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Latest activity
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Eedeschaine replied to the thread Wiki J1010 MAX UNITS.found this when i googled it...not sure if this is true for all ins or not
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JJessicaTonicBrown reacted to LisaAlonso23's post in the thread Wiki Anesthesia Crosswalk for CPT 58970 with
Like.
00840, per the 2023 ASA Crosswalk italicized note, is only used when the procedure is performed percutaneously or laparoscopically. When this procedure is performed with a vaginal approach, use 00940. -
JJessicaTonicBrown reacted to LisaAlonso23's post in the thread Wiki Anesthesia Crosswalk for CPT 58970 with Like.
It's 00940 as stated above.
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Kkeke74 replied to the thread Wiki Preventive care with an E/M.Per CPT/Preventive medicine guidelines, if a problem/abnormality is encountered in the process of performing a preventive medicine E/M service that does not require additional work then a problem-oriented E/M service should not be reported. From...
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AAlexanderF replied to the thread Wiki How do you bill for non-covered services?.Ok, that makes sense. So, if the procedure (occipital nerve block or any other) is not covered due to "being experimental" or "non-medically necessary," then I should be able to bill the patient, assuming I informed the patient of the potential...
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AAlexanderF reacted to csperoni's post in the thread Wiki How do you bill for non-covered services? with Like.
There are a lot of nuances about why a procedure isn't covered. There are also a lot of nuances in your insurance contract about when you cannot bill a patient, and the specific requirements when you do bill a patient. Something that is not...
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Ccsperoni replied to the thread Wiki How do you bill for non-covered services?.There are a lot of nuances about why a procedure isn't covered. There are also a lot of nuances in your insurance contract about when you cannot bill a patient, and the specific requirements when you do bill a patient. Something that is not...
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MMarissaCharlesworth replied to the thread CEUs for 2026.THANK YOU!!! That's what I thought I read before, but then I wasn't seeing it when I was looking this time.... and I overthinked, and panicked....because that's my jam. LOL
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MYou can earn CEUs in January 2025 - they'll apply to that new term started 2/1/2025. That is ONLY for CEUs earned during the renewal month - once you've submitted your CEUs for the term ending 1/31/25 and generated the new term starting...
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Ccsperoni replied to the thread Wiki ATTN CPC-A.Yes, that is a great reason to do Practicode, especially if you do not have healthcare related experience to pull from. However, I often see others complaining that Practicode was a waste of time and/or money because they believe it counts as...
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C44145 is for low anterior colon resection-without the op note this seems to be the right code
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Ccsperoni replied to the thread Wiki Preventive care with an E/M.If all the provider did was say "hey, that mole looks odd - go see a derm", my opinion is that does not meet the requirement to bill a separate E&M with -25.
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Ccsperoni replied to the thread Wiki Other opinions.Whenever trying to determine an E&M level, you need to determine the level of each component of overall MDM: problem, data and risk. You must have at least 2 of those at a specific level to reach that overall level. Alternately, you may bill...
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MMarissaCharlesworth reacted to jjhardeman123@gmail.com's post in the thread CEUs for 2026 with Like.
No, in my opinion. You need to start accruing the CEUs when you finish the class. You can control when you complete the class.
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AAlexanderF reacted to catherinetinkey@entmedicalservices.org's post in the thread Wiki How do you bill for non-covered services? with Like.
In this case you cannot bill the patient. Insurance companies have medical policies that specify what they will cover. I believe Cigna does have a policy on trigger point injections that states guidance is not covered. Because you are contracted...
