Type of Service Code for Claims Submission for Medical Provider Services
Jul25

Type of Service Code for Claims Submission for Medical Provider Services

Type of Service Code for Claims Submission for Medical Provider Services   1 = Medical Care Medical services to diagnose and/or treat a medical condition, illness, or injury 2 = Surgical Surgical services provided by a healthcare provider 3 = Consultation Counseling and/or coordination of care with other Physicians, other qualified Healthcare Providers or agencies 4 = Diagnostic X-Ray Diagnostic x-ray provided by a healthcare provider 5 Diagnostic Lab Diagnostic lab provided by a healthcare provider 6 Radiation Therapy Radiation therapy provided by a healthcare provider 7 = Anesthesia Anesthesia services provided by a healthcare provider 8 Surgical Assistance Assistant surgeon/surgical assistance provided by a healthcare provider if required because of the complexity of the surgical procedures 10 Blood The allotment of whole blood, blood plasma, or blood derivatives 11 Durable Medical Equipment Used Used equipment needed for medical reasons to be used by a person that is ill or injured and is ordered by a health care provider for use in the home. 12 Durable Medical Equipment Purchased Purchased equipment needed for medical reasons to be used by a person that is ill or injured and is ordered by a healthcare provider for use in the home. 14 Renal Supplies Supplies to support treatment of kidneys, or bladder functions. (Example: Dialysis Supplies and/or catheters) 17 Pre-Admission Testing Services related to the preparation for admission to establish the patients current health status. 18 Durable Medical Equipment Rental Rental equipment needed for medical reasons to be used by a person that is ill or injured and is ordered by a healthcare provider for use in the home. 19 Pneumonia Vaccine Services provided by a physician or other healthcare provider related to administration of Pneumococcal Pneumonia vaccination. 20 Second Surgical Opinion Second professional opinion sought to verify or confirm the necessity for surgical procedures 21 Third Surgical Opinion Third professional opinion sought to verify or confirm the necessity for surgical procedures 22 Social Work Services related to a systematic way of helping individuals and groups towards better adaptation to society 23 Diagnostic Dental The translation of data gathered by clinical and radiographic examination into an organized, classified definition of conditions present. 24 Periodontics The art and science of examination, diagnosis, and treatment of diseases affecting the periodontium; a study of the supporting structures of the teeth, normal anatomy and physiology and the deviations. 25 Restorative Broad term applied to any restorations to the tooth/teeth structure(s). Anterior teeth include up to five surface classifications – Mesial, Distal, Incisal, Lingual and Labial. Posterior teeth include up to five surface classifications: Mesial, Distal, Occlusal, Lingual and Buccal. 26 Endodontics The branch of dentistry that is concerned with the morphology,...

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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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Insurance Payment Paid and Allowed 100% of Charged Amount – don’t celebrate! Let me tell you why!
Mar12

Insurance Payment Paid and Allowed 100% of Charged Amount – don’t celebrate! Let me tell you why!

I asked some of my readers about how they will feel if their claims has an allowed amount that is at 100% of the charged amount, wow! So, meaning, when you bill for $2000.00 and the insurance made their determination at 100% of your charges… you bill $2,000, they allowed $2,000 – would you be happy?… 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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Can I use modifier 59 for CPT 99204, 99213, 99214, 99215, 99205, 99203 Problem Focused E/M
Mar12

Can I use modifier 59 for CPT 99204, 99213, 99214, 99215, 99205, 99203 Problem Focused E/M

Can I use modifier 59 for CPT 99204, 99213, 99214, 99215, 99205, 99203 Problem Focused E/M   A question from one of my blog readers… By definition, Modifier 59 is used to identify procedures/services that are commonly bundled together but are appropriate to report separately under some circumstances. A health care provider may need to… 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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DME Modifiers use for DME Durable Equipment Billing | How to Bill for DME
Mar06

DME Modifiers use for DME Durable Equipment Billing | How to Bill for DME

DME Modifiers use for DME Durable Equipment Billing MODIFIER BP – The beneficiary has been informed of the purchase and rental options and has elected to purchase the item MODIFIER BU The beneficiary has been informed of the purchase and rental options and after 30 days has not informed the supplier of his/her decision MODIFIER KH – DMEPOS item, initial claim, purchase or first month rental MODIFIER KI – DMEPOS item, 2nd or 3rd month rental MODIFIER KX – Requirements specified in the medical policy have been met MODIFIER LL – Lease/rental (use the LL modifier when DME equipment rental is to be applied against the purchase price) MODIFIER NR – New when rented (use the NR modifier when DME which was new at the time of rental is subsequently purchased) MODIFIER NU – New equipment MODIFIER RA – Replacement of a DME, orthotic or prosthetic item MODIFIER RB – Replacement of a part of a DME, orthotic or prosthetic item furnished as part of a repair MODIFIER RR – Rental (use the RR modifier when DME is to be rented) MODIFIER KH – DMEPOS item, initial claim, purchase or first month rental MODIFIER KI – DMEPOS item, 2nd or 3rd month rental KR – Rental item, billing for partial month KX – Requirements specified in the medical policy have been met LL – Lease/rental (use the LL modifier when DME equipment rental is to be applied against the purchase price) MS – Six month maintenance and servicing fee for reasonable and necessary parts and labor which are not covered under any manufacturer or supplier warranty NR New when rented (use the NR modifier when DME which was new at the time of rental is subsequently purchased) NU – New equipment QJ – Services/items provided to a prisoner or patient in state or local custody, however the state or local government, as applicable, meets the requirements in 42 CFR 411.4(B) MODIFIER RA – Replacement of a DME, orthotic or prosthetic item RB – Replacement of a part of a DME, orthotic or prosthetic item furnished as part of a repair RR – Rental (use the RR modifier when DME is to be rented) UE – Used durable medical equipment Searched Keywords: how to bill l3908, how to bill dme modifier, modifier dme, dme biller, dme billing, dme pos, l3908 modifier, l3908 medicare coverage, l3908 wrist brace, l3908 medicare reimbursement, l3908 cost, l3908 fee schedule, l3908 lcd, l3908 reimbursement, durable medical equipment billing codes, dme billing training, dme billing companies, free dme billing training, durable medical equipment billing guide, dme billing jobs, what is durable medical equipment, durable medical equipment companies...

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2017 New CPT Codes for Billing Coding Presumptive Drug Class Procedures, UDS, Urinary Drug Screening and Immunoassay | Point of Care UDT
Jan29

2017 New CPT Codes for Billing Coding Presumptive Drug Class Procedures, UDS, Urinary Drug Screening and Immunoassay | Point of Care UDT

***** 2018 CPT CHANGES – REVISED CODE 80305. READ HERE **** Wow! we have new codes effective January 1, 2017 for Presumptive Screening Toxicology CPT codes. These will replace both the AMA CPT and Medicare’s HCPCS for presumptive drug testing. The following AMA CPT codes for presumptive urine drug testing are now DELETED and no longer recognized… 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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