Recent content by mnuhfer04

  1. M

    Wiki Wokers Comp telehealth billing

    I hear that billing telehealth will go back to pre pandemic rules, but I didn’t start billing until the pandemic, so I’m not familiar with the old guidelines. Can you help clarify and/or help me know where to find these guidelines?
  2. M

    Wiki Wokers Comp telehealth billing

    Hey all, I am new to workers comp billing. For audio only visits, are these timed E/M codes or are they office visit codes 99202-99215?
  3. M

    Wiki 99245 consultations for workers comp permanency

    Thank you! I will definitely do some more digging. (=
  4. M

    Wiki 99245 consultations for workers comp permanency

    Our office does workers comp, we are in NY. When an established patient comes in for a Permanency appt, the providers do an extensive amount of work, they document their note as well as filling out a C-4.3 form which they upload into the comp board. We have always billed a 99245 consultation...
  5. M

    Wiki CPT II 40134f

    Hi all, I've asked this before, but have not gotten any feedback, so I am posting again. For 4013F Statin therapy prescribed or currently being taken (CAD). Does the patient have to have a dx of CAD in order to use this code? Or can any dx be used for hyperlipidemia if they are taking a...
  6. M

    Wiki TCM (99495)

    Hi, ED does not count unless they were admitted into observation and stayed in the ED due to lack of rooms elsewhere in the hospital. Discharge from any of the following: Inpatient acute care hospital Long-term acute care hospital Skilled nursing facility/nursing facility Inpatient...
  7. M

    Wiki Out of Country Telehealth visit?

    Mental health is all I've found as well. I am probably going to have to reach out to them directly. I did find a link on the Florida Board of Medicine (this is where our patient will be) that lets outside states apply for, it looks like, a temporary license for telehealth services. I'll do...
  8. M

    Wiki Out of State telehealth services for workers comp/DOL

    I am new to workers comp billing, it sure is a different beast than what I am used to. The scenario I am questioning right now is, we have a department of labor/workers comp patient who is going to Florida for the winter. Our providers want to do telehealth visits while the patient is in...
  9. M

    Wiki Out of Country Telehealth visit?

    This is a scenario that I am dealing with at the moment. We have a patient who goes to Florida for the winter, they are a worker's comp through the Department of Labor in NY. Our provider wants to provide telehealth services while they are in Florida. I was always had the understanding that...
  10. M

    Wiki CKD 4 with Dialysis

    Ell.21, E11.22 (diabetes w/ckd), N18.4, N17.9, Z99.2
  11. M

    Wiki CPT Needed

    Thank you!
  12. M

    Wiki Transitional Care Management

    A brief overview of the codes shows three key requirements: 99495 Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge Medical decision making of...
  13. M

    Wiki use of Z12.31

    Thank you! I don't ever use it as a first dx code, as it is never the reason for the visit. But when the providers see that it is time for the patient to get an updated mammogram, its documented in the note and a referral is given. I was just a bit confused if I should include Z12.31 on the...
  14. M

    Wiki use of Z12.31

    This was more of a general question, not really related to a particular visit. We are a primary care office and when a patient is due for a mammogram, the providers give a referral. That is never the only reason for the visit.
  15. M

    Wiki use of Z12.31

    Hi all, As a PCP office, I had been told that when the provider gives a referral for a screening mammogram that we are to put Z12.31 on the claim for that visit. But the guidelines state that Z12.31 is to be used with a procedure code. We aren't doing the mammogram in office, just referring...
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