Provider home health care and CPT CODES - T1002, T1003
What Is Home Health Care?Home health care includes skilled nursing care, as well as other skilled care services, like physical and occupational therapy, speechlanguage therapy, and medical social...
View Articlecpt code 78350, 78351, 77080 and 77086
CPT code and Description 78350: Bone density (bone mineral content) study, 1 or more sites; single photon absorptiometry78351: Bone density (bone mineral content) study, 1 or more sites; dual photon...
View ArticleWhen was Medicare Established - Medicare insurance history
How Medicare started and history of Medicare historic eventsYear 1965Medicare and Medicaid were enacted as Title XVIII and Title XIX of the Social Security Act, providing hospital, post-hospital...
View ArticleRitalin Medication - Dosage, Description, Food effects, Indication and usage
Ritalin• The first ADHD medication used since 1950s* Comes in 3 preparations• Immediate release [IR] (lasting ~2-4 hours)• Sustained release [SR] (~4-6 hours, seldom used)• Long acting [LA] (~8...
View ArticleCPT 44360, 44361, 44376, 44377, 44365, Enteroscopy codes
Code1 Code Description 44360 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing,...
View ArticleCPT code for Esophagogastroduodenoscopy (EGD) - 43235 - 43259
What is an Esophagogastroduodenoscopy (EGD)?It is an endoscopic procedure that visualizes the upper part of the gastrointestinal tract up to the duodenum.CPT© codes in this series (43235- 43259)...
View ArticleModifier 33 – Preventive Services usage and guideline policy
Modifier code and DescriptionModifier 33 – Preventive Services: Preventive Services: When the primary purpose of the service is the delivery of an evidence based service in accordance with a US...
View ArticleCPT code S5100, S5110,S5102, S5105, S5115 - Day and home care services
Procedure code and Description S5100 Day care services, adult; per 15 minutesS5110 Home care training, family; per 15 minutesS5102 Day care services, adult; per diemS5105 Day care services,...
View ArticleCPT 99411, 99412 - Preventive counseling group visit
CPT code and Description99411 Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 30 minutes N Y...
View ArticleMost commonly using Anesthesia Modifiers
Background Information ModifiersModifiers are two-character suffixes (alpha and/or numeric) that are attached to a procedure code.CPT modifiers are defined by the American Medical Association (AMA)....
View ArticleModifiers XE, XS, XP, XU, and 59 - Usage Guidelines
Modifiers XE, XS, XP, XU, and 59 - Distinct Procedural ServiceScopeThis policy applies to all Commercial medical plans, Medicare Advantage plans, and Oregon Medicaid/EOCCO plans.Reimbursement...
View ArticlePresent On Admission (POA) indicator list and reporting requirement
Present On Admission (POA) Indicators Scope Description:Applies to Present On Admission (POA) Indicator requirement for all BlueCross BlueShield of TN lines of business.Subject: Present On Admission...
View ArticleCPT code Q2034, Q2035, Q2036, Q2037, Q2038 and Q2039
Procedure code and DescriptionQ2034: Influenza virus vaccine, split virus, for intramuscular use (Agriflu)Q2035: Influenza virus vaccine, split virus, when administered to individuals 3 years of age...
View ArticleCPT 99050, 99051, 99053, 99056, 99058, 99060 - Service after hours
Procedure code and description 99050 Services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed (eg, holidays, Saturday or Sunday),...
View ArticleCPT G0446. G0447, G0473 - Obesity counseling
CPT code and DescriptionG0446 – annual, face-to-face intensive behavioral counseling (IBT) for cardio-vascular disease (CVD), individual, 15 minutesG0447– face-to-face behavioral counseling for...
View ArticleMedical billing specialist Job - Profile, skillset and duties
Lucrative career opportunities for medical billing specialistsWhen you think of large hospital networks, the first picture that comes to mind are doctors and nurses who are perhaps working relentlessly...
View ArticleMedicaid coverage on specaility dental, general dental
Medicaid Coverage of Dental Benefits for AdultsKey Points• Poor oral health is widespread among adults in the United States and especially affects those with low incomes.– Adults with incomes below 100...
View ArticleMedicaid hospice, respite benefit - CSHCS
What Is Hospice Care?Medicaid participants can receive hospice care when they are terminally ill. “Terminally ill” means the patient has been diagnosed with a medical condition that reduces their life...
View ArticleElectronic Bill Attachments - Basic requirments - WC claim and commercial
Electronic Bill Attachments(a)Required reports and/or supporting documentation to support a bill as defined in Complete Bill Section 3.0 shall be submitted in accordance with this section. Unless...
View ArticleCPT 81401, 81405, 81408, 81410, 81411 - Genetic Testing for Marfan Syndrome
Coding Code Description CPT 81401 MED12 (mediator complex subunit 12)(eg, FG syndrome type 1, Lujan syndrome), common variants (eg, R961W, N1007S) 81405 ACTA2 (actin, alpha 2, smooth muscle, aorta)...
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