Respiratory Question for the Week of February 5, 2018
What code should be assigned for the management of CPAP services?
What code should be assigned for the management of CPAP services?
Are there any modifiers to report 340B-acquired drugs to Medicare?
What is the difference between medical necessity and medical decision-making?
How is the following scenario coded? A patient has a SVG anastomosed to the LC obtuse marginal (OM). Next, this graft “jumps” to the RC posterolateral branch. Through the vein graft, the OM lesion is treated with angioplasty and bare metal stenting and a second lesion in the posterolateral branch of the RC is treated with angioplasty.
Do CPT® codes for psychological and neuropsychological tests include tests performed by technicians and computers?
How is a hospital paid for mechanical ventilation provided for inpatients?
I have a provider who billed 93015 for a cardiovascular stress test performed in the outpatient hospital setting, and the hospital billed the following code:
93017 Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report
The provider’s claim was re-coded from 93015 to 93018. How should a cardiovascular stress test done in a facility when a physician provides supervision as well as interpretation and report?
On which types of pharmacy claims must hematocrit or hemoglobin readings be reported?
As I understand the Medicare rules, physician interpretation of a molecular pathology procedure (e.g., CPT® codes 81161–81408) may be reported with HCPCS code G0452 (molecular pathology procedure; physician interpretation and report) as long as certain criteria are met. What are those criteria?
Can a radiologist bill for the reading of a post breast biopsy/clip/wire-placement mammogram? It is usually a two-view mammogram that indicates the clip/wire placement. Prior to 2016, the National Correct Coding Initiative (NCCI) edits didn’t allow, but I believe this policy was revised. If the radiologist can bill for the reading of the post breast biopsy/clip/wire placement mammogram, would it be a unilateral, diagnostic mammogram?
If we perform most of the components of an obstetric panel in our hospital lab but we have to send out one component to a reference lab, would we append the modifier 90 to the entire panel, or do we have to report each component separately and append the modifier 90 to only the CPT® code that was sent out?
Is code 92973 the appropriate code for aspiration of a thrombus within a coronary vessel?
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