An AFO (abbreviation for Ankle-Foot Orthotics) supports, prevents, corrects, or aligns ankle deformities or improves its function. Below you can find the HCPCS codes used to bill AFO. 1. What Is HCPCS Code L1900? L1900 covers the supply of an AFO (ankle foot orthosis). This is used to assist the patient with the dorsiflexion movement….
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…
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…
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,…
Fracture care coding can be billed for closed treatments with or without manipulation. Learn how to bill fracture care with be coding guidelines below. 1. How To Bill Fracture Care Fracture care can be billed if the treatment involves materials that allow the separated bones to grow together or support the patient. Examples of medical…
It is frustrating when a claim is denied with CO 22, PR 22, or CO 19. We explain why these denials happen and how to prevent them. 1. What Is Denial Code CO 22? Denial CO 22 occurs when a claim is denied because it is already covered by another payer per coordination of benefits…
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…
Adult screening is provided for patients older than 21 years of age. These services are provided to prevent and detect diseases, disabilities, or other health conditions. Below are the CPT codes you can use to bill adult health screening. 1. What Is CPT Code 99385? CPT 99385 covers a procedure in which a provider performs…
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 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…
