This would help your organization join the fight against Hepatitis B (HBV) infection by understanding what conditions are necessary for coverage of HBV screening and how to properly code the Hepatitis B surface antigen (HBsAg) serologic test. Conditions for Coverage of HBsAg Serologic Testing: The patient’s primary care physician or practitioner, an eligible Medicare provider,…
CPT- 90689 Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use. Guidelines: The provider injects 0.25 mL of a four–strain influenza virus vaccine into a patient’s muscle to provide immunity to four forms of influenza, a severe and infectious respiratory disease; the vaccine is free of preservatives and derived…
Hospitals should submit HCPCS codes describing skin substitutes (Q4100 – Q4130) only when used with one of the CPT codes describing application of a skin substitute (15271-15278). These Q codes for skin substitutes should not be billed when used with any other procedure besides the skin substitute application procedures.
Ambulance transportation is a covered service when the patient’s condition is such that the use of any other method of transportation would endanger the patient’s health. CPT Codes For Ambulance Transport There are seven categories of ground ambulance services that refers to both land and water transportation and selection of codes would be based on…
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…
Coal workers’ pneumoconiosis (CWP), colloquially referred to as black lung disease that results from breathing in dust from coal, graphite, or man-made carbon over a long period of time. Coal worker’s pneumoconiosis occurs in two forms: simple and complicated (Progressive Massive Fibrosis (PMF)). The symptoms are Chronic cough and Shortness of Breath The Department of Labor’s Black Lung…
Preventive Medicine services [Current Procedural Terminology (CPT®) codes 99381-99387, 99391-99397, Healthcare Common Procedure Coding System (HCPCS) codes G0402, G0438-G0439] are comprehensive in nature, reflect an age and gender appropriate history and examination, and include counseling, anticipatory guidance, and risk factor reduction interventions, usually separate from disease-related diagnoses. Occasionally, an abnormality is encountered or a pre-existing…
Does Medicare pay for 99441 Telehealth Services? Medicare will pay for Telephonic services under following criteria 1. If the beneficiaries are presented from an originating site located either in a rural HPSA (health professional shortage areas) or in a county outside of an MSA (metropolitan statistical area). 2. Entities participating in a Federal telemedicine demonstration…
CMS reminds Medicare Fee-for-Service (FFS) physicians, providers and suppliers submitting claims to Medicare for payment that, as a result of the Patient Protection and Affordable Care Act (PPACA), all claims for services furnished on or after January 1, 2010, must be filed with respective Medicare contractor no later than one calendar year (12 months) from…