HCFA 1500 CMS Place of Service Codes Guidelines | Box 24 B POS
Oct24

HCFA 1500 CMS Place of Service Codes Guidelines | Box 24 B POS

HCFA 1500 CMS Place of Service Codes Guidelines Listed below are place of service codes and descriptions. These codes should be used on your professional claims see Box 24B on HCFA 1500 CMS Place of Service: 01 Pharmacy A facility or location where drugs and other medically related items and services are sold, dispensed, or otherwise provided directly to patients. (effective 10/1/05) 2005-10-01 02 Unassigned N/A 03 School A facility whose primary purpose is education. 2003-01-01 04 Homeless Shelter A facility or location whose primary purpose is to provide temporary housing to homeless individuals (e.g., emergency shelters, individual or family shelters). Special Considerations Note that for the purposes of receiving durable medical equipment (DME), a homeless shelter is considered the beneficiary’s home. Because DME is payable in the beneficiary’s home, the crosswalk for Homeless Shelter (code 04) to Office (code 11) that was mandated effective January 1, 2003, may need to be adjusted or local policy developed so that HCPCS codes for DME are covered when other conditions are met and the beneficiary is in a homeless shelter. If desired, local contractors are permitted to work with their medical directors to determine a new crosswalk such as from Homeless Shelter (code 04) to Home (code 12) or Custodial Care Facility (code 33) for DME provided in a homeless shelter setting. If a local contractor is currently paying claims correctly, however, it is not necessary to change the current crosswalk. 2003-01-01 05 Indian Health Service Free-standing Facility A facility or location, owned and operated by the Indian Health Service, which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services to American Indians and Alaska Natives who do not require hospitalization. (See 05-08 Special Considerations below.) 2003-01-01 06 Indian Health Service Provider-based Facility A facility or location, owned and operated by the Indian Health Service, which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services rendered by, or under the supervision of, physicians to American Indians and Alaska Natives admitted as inpatients or outpatients. (See 05-08 Special Considerations below.) 2003-01-01 07 Tribal 638 Free-standing Facility A facility or location owned and operated by a federally recognized American Indian or Alaska Native tribe or tribal organization under a 638 agreement, which provides diagnostic, therapeutic (surgical and nonsurgical), and rehabilitation services to tribal members who do not require hospitalization. (See 05-08 Special Considerations below.) 2003-01-01 08 Tribal 638 Provider-based Facility A facility or location owned and operated by a federally recognized American Indian or Alaska Native tribe or tribal organization under a 638 agreement, which provides diagnostic, therapeutic (surgical and nonsurgical), and rehabilitation services to tribal members admitted as inpatients or outpatients. (See 05-08...

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Neurology Medical Codes for Billing | Analysis and Programming CPT Codes
Oct20

Neurology Medical Codes for Billing | Analysis and Programming CPT Codes

Neurology Medical Codes for Billing and Analysis and Programming CPT Codes   Neurology CPT Code 95970 Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of waveform, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); simple or complex brain, spinal cord, or peripheral (ie, cranial nerve, peripheral nerve, sacral nerve, neuromuscular) neurostimulator pulse generator/ transmitter, without reprogramming Neurology CPT Code  95971 (3 or fewer parameter changes) Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of waveform, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); simple spinal cord, or peripheral (ie, peripheral nerve, sacral nerve, neuromuscular) neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming Neurology CPT Code 95974 (More than 3 parameter changes) Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of waveform, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); complex cranial nerve neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming, with or without nerve interface testing, first hour Neurology CPT Code 95975 Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of waveform, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); complex cranial nerve neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming, each additional 30 minutes after first hour (List separately in addition to code for primary procedure.) Epilepsy ICD-10 Neurology Codes Cross Over ICD 10 Code G40.211 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, with status epilepticus ICD 10 Code G40.219 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, without status epilepticus ICD 10 Code G40.011 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, with status epilepticus ICD 10 Code G40.111 (Attacks without alteration of conscious) Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, with status epilepticus ICD 10 Code G40.019 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, without status epilepticus ICD 10 Code G40.119 (Attacks without alteration of conscious) Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, without status epilepticus Got Questions? on Physician Billing, Coding and Credentialing?  Please call us today.   Search keywords: Neurology Medical Codes 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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CPT Code for Hernia Incisional or Ventral Open or Laparoscopic
Oct13

CPT Code for Hernia Incisional or Ventral Open or Laparoscopic

CPT Code for Hernia Incisional or Ventral Open or Laparoscopic INCISIONAL/VENTRAL HERNIA (OPEN) 49560 Repair initial incisional or ventral hernia; reducible 49561 Repair initial incisional or ventral hernia; incarcerated or strangulated 49565 Repair recurrent incisional or ventral hernia; reducible 49566 Repair recurrent incisional or ventral hernia; incarcerated or strangulated Use CPT Code 49568 (MESH) Implantation… 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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Compliance Guidance (Videos)
Mar18

Compliance Guidance (Videos)

//   Compliance Program Basics Physician Self-Referral Law // Federal Anti-Kickback Statute False Claims Act   //   OIG Guidance Operating an Effective Compliance Program Overview of Centers for Medicare and Medicaid Services   Related POST READ HERE –  Compliance Guidance from the Office of the Inspector General or the OIG   For more information,… 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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Therapy Practice Management Software with the Understanding of 8-Minute Rule Therapy Billing
Mar15

Therapy Practice Management Software with the Understanding of 8-Minute Rule Therapy Billing

Therapy Practice Management Software For my 18 years in Medical Practice Industry, I know how critical it is to choose your best therapy practice management software. Most of my clients would ask me if I can recommend to them one particular therapy practice management software that they can use in their practice either it is cloud-based or having their own server in the office. Quite honestly, it is more important for you to understand how to properly and ethically bill for therapy services. And it is really important that the therapists understand the simple 8-Minute Rule for therapy billing purposes. No matter how great your therapy practice management software is, it is still up to the therapy billing strategies you can measure success and run a profitably therapy office. I always advise my clients that everything you render is always based on Medical Necessity and you must (imperative) document your services in a timely manner – real time I must say. So one of the important features of an excellent therapy practice management software is having a user-friendly, compliant and complete EMR Documentation feature integrated into the software. You don’t want headache and much more you don’t want to learn a lot more of things (the not-so computer savvy will have a problem unfortunately). So let’s focus on this post on understanding the 8 minute rule for therapy billing. When you understand this concept, you will be excited how to find the best therapy practice management software. Believe me, a lot of Therapy Billing Offices and Therapists themselves doesn’t fully understand the 8 minute rule. This is a very simple rule. Are you ready? Searched Key Phrase: Therapy Practice Management Software Let me show you how the 8 Minute Rule for Physical Therapy Billing Works based on Medicare’s Guidelines: The 8 Minute Rule Physical Therapy Billing for Practice Management Therapists. Let’s try to understand this 8-minute rule. Looking at our codes first; do you know what are your modalities? (there are a variety of therapy billing modalities that can help strengthen, relax, and heal muscles for patients requiring therapy billing services – may include electrical energy, thermal, light or mechanical agents/supplies/equipments) There are 2 types of Modalities, the Constant Attendance Modality and the Supervised Modality 1. Constant Attendance Modality (billed in 15 minutes increments) – REQUIRES direct one-on-one provider to patient contact. 97032 – Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes 97033 – Application of a modality to 1 or more areas; iontophoresis, each 15 minutes 97035 – Application of a modality to 1 or more areas; ultrasound, each 15 minutes 97039 –...

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