CARC Codes And RARC Codes (2023)

CARC Codes And RARC Codes (2023)

CARC and RARC Codes The following information is for RARC codes & CARC codes meaning for medical billing. What are CARC Codes? CARC Codes are ‘Claim adjustment reason codes’ (abbreviation: CARC). CARC codes communicate an adjustment, meaning that they must communicate why a claim or service line was paid differently than it was billed. If…

Types Of CLIA Certificates & CPT Code Details

Types Of CLIA Certificates & CPT Code Details

CPT Codes that require CLIA Certificate of Waiver G0394     82010    82465    82962    83605    84460    85610    8721080061    82044    82523    82985    83655    84478    85651    8744980101    82055    82570    83001    83718    84703    86294    8780480178    82120    82679    83002    83721    84830    86308    8780781002    82270    82947    83026    83880    85013    86618    8780881003    82271    82950    83036    83986    85014    86701    8788081007    82272    82951    83037   …

Humana Bundled CPT Codes List

Humana utilizes the following code-editing logic: CPT 78593 will not be separately reimbursed when submitted with CPT 78585. CPT 11101 will not be separately reimbursed when submitted with CPT 17000. CPT 20936 will not be separately reimbursed when submitted with CPT 22630. CPT 29877 will not be separately reimbursed when submitted with CPT 29881. CPT…

What Is The CPT Code For MMSE (Mini Mental Status Exam)?

What Is The CPT Code For MMSE (Mini Mental Status Exam)?

The 1997 version of Medicare’s Documentation Guidelines for Evaluation and Management Services indicates that “brief assessment of mental status including: The physician administration, interpretation, and written report associated with the CPT MMSE (Mini Mental Status Exam) is included in the E/M code for the patient encounter and cannot be billed separately. Do not report CPT…

List Of Clia Waived Tests 2023

List Of Clia Waived Tests 2023

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 the 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…

Technical Vs. Professional Component Explained (2022)

Technical Vs. Professional Component Explained (2022)

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…