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What is RVUs, wRVUs & RVU Calculator ? RVU stands for Relative value unit. It is a cost or value assigned for each CPT and HCPCS code by CMS (Centre for Medicare and Medicaid) for providing a service. It has majorly three components, physician work, physician expenses and malpractice overhead. The values of cost of … Read more
Basics of GERD ICD-10 CM code Gastroesophageal reflux disease (GERD) is a chronic digestive disease, which happens when a muscle at the end of the esophagus does not close. It occurs when the stomach content flows back into the food pipe(esophagus). This reverse flow causes reflux, that irritates the lining of your esophagus and hence … Read more
What is GP Modifier? The GP modifier indicates that a physical therapist’s services have been provided. It’s commonly used in inpatient and outpatient multidisciplinary settings. It’s also used for functional limitation reporting (FLR), as physical therapists must report G-codes, severity modifiers, and therapy modifiers. Be aware that some payers require use of a therapy modifier … Read more
Basics of Modifiers Modifier plays a key roles in modification of procedure and also in the proper payment. Modifiers helps in changing or altering the procedure based on the scenario or situation the exam is performed. We all know their are different payment and instructional modifiers. Payment modifiers direct affect the payment hence should be … Read more
Basics about modifier -27 and 25 Many times, we get multiple visit cases of same day for same patient in Emergency Department. In such scenarios, we have to use modifiers to avoid them as duplicate claims. I have already posted previously how and which modifiers are used in medical coding. We already know the most … Read more
Basics of PET scan CPT code 78815 & 78816 PET scan CPT code (Positron emission tomography) is coded very frequently in Radiology facility coding. PET scan is done to diagnose a condition or to check how condition is developing. Neoplasm can be in there initial stage or Restaging phase. These exams are not painful. PET … Read more
We have learnt about HCPCS level II modifiers in my previous post. Today, we will checkout the list of HCPCS ambulance modifiers used by medical coders in medical coding. Code(s) Description DD Diagnostic/therapeutic site other than P/H to another Diagnostic/therapeutic site other than P/H DE Diagnostic/therapeutic site other than P/H to a Residential/Domiciliary/Custodial fac. … Read more
Basics about Modifier 26 (Professional component) and TC (Technical component) In diagnostic radiology, we mostly use 26 modifier and Technical Component (TC). However, still many of us have a lot of difficulty in understanding the use of these modifiers. I myself initially was struggling to use these modifiers. Modifiers are always little tricky to apply … Read more
Global period is very important since many small services can be included in this period. But, many medical coders still don’t know how to find the global period of any CPT code. Procedure codes can have 0, 10 & 90 days global period. Depending of the global period of the CPT code, the medical coders … Read more
Since we are coding different facilities with so many CPT codes, we have to use modifiers also along with CPT codes. This modifier alter the payment service and which helps in the proper payment for the procedure performed by the physician. Similarly today we are going to find out which CPT codes can be assigned … Read more