(2022) Bariatric Surgery CPT Codes- Descriptions, Guidelines & Reimbursement

(2022) Bariatric Surgery CPT Codes- Descriptions, Guidelines & Reimbursement

Bariatric surgery (gastrointestinal surgery for obesity) can be billed with CPT 43644 until CPT 43999. The surgery promotes weight loss by closing off parts of the stomach to make it smaller. Underneath the CPT codes and billing guidelines for Bariatric Surgery CPT Codes For Bariatric Surgery The descriptions of the CPT codes that can be…

(2022) CPT Codes For Pap Smear – Descriptions & Billing Guidelines

(2022) CPT Codes For Pap Smear – Descriptions & Billing Guidelines

Pap smear can be billed with G0123, G0124, G0141, G0143, G0144, G0145, G0147, G0148, P3000, P3001 and Q0091. Descriptions of the codes and the billing guidelines can be found below. G0123 CPT Code G0123 can be billed for screening cytopathology. The screening by the cytotechnologist is under physician supervision. Collected in preservative fluid and automated…

(2022) CPT Codes For Psychiatric Services – Descriptions & Billing Guidelines

(2022) CPT Codes For Psychiatric Services – Descriptions & Billing Guidelines

A psychiatric diagnostic interview examination is the elicitation of a complete medical and psychiatric history (including past, family and social), completion of a comprehensive mental status exam, establishment of a tentative diagnosis, and an evaluation of the patient’s ability and willingness to work to solve the patient’s mental problem. An interactive medical psychiatric diagnostic interview…

(2022) Pulmonary Function Test CPT Codes (PFT CPT Codes)

(2022) Pulmonary Function Test CPT Codes (PFT CPT Codes)

Recovery Auditors have identified overpayments associated with Evaluation and Management (E/M) Services (CPT for Pulmonary Diagnostic Procedures). These overpayments occurred due to claims billed without Modifier 25 on the same date of service as a pulmonary diagnostic, therapeutic, or monitoring procedure.  Use of modifier 25, when providing pulmonary diagnostic, therapeutic, or monitoring procedures. CPT Codes…

(2022) Medicare Non-Covered Vaccines – CPT Codes List & Billing Guidelines

(2022) Medicare Non-Covered Vaccines – CPT Codes List & Billing Guidelines

With the exception of vaccinations for pneumococcal pneumonia, hepatitis B, and influenza, which are specifically covered under the law, vaccinations or inoculations are generally excluded as immunizations unless, they are directly related to the treatment of an injury or direct exposure such as antirabies treatment, tetanus antitoxin or booster vaccine, botulin antitoxin, antivenin, or immune…

Medically Unlikely Edits (MUEs)

Medically Unlikely Edits (MUEs)

CMS developed MUEs to reduce the paid claims error rate for Medicare claims. Just like the NCCI edits, the MUEs are automated prepayment edits that help prevent inappropriate payments. The Affiliated Contractors (ACs) / Medicare Administrative Contractors (MACs) systems analyze the procedures on the submitted claim to determine if they comply with the MUE policy. What are MUEs? An…

How To Bill Home Health Physical Therapy (pt) – CPT Codes & Guidelines 2022

How To Bill Home Health Physical Therapy (pt) – CPT Codes & Guidelines 2022

Home Health Physical Therapy (pt) CPT Codes In order for CMS to collect more specific information regarding the sort of services provided to home health patients, we are revising the current descriptions for existing G-codes for physical therapists (G0151), occupational therapists (G0152), and speech-language pathologists (G0153). To include in the descriptions that they are intended…

Per Mile Travel Allowance P9603

Per Mile Travel Allowance P9603

In addition to a specimen collection fee Medicare, under Part B, covers a  travel allowance for a laboratory technician to draw a specimen from either a nursing home patient or homebound patient. The travel allowance is intended to cover the estimated travel costs of collecting a specimen and to reflect the technician’s salary and travel costs….