General Question for the Week of December 6, 2021
What is the status of the appropriate use criteria? Did the final rule provide any updates?
What is the status of the appropriate use criteria? Did the final rule provide any updates?
How will the conversion factor in the Medicare Physician Fee Schedule impact radiology providers?
What time can be used for infusion stop if the patient is in the clinic and has a negative reaction requiring inpatient admission?
We have a patient who received 3 hours of IV hydration. During that time, the patient received 2 different drugs by intravenous push. Can the entire 3 hours of IV hydration be coded with the intravenous push injections?
How would we bill the concurrent IV administration of one chemotherapy drug and one non-chemotherapy when the drugs are given with separate bags at the same site?
If a magnetic resonance imaging (MRI) study is not completed due to the patient being in too much pain, how should this be billed for a non-hospital office? We used a 52 modifier, but Medicare is denying it saying that is an inappropriate modifier. Would you just bill it as a regular study?
What is the difference between oral hydration and intravenous hydration therapy?
We occasionally go to the OR to use ultrasound to assist with D&C, fetal position, lumpectomy, and other procedures. Do we use US intraoperative code 76998?
For code 92941 is there a way of determining if the patient has subtotal occlusion or are we strictly left to rely on the physician to document that specific phrase?
For code 92941 is there a way of determining if the patient has subtotal occlusion or are we strictly left to rely on the physician to document that specific phrase?
If an infusion is stopped because the patient is having an adverse reaction to a drug, can we still charge for the infusion?
Do modifiers ever replace a CPT or HCPCS code?
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