Medical coding

Basics of Remittance Advice Remark Codes (RARC) Remittance Advice Remark Codes (RARC) provide additional information about an adjustment already described by a CARC and communicate information about remittance processing. Remittance…

Each edit is associated with a disposition. For example, there can be a rejection of the line item itself or a rejection of the entire claim. In addition to edit…

Payment adjustment flag 0 - No payment adjustment 1 - Paid standard amount for pass-through drug or biological (status indicator G) (discontinued effective October 2016, v17.3) 2 - Payment based…

Although when coding OB/GYN, the particular ICD-10 codes are rarely used because medical coders know exactly which codes to use for which patient symptoms. These codes rarely show up in…

Eligible Professionals for PQRS Under Physician Quality Reporting System (PQRS), covered profession al services are those paid under or based on the Medicare Physician Fee Schedule (PFS). To the extent…

Basics of CPT code 97116 The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them…

Basics of 90686 CPT code The provider administers into a muscle of a patient, a preservative–free, four–strain influenza virus vaccine, in a 0.5 mL dose to provide immunity to four…

Basics of 97530 CPT code The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of…