General Question for the Week of January 7, 2019
MedLearn Publishing
January 7, 2019
What modifier should be used to report bilateral surgical procedures?
What modifier should be used to report bilateral surgical procedures?
How do you code for a screening mammogram when additional magnification views are required for a suspected abnormality? May I code both a diagnostic mammogram and a screening mammogram?
When, if ever, is it appropriate to bill a chest CT (with or without contrast) as well as a CTA on the same date of service? What if there are two clearly independent indications and independent physician orders?
Is J1094 the correct code to report injectable dexamethasone?
For the CMS date of service policy update, does the date performed apply to molecular testing that is done in-house for Medicare outpatients, or is it only for testing that is sent to a reference lab, which must bill?
What is the intent of code 93463?
For the tests reported with 94680–94690 (oxygen uptake), can calculated test results be separately reported to Medicare for reimbursement in addition to the tests that are performed to derive the calculations?
What code should be reported when no codes correctly describe the service performed?
We operate CLIA moderate-complexity laboratories. Our testing menu offers several otherwise CLIA-waived tests (e.g., influenza testing, Strep A testing, certain chemistry analyses) in addition to some moderate-complexity testing such as a complete blood count and blood gases.
Are we REQUIRED to use a -QW modifier on those waived tests, or are we simply ALLOWED to use the modifier but not otherwise required?
Can pulmonary rehabilitation code G0424 be reported with codes G0237–G0239 (therapeutic procedures to increase strength or improve respiratory function)?
We are having trouble determining how to report HCPCS Level II code J0171 (injection, adrenalin, epinephrine, 0.1 mg). Can you provide guidance?
Can you clarify the requirements for concurrent supervision for 3D reconstruction CPT codes 76376 and 76377?
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