CPT Code 83036 (2021)

Two basic criteria must be met for Medicare to provide testing and diagnostic services. Tests and diagnostic services are covered by Medicare for certain procedures, such as routine exams, but are not covered until they are medically necessary or indicated. Medicares payments for clinical laboratory tests are usually less than the fee plan amount and…

CPT Code 36415 (2021)

According to the CPT manual, the correct code for venous puncture encoding is CPT 36415 (venous blood collection by venous puncture). This code is not intended for specific purposes, but for the total number of venous punctures. For a significant number of doctors who take blood in their practice to perform a laboratory test, the…

CPT Code 95165 (2021)

CPT Code 95165 (2021)

95165 billing guidelines 2020 The professional service of preparation and provision of antigens for allergen immunotherapy  reported using CPT 95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or multiple antigens (specify number of doses)  is often misunderstood and incorrectly coded and billed to third-party payers. This misunderstanding…

Allergy Test CPT Codes

Allergy Test CPT Codes

Looking for the CPT code for allergy testing? Reimbursement for allergy testing is based on the number of each type of test performed by the same physician and is subject to the following limitations when the coverage criteria are met Reimbursement Information: Reimbursement for allergy testing services includes the following components, Supplies (e.g., sterile diluents,…

How To Code Burns (2021)

How To Code Burns (2021)

Definition Of Burn A burn is tissue damage with partial or complete destruction of the skin caused by heat, chemicals, electricity, sunlight, or nuclear radiation. Scalds from hot liquids and steam, building fires, and flammable liquids and gases are the most common causes of burns. Inhalation injury, another type of burn, results from breathing smoke….

List Of All CPT Modifiers (2021)

List Of All CPT Modifiers (2021)

Modifier – as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbursement. Modifiers may add information or change the description according to the physician documentation to give more specificity for the service or procedure rendered. Appending of an appropriate modifier will effectively respond to…