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Basics of Contractual Adjustment A Contractual Adjustment is a part of a patient’s bill that a doctor or hospital must write-off (not charge for) because of billing agreements with the insurance company. Adjustments, or write-off’s, are the dollars that are adjusted off a patient account for any reason. The Contractual Adjustment is the most common … Read more
In 2018, modifer 96 & 97 was introduced to medical coders. Coders use Modifier 96 and 97 as for Habilitative and Rehabilitative services. Below is the full description for these new modifiers. Also, CPT code 97129 (base code) and 97130 (add-on code) are time-based codes which have replaced CPT code 97127 and HCPCS G-code G0515. 97129 … Read more
Basics about Pressure and Non-Pressure Ulcers ICD 10 codes A Pressure ulcer is also known as a decubitis ulcer, pressure sore, or bedsore. It’s an open wound on your skin. Decubitis ulcers often occur on the skin covering bony areas. The most common places for a decubitis ulcer are your elbow, heels, hips, ankles, shoulders, … Read more
Basics about CPT code 47533, 47534 Before going ahead about biliary drainage catheter, we have to understand about difference between external and internal biliary drainage catheter. If you are not aware of biliary procedure, you can refer the cholangiogram procedure first. In Eternal biliary drainage catheter, one end of the catheter is in a bile … Read more
Basics of Cardiac MRI CPT codes Cardiac magnetic resonance imaging (MRI) refers to imaging of the heart utilizing magnetic resonance imaging, a modality utilizing a combination of radiofrequency impulses and magnetic fields to stimulate and record information from the protons in the body. Cardiac magnetic resonance imaging (MRI) uses a powerful magnetic field, radio waves … Read more
Basic of ZPIC Audit Process ZPIC stands for Zone Program Integrity Contractor audit. The ZPIC audit helps in looking for frauds which can be referred to the Department of Health & Human Services (HHS) Office of Inspector General (OIG) for consideration of civil or criminal prosecution. ZPICs can go after everything for audit from single-doc … Read more
Medical coding Sample Chart 1 PROCEDURE PERFORMED: Left and right heart cardiac catheterization. Selective coronary angiography. Left ventriculography. Performed from right radial artery and right brachial vein without complication. PREOPERATIVE DIAGNOSES: Severe tricuspid regurgitation. Rheumatic mitral valve disease with mitral regurgitation. Preoperative workup for tricuspid valve replacement. POSTOPERATIVE DIAGNOSES: Mildly elevated left heart filling pressure. … Read more
There are separate ICD 10 codes for sexual mode of transmission infections. These codes ranges from A50 to A64. It includes most of the congenital ICD 10 codes. These ICD 10 codes are used very frequently and should be known by each medical coder. So, let us check the ICD 10 codes list for these … Read more
Basics-Chest X ray Post Central Line Placement We have already learned about the central line placement procedures. These procedures are commonly done for placing central venous catheters using temporary or permanent catheters. The code range varies for coding Tunneled and Non-Tunneled Central Venous Catheter (CVC) and Peripheral Central Venous Catheter (PICC) is from 36555-36571. In … Read more
Moderate Conscious Sedation coding 99151-99157 Moderate conscious sedation (MCS) is a drug given for performing major procedures. The MCS helps in inducing depression of consciousness. MCS includes administration of agents, maintenance of sedation, monitoring of oxygen saturation, heart rate, blood pressure and establishment of IV access. There are few common CPT codes used for coding … Read more