A comprehensive metabolic panel (CMP) is a series of blood tests that provide crucial information about the body’s chemical balance, metabolism, and overall health. This panel evaluates organ function, monitors certain medical conditions, and screens for metabolic disorders. This article will provide a detailed guide on billing a CMP, with the CPT code for CMP,…
Procedures include a technical and professional component; in some claims, only one component must be billed. Below we explain the difference between technical en professional components in medical billing. 1. What Is A Professional Component? A professional component describes a provider’s work, which depends on their skills or knowledge. 1.1 Example An example of…
Fracture care coding can be billed for closed treatments with or without manipulation. Learn how to bill fracture care with be coding guidelines below. 1. How To Bill Fracture Care Fracture care can be billed if the treatment involves materials that allow the separated bones to grow together or support the patient. Examples of medical…
Non-participating providers can bill Medicare as well. Part B of Medicare-covered services has to be billed to Medicare. Providers who fail to bill these services can face penalties because of the so-called “Mandatory Claim Submission Rule.” According to CMS, the only exception, in this case, is if the beneficiary signed a valid Advance Beneficiary Notice…
Aetna covers chiropractic manipulation if they are medically necessary and meet the three criteria described below. 1. Does Aetna Cover Chiropractic Services? Yes. Aetna covers chiropractic services if they are medically necessary. The three criteria need to be met to get chiropractic services covered. 2. Chiropractic Services Not Covered By Aetna Aetna does not cover…
CIGNA covers chiropractic manipulation services and adjunct therapeutic modalities if they are medically necessary. Read on about CIGNA coverage, documentation, and chiropractic services that are not covered. 1. Does CIGNA Cover Chiropractic Services? Chiropractic manipulation and adjunct chiropractic services or mobilities (for example, traction or therapeutic exercise) are covered by CIGNA if the conditions below…
List Of Medical Abbreviations Starting With A A1C Medical Abbreviation Medical Meaning: Glycated hemoglobin (Hemoglobin A1c) Aa Medical Abbreviation Medical Meaning: Arteria AAD Medical Abbreviation Medical Meaning: Antibiotic Associated Diarrhea Aag Medical Abbreviation Medical Meaning: Abdominal Aortic Aneurysm AAPMC Medical Abbreviation Medical Meaning: Antibiotic Associated Pseudomembranous Colitis AAI Medical Abbreviation Medical Meaning: Acute Arterial Insufficiency AAT Medical…
The CPT codes for Clia waived tests can be found below. The following information is for the CLIA waived tests list. CR 11354 informs MACs of new Clinical Laboratory Improvement Amendments of 1988 (CLIA) waived tests approved by the Food and Drug Administration (FDA). What Is A Clia Waived Test? Since the clia waived tests…
Below you can find the definition of RARC Codes and CARC Codes, followed by some examples, and you can download a list with CARC codes and RARC codes. 1. What Are CARC Codes? CARC Codes is an abbreviation often used in medical billing for ‘Claim Adjustment Reason Codes.’ These codes are created to communicate an…
The payment status indicator list is updated quarterly by OPPS and tells you if a HCPCS code is pay and how. Below you can download the complete list of payment status indicators. 1. What Is A Payment Status Indicator? Every HCPCS code is assigned a ‘payment status indicator’ by OPPS. A payment status indicator identifies…
