How to Bill for Kyphoplasty, Vertebroplasty and Annuloplasty | What is the CPT code for Kyphoplasty and CPT Code for Vertebroplasty
Feb09

How to Bill for Kyphoplasty, Vertebroplasty and Annuloplasty | What is the CPT code for Kyphoplasty and CPT Code for Vertebroplasty

How to Bill for Kyphoplasty, Vertebroplasty and Aninuloplasty | What is the CPT code for Kyphoplasty and CPT Code for Vertebroplasty Use CPT Codes 22510, 22511, 22512, 22513, 22514, 22515, 22526, 22527 22510 Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic 22511 Percutaneous vertebroplasty (bone biopsy included...

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Can a Doctor Waive a Patient Copay | Medical Practice Offices Need to Know
Jul31

Can a Doctor Waive a Patient Copay | Medical Practice Offices Need to Know

If you are participating and contracted with the insurance payers, you cannot legally waive a copayment because your contract (which is a legal document/agreement) is clearly stating and you agree that you need to collect the copay at the time of service or something like that. See, you have a contracted rate with the insurance right? And so this is how it works: Can a Doctor Waive a Patient Copay, Medical Practice Offices Need to...

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List of Medical Modifiers for Durable Medical Equipment DME Billing Services | Modifiers
Jul28

List of Medical Modifiers for Durable Medical Equipment DME Billing Services | Modifiers

[et_pb_section admin_label=”section”] [et_pb_row admin_label=”row”] [et_pb_column type=”4_4″][et_pb_text admin_label=”Text”]searched terms: List of Medical Modifiers for Durable Medical Equipment DME Billing Services Keypoints: Make sure you have identified medical necessity for a DME Durable Equipment Item Make sure you have documented the necessity Make sure you have a delivery receipt...

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DME Durable Medical Equipment Billing Coding Modifier RR, KH, KJ, KI – Rental DME Modifier
Jul27

DME Durable Medical Equipment Billing Coding Modifier RR, KH, KJ, KI – Rental DME Modifier

These modifiers are used for DME Durable Medical Equipment Services Billing: RR – DME Item – RENTAL  Secondary Modifiers: KH, KI, KJ KH — DME Item, FIRST MONTH RENTAL. KI — DME Item, SECOND OR THIRD MONTH RENTAL KJ — DME Item, RENTAL, MONTHS FOUR TO FIFTEEN Always check with your payers, every payer has a different way of billing the DME using these modifiers. Kindly see below DME billing HCFA 1500...

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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...

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CPT Unlisted Codes – What are they? Use it when there is no other appropriate code!
May31

CPT Unlisted Codes – What are they? Use it when there is no other appropriate code!

Here are our Unlisted Service or Procedure Codes A service encounter or surgical procedure may be provided that is not listed in this edition of the CPT code book. When reporting such a encounter or service, the appropriate “Unlisted Procedure” code may be used to indicate the service, identifying it by “Special Report” as discussed in the section below.         The “Unlisted Procedures” and accompanying codes for...

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