(2022) Billing Guidelines For Reclast, Zometa (Concentrate), And Aclasta

(2022) Billing Guidelines For Reclast, Zometa (Concentrate), And Aclasta

Reclast®, Zometa®, Zometa Concentrate®, and Aclasta® can be reported with HCPCS code J3489. According to CMS, J3489 replaced J3487 and J3488 (deleted on 31 December 2013). 1. What Is HCPCS Code J3489? J3489 can be used for billing Reclast®, Zometa®, Zometa Concentrate®, and Aclasta®. These brands contain zoledronic acid, which inhibits the release of calcium…

(2022) EGD With EUS CPT Codes | Descriptions & Billing Guidelines

(2022) EGD With EUS CPT Codes | Descriptions & Billing Guidelines

With the billing guidelines and CPT EGD With EUS codes below, you can learn how to bill endoscopic ultrasound (EU) during EGD (esophagogastroduodenoscopy) procedures. What Is CPT Code 43231? CPT 43231 covers a procedure in which a provider inserts a flexible endoscope (EGD) through the patient’s mouth and moves it into the esophagus. Then, they…

How To Bill Medical Records Requests | Descriptions & Billing Guidelines (2022)

How To Bill Medical Records Requests | Descriptions & Billing Guidelines (2022)

Medical records can be billed with S9981 for the administrative part, and S9982 can be used for the fee or every copied page. The Health Insurance Portability and Accountability Act (HIPAA) states that states can charge reasonable fees for copying medical records. The fees for medical records vary per state and include postage, administrative/clerical work,…

Billing Guidelines For Medicare Non-Participating Providers (2022)

Billing Guidelines For Medicare Non-Participating Providers (2022)

Non-participating providers can bill Medicare as well. Part B of Medicare-covered services has to be billed to Medicare. Providers who fail to bill these services can face penalties because of the so-called “Mandatory Claim Submission Rule.” According to CMS, the only exception, in this case, is if the beneficiary signed a valid Advance Beneficiary Notice…

Aetna Coverage For Chiropractic Services Explained (2022)

Aetna Coverage For Chiropractic Services Explained (2022)

Aetna covers chiropractic manipulation if they are medically necessary and meet the three criteria described below.  1. Does Aetna Cover Chiropractic Services? Yes. Aetna covers chiropractic services if they are medically necessary. The three criteria need to be met to get chiropractic services covered. 2. Chiropractic Services Not Covered By Aetna Aetna does not cover…

CIGNA Chiropractic Coverage Explained (2022)

CIGNA Chiropractic Coverage Explained (2022)

CIGNA covers chiropractic manipulation services and adjunct therapeutic modalities if they are medically necessary. Read on about CIGNA coverage, documentation, and chiropractic services that are not covered.  1. Does CIGNA Cover Chiropractic Services? Chiropractic manipulation and adjunct chiropractic services or mobilities (for example, traction or therapeutic exercise) are covered by CIGNA if the conditions below…