My question relates to the answer to last week’s question about assigning modifier 52 to the code for an incomplete polysomnography (PSG) with CPAP titration. To use this modifier, is there a time requirement for the CPAP?
I am looking for Medicare billing instructions for calcimimetics delivered for AKI in an ESRD facility. Do you know where this information can be found?
Are the HCPCS code descriptions available in Spanish?
What is the difference between a health plan and a payer?
We are performing intrathecal chemo administration and assigning code 96450. We are also doing fluoro for needle guidance, which would be assigned 77003. However, with the new 2017 CPT® guideline, 96450 is not a primary procedure code to 77003. How should we bill for the fluoro guidance?
Do you know what the payment rate would be for CPT® codes 85025 (CBC) and 80061 (lipid panel) under the new proposed CLFS?
Would modifier 52 be appropriate when the physician orders polysomnography with CPAP titration, and during the phase of the test using the CPAP, the patient is physically unable to complete this portion of the test (e.g., adverse event)?
What code would I use for the second stent if the doctor’s dictation states “MI with culprit lesions in the LAD and RC”? If I can only assign code 92941 one time, what code do I use for the additional artery?
Is it appropriate for a pharmacy to use modifier KX when billing DME MACs for immunosuppressive drugs provided to Medicare beneficiaries who received an organ transplant that was paid for by Medicare?
We are hearing a lot lately about something known as DIR. Does this apply to Medicare?
What is the best code to assign for a generator change from a dual-chamber to a single-chamber? Our cardiologist capped off a lead and then replaced a dual-chamber with a single-chamber pacemaker.
How should a split-night study be coded? Can the diagnostic portion and titration portion of a single study be billed separately?
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