65435 CPT Code Reimbursement (2022) Description, Guidelines, Reimbursement, Modifiers & Examples

65435 CPT Code Reimbursement (2022) Description, Guidelines, Reimbursement, Modifiers & Examples

65435 CPT code reimbursement bills for service when the physician performs removal of corneal epithelium with or without the utilization of chemo-cauterization (abrasion, curettage). Physicians perform surgery to remove the outer-most layer of the cornea (the clear tissue that covers the eyeball) by scraping or cutting it with a spatula or curette (e.g. 65435).  65435…

(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…

54 Modifier – Description, Billing Guidelines & Reimbursement

54 Modifier – Description, Billing Guidelines & Reimbursement

Are you looking for billing guidelines for the 54 modifier? Underneath the description, coding guidelines and reimbursement for this modifier. Description Modifier 54 identifies when one physician performs a surgical procedure and another provides preoperative and/or postoperative management. The surgeon who performs the surgical procedure reports the 54 modifier. Billing Guidelines Submit the 54 modifier…

X Modifiers List (2022) – Descriptions, Billing Guidelines & Examples

X Modifiers List (2022) – Descriptions, Billing Guidelines & Examples

Modifier XE, Modifier XS, Modifier XP & Modifier XU are created for billing certain codes at high risk for incorrect billing even though it still recognizes modifier 59. Descriptions and examples of Modifier XE, Modifier XS, Modifier XP & Modifier XU can be found below. The Current Procedural Terminology (CPT) instructions state that modifier 59…

Reporting Failed Esophageal Dilation Followed By An Endoscopy

Reporting Failed Esophageal Dilation Followed By An Endoscopy

According to NCCI policy manual if a procedure utilizing one approach fails and is converted to a procedure utilizing a different approach, only the completed procedure may be reported. Hence If esophageal dilation as described by CPT 43450 – CPT 43458 fails and is followed by an endoscopic esophageal dilation procedure, only the endoscopic esophageal…

Modifier 55 (Postoperative Management Only)

Modifier 55 (Postoperative Management Only)

The description of modifier 55, the coding guidelines, billing requirements and reimbursement can be found below. 55 Modifier Description The CPT Manual describes modifier 55 as: “When one physician performed the postoperative management only modifier and another physician performed the surgical procedure, the postoperative component may be identified by adding modifier 55 definition to the…

Modifier 32 – Billing Guidelines

Modifier 32 – Billing Guidelines

Modifier 32 should be used when services related to mandated consultation and / or related services such as confirmatory consultations and related diagnostic service (eg. third party payer, governmental, legislative or regulatory requirement) may be identified by adding modifier 32 to the basic procedure. Billing Guidelines For Modifier 32 The use of modifier 32 is…