JUL 22, 2021
Coding Top 10: Unbundling 92250 with 92133 or 92134, Denials for testing services with code N433, Determining the correct modifier
Coding Top 10, July 2021
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Get trusted answers to your coding questions from the Academy’s coding experts, so you can bill and code with confidence. The July coding selections include:
- Unbundling 92250 with 92133 or 92134
We have heard so many opinions on unbundling. As we prepare best or worse case scenarios for an audit, when can/should you unbundle these tests?
- Billing ultrasound same day as cataract surgery
What code and modifier should I use, and can I charge the ultrasound at all?
- If visual fields and retinal nerve fiber layer OCTs are performed on the same day, are they covered by insurance?
Is there any website or person that I can contact to find out if visual fields and retinal nerve fiber layer (RNFL ) OCTs are covered by insurance if performed on the same day?
- Palmetto, our Medicare administrative contractor (MAC) is denying ICD-10 code H53.40
Isn't this listed as a payable diagnosis?
- Is a Schirmer’s test is billable?
Can you tell me if a Schirmer’s test is billable?
- Denials for testing services with code N433
What we are doing wrong to get this denial code?
- We injected a patient with clindaymcin. When I searched, all I found was an S code. Can you confirm this is true?
We injected a patient with clindaymcin. When I searched, all I found was an S code. Can you confirm this is true?
- Billing when Avastin is performed bilaterally
Would HCPCS code J7999 since it has MPFS indicator of 9 and bilateral Sx concept does not qualify to be reimbursed at 100% per eye?
- Commercial payer denying claims for Avastin
We are having issues with a commercial payer denying claims for Avastin? They are denying these claims stating that the National Drug Code (NDC) number should be 11 digits not 10. Any information is helpful.
- Determining the correct modifier
We need help determining the correct modifier to use on a claim.