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Claim Dispositions definitions in Medical coding
Each edit is associated with a disposition. For example, there can be a rejection of the line item itself or a rejection of the entire claim. In addition to edit…
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Payment adjustment flag and Payment method flag| OCE edits
Payment adjustment flag 0 - No payment adjustment 1 - Paid standard amount for pass-through drug or biological (status indicator G) (discontinued effective October 2016, v17.3) 2 - Payment based…
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Status indicators and Payment indicators used in Medical coding
Status Indicators "It is a payment indicator that identifies whether a service represented by a CPT or HCPCS code is payable under the OPPS APC or another payment system" A…
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From Pap Smears to Hysterectomies: How to Navigate Gynecology CPT Codes Like a Pro
Although when coding OB/GYN, the particular ICD-10 codes are rarely used because medical coders know exactly which codes to use for which patient symptoms. These codes rarely show up in…
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Physician Quality Reporting System (PQRS) Measure or Modifiers
Eligible Professionals for PQRS Under Physician Quality Reporting System (PQRS), covered profession al services are those paid under or based on the Medicare Physician Fee Schedule (PFS). To the extent…
Posted inMedical coding Surgery
CPT Code 90832, 90833, 90834, 90836, 90837, 90838; Coding guide
Basics of CPT Code 90832, 90833, 90834, 90836, 90837, 90838 Psychotherapy, or talk therapy, is a way to help people with a broad variety of mental illnesses and emotional difficulties. Psychotherapy can…
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Mastering CPT Code 97116: Tips and Tricks for Accurate Billing
Basics of CPT code 97116 The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them…
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Unlocking the Secrets of 90686 CPT Code: A Majestic Guide for Coders
Basics of 90686 CPT code The provider administers into a muscle of a patient, a preservative–free, four–strain influenza virus vaccine, in a 0.5 mL dose to provide immunity to four…
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97530 CPT code – Coding guidelines for coders
Basics of 97530 CPT code The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of…
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From Confusion to Clarity: Demystifying the 97140 CPT Code for Coders
Basics of 97140 CPT code Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and…