reimbursable. Source: http://www.inbodyusa.com/blogs/inbodyblog/29243713-inbody-announces-important-revision-to-body-composition-analysis-cpt-code     GOT Question? Connect with me! Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...

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Billing Obesity Screening, Treatment and Counseling for Medicare and Commercial Payers
Jul12

Billing Obesity Screening, Treatment and Counseling for Medicare and Commercial Payers

If you are doing Obesity Screening and Counseling Services in your practice, here are the codes and guidelines I want to share with you: Keyword Tag: Billing Obesity Billing Obesity Screening, Treatment and Counseling for Medicare Keyword Tag: Billing Obesity HCPCS/CPT Codes G0447 – Face-to-face behavioral counseling for obesity, 15 minutes G0473 – Face-to-face behavioral counseling for obesity, group (2–10), 30 minutes Keyword Tag: Billing Obesity ICD-9-CM Codes for Obesity Screening, Treatment and Counseling for Medicare Keyword Tag: Billing Obesity Cross-over Diagnosis Codes (Choose 1)    –  V85.30–V85.39, V85.41–V85.45  V85.30 Body Mass Index 30.0-30.9, adult (Use ICD-10 Code Z68.30 – Effective October 1, 2015) V85.31 Body Mass Index 31.0-31.9, adult (Use ICD-10 Code Z68.31 – Effective October 1, 2015) V85.32 Body Mass Index 32.0-32.9, adult (Use ICD-10 Code Z68.32- Effective October 1, 2015) V85.33 Body Mass Index 33.0-33.9, adult (Use ICD-10 Code Z68.33 – Effective October 1, 2015) V85.34 Body Mass Index 34.0-34.9, adult (Use ICD-10 Code Z68.34 – Effective October 1, 2015) V85.35 Body Mass Index 35.0-35.9, adult (Use ICD-10 Code Z68.35 – Effective October 1, 2015) V85.36 Body Mass Index 36.0-36.9, adult (Use ICD-10 Code Z68.36 – Effective October 1, 2015) V85.37 Body Mass Index 37.0-37.9, adult (Use ICD-10 Code Z68.37 – Effective October 1, 2015) V85.38 Body Mass Index 38.0-38.9, adult (Use ICD-10 Code Z68.38 – Effective October 1, 2015) V85.39 Body Mass Index 39.0-39.9, adult (Use ICD-10 Code Z68.39 – Effective October 1, 2015) Keyword Tag: Billing Obesity V85.41 Body Mass Index 40.0-44.9, adult (Use ICD-10 Code Z68.41 – Effective October 1, 2015) V85.42 Body Mass Index 45.0-49.9, adult (Use ICD-10 Code Z68.42 – Effective October 1, 2015) V85.43 Body Mass Index 50.0-59.9, adult (Use ICD-10 Code Z68.43 – Effective October 1, 2015) V85.44 Body Mass Index 60.0-69.9, adult (Use ICD-10 Code Z68.44 – Effective October 1, 2015) V85.45 Body Mass Index 70 and over, adult (Use ICD-10 Code Z68.45 – Effective October 1, 2015)     Keyword Tag: Billing Obesity Who Is Covered for Billing Obesity Screening, Treatment and Counseling for Medicare? Keyword Tag: Billing Obesity Medicare beneficiaries: • With obesity (Body Mass Index [BMI] ≥ 30 kilos) • Who are competent and alert at the time counseling is provided; and • Whose counseling is furnished by a qualified primary care physician or other primary care practitioner in a primary care setting 01 – General Practice 08 – Family Practice 11 – Internal Medicine 16 – Obstetrics/Gynecology 37 – Pediatric Medicine 38 – Geriatric Medicine 50 – Nurse Practitioner 89 – Certified Clinical Nurse Specialist 97 – Physician Assistant Keyword Tag: Billing Obesity Frequency for Billing Obesity Screening, Treatment and Counseling for Medicare • First month: one visit every week; • Months 2 – 6: one visit...

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How to Bill for Depo Provera Injection
Mar25

How to Bill for Depo Provera Injection

How to Bill for Depo Provera Injection This type of injection is performed as an intramuscular injection to prevent pregnancy. Your physician should submit claim using CPT® code 96372 (Therapeutic, prophylactic, or diagnostic injection [specify substance or drug]; subcutaneous or intramuscular). In addition to this will be your HCPCS Code for the Depo Provera Code… Please LOGIN HERE to view this content. Or, REGISTER HERE Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...

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