If a patient is having an ultrasound-guided breast biopsy, codes 19083, as well as an ultrasound-guided lymph node biopsy, 76942, 38505, is it appropriate to code all three codes? Is a modifier allowed on the 76942 since it was for a different lesion?
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 CPAP is applied during the PSG, can we report with 95782?
Can we report U0003 and U0004 for antibody testing?
What do U0003 and U0004 identify?
Is a face-to-face clinical evaluation required for a sleep study?
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?
We are adjusting off quite a few computed tomography (CT) scans that are performed to follow up a cancer diagnosis after treatment is complete. Our state’s local coverage determination (LCD) covers the cancer diagnosis code but does not cover the “history of” the specific cancer nor does it cover Z08 for completion of treatment. Is there any compliant way around this denial? For instance, can we bill the cancer diagnosis that is covered even though the report states no evidence of recurrence or metastasis?
If biventricular lead insertion into the coronary sinus is unsuccessful, what modifier would we use for coding 33224 and 33225 when reporting physician claims?
What is the difference between oral hydration and intravenous hydration therapy?
How is an episode of care defined for coding remote monitoring with physiologic parameters?
When a single case requires the processing of multiple specimens that and we code for 88362 and 88380 on the same date of service what will documentation require? Is a modifier needed?
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