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Medical Billing and Coding

Medical billing is the act of billing individuals or entities for medical services rendered to them, while medical coding refers to the act of entering alpha numeric codes representing procedures, diagnoses, medications and various parts of the body to medical records.

6,269 Questions

What does cpt code 87511 mean?

CPT code 87511 refers to a laboratory test for the detection of specific viral infections, particularly the nucleic acid amplification tests (NAAT) for the identification of the herpes simplex virus (HSV) types 1 and 2. This code is used for testing specimens such as swabs from lesions or fluid samples, allowing for the diagnosis of HSV infections. The procedure is significant for its accuracy and efficiency in identifying active infections.

What is WAYFAIRS billing and order address?

Wayfair's billing and order address typically refers to the address associated with the payment method used for a purchase and the shipping address where the order is delivered. Customers can manage these addresses during the checkout process or in their account settings. It's important for users to ensure that both addresses are accurate to avoid any issues with payment processing or delivery. For specific details, customers should refer to their Wayfair account or contact customer service.

What is cpt code 11312?

CPT code 11312 refers to the excision of a benign skin lesion, specifically for a lesion that is over 4.0 cm in diameter, located on the scalp, neck, or trunk. This code is used for billing purposes in medical practices to document the removal of larger skin lesions. It is important for the healthcare provider to specify the size and location of the lesion to ensure accurate coding and reimbursement.

What is the cpt-4 code for bilateral diagnostic nasal endoscopy The physician inserted an endoscope into the left nostril to evaluate nasal structures The right nostril was also examined?

The CPT-4 code for bilateral diagnostic nasal endoscopy is 31231. This code is used when an endoscope is inserted into the nasal cavity for diagnostic purposes, including the evaluation of nasal structures in both nostrils. Since the procedure involved examining both the left and right nostrils, this code accurately reflects the bilateral nature of the endoscopy.

What does the medical code 86803?

The medical code 86803 refers to the laboratory test for the detection of antibodies to the hepatitis C virus (HCV) in a patient's blood. This test is used to screen for hepatitis C infection, which can lead to serious liver disease if not treated. It is often part of a broader panel of tests to assess liver health and diagnose liver-related conditions.

What is cpt code for quantitative analysis of urine for alkaloids?

The CPT code for a quantitative analysis of urine for alkaloids is typically 80307. This code is used for the quantitative detection of substances in urine, including alkaloids, as part of a drug screening panel. It's important to consult the latest coding guidelines or a medical billing specialist to ensure accuracy, as codes may be subject to change.

What diagnosis code can go with J3301?

J3301 is the HCPCS code for injection, triamcinolone acetonide, a corticosteroid used to treat various conditions. It is often associated with diagnosis codes related to conditions like allergic rhinitis (J30.9), asthma (J45.909), or other inflammatory conditions. The specific diagnosis code should align with the patient's condition being treated with the injection. Always consult the latest coding guidelines or a medical coding professional for the most accurate coding.

What is cpt code 95913?

CPT code 95913 refers to a specific neurophysiological testing procedure, specifically for the assessment of evoked potentials, including visual, auditory, or somatosensory. This code is typically used for testing that evaluates the central nervous system's response to sensory stimuli. It may be utilized in various clinical settings to diagnose neurological conditions or monitor brain function. Always refer to the latest coding guidelines or consult a coding professional for accurate usage.

What are nodular lesion?

Nodular lesions are abnormal growths that can appear as lumps or swellings within tissues, often palpable under the skin. They can be benign or malignant and may arise from various causes, including infections, inflammation, or tumors. The characteristics of a nodular lesion, such as size, shape, and consistency, can provide important diagnostic information. Proper evaluation by a healthcare professional is essential for determining the underlying cause and appropriate management.

What is ADA procedure code D6065?

ADA procedure code D6065 refers to the placement of a dental implant abutment, which is the component that connects the dental implant to the crown or prosthetic tooth. This code is used to bill for the procedure when an abutment is placed, typically following the insertion of a dental implant. It is important for dental professionals to use the correct codes for accurate billing and documentation.

What is the correct cpt code 19316?

CPT code 19316 refers to "Mastectomy, modified radical, including axillary lymphadenectomy." This procedure involves the surgical removal of breast tissue along with some of the lymph nodes to assess for cancer spread. It is typically performed in cases of breast cancer or as a preventive measure in high-risk patients. Always ensure to verify coding with current guidelines as codes may be updated.

What is medical code J3301?

Medical code J3301 refers to the administration of triamcinolone acetonide, specifically in a 10 mg dosage, used for various inflammatory conditions. It is often administered via injection and may be utilized in treating conditions such as allergies or arthritis. This code is part of the Healthcare Common Procedure Coding System (HCPCS) and is essential for billing and insurance purposes.

What CPT code may I use for laparoscopic distal pancreatectomy with splenectomy?

For a laparoscopic distal pancreatectomy with splenectomy, you would typically use the CPT code 48146. This code specifically covers laparoscopic distal pancreatectomy, and if splenectomy is performed simultaneously, it may be appropriate to add another code, such as 38100 for the splenectomy, depending on the specifics of the procedure and documentation. Always verify with the most current coding guidelines or a coding specialist.

What is the global period in cpt coding?

The global period in CPT coding refers to the time frame during which all necessary follow-up care related to a surgical procedure is included in the payment for that procedure. It encompasses the time before, during, and after the surgery, typically categorized into 0, 10, or 90 days, depending on the complexity of the procedure. During this period, any related evaluation and management services are bundled into the surgical fee, meaning they are not separately billable. Understanding the global period is essential for accurate billing and compliance in medical practices.

What is the ndc number for cpt code j1100?

The NDC (National Drug Code) number for a specific drug associated with CPT code J1100, which is used for the administration of certain injectable medications like dexamethasone, can vary depending on the manufacturer and formulation. To find the exact NDC number, you would need to refer to the package insert or the FDA's NDC directory for the specific product being administered. Each formulation may have its own distinct NDC.

Which appendix in the cpt book contains modifiers?

Appendix A of the CPT (Current Procedural Terminology) book contains the list of modifiers. Modifiers are two-digit codes that provide additional information about a procedure or service performed by a healthcare provider. They help clarify circumstances such as whether a service was modified, repeated, or performed in a specific context.

What is the Icd-10 code for c-diff?

The ICD-10 code for Clostridium difficile infection (C. diff) is A04.7. This code specifically refers to intestinal infections caused by C. difficile. It's important to note that additional codes may be used to specify the severity or complications of the infection if applicable.

What is CPT code 29125?

CPT code 29125 refers to the application of a long arm splint, typically used for immobilizing the forearm, wrist, and hand. This code is often utilized in cases of fractures or certain soft tissue injuries where stabilization is required. The procedure involves the use of a pre-fabricated or custom splint that extends from the upper arm to the hand. It is important for healthcare providers to document the specific reason for splinting when using this code.

Is cpt 99243 a valid code?

Yes, CPT code 99243 is a valid code used for an office or other outpatient visit for a patient with an established problem that requires a moderate level of medical decision-making. It typically involves a face-to-face encounter lasting approximately 30-39 minutes. This code is part of the Evaluation and Management (E/M) coding system used by healthcare providers for billing purposes.

Is procedure code D7410 and 43107 the same?

Procedure code D7410 refers to "excision of benign soft tissue lesion," while code 43107 is related to "esophagogastroduodenoscopy (EGD) with biopsy." These codes represent different procedures in dentistry and medicine, respectively, and are not the same. Always consult the latest coding guidelines or a professional for specific coding questions.

What is the ICD 9 code for anasarca?

The ICD-9 code for anasarca is 604.9, which is classified under "Edema, unspecified." Anasarca refers to a severe and generalized edema or swelling due to fluid accumulation in the body's tissues. It's important to note that ICD-9 codes have been largely replaced by ICD-10 codes, so for current coding practices, one should refer to the ICD-10 system.

What is reason to do biopsy of stomach?

A biopsy of the stomach is performed to diagnose various conditions, such as gastritis, peptic ulcers, or stomach cancer. It allows for the collection of tissue samples that can be examined microscopically for abnormalities, including the presence of Helicobacter pylori, which can cause ulcers. Additionally, a biopsy can help assess the severity of inflammation or other pathological changes in the gastric lining. Overall, it provides critical information that aids in determining appropriate treatment options.

What is tongue biopsy?

A tongue biopsy is a medical procedure that involves removing a small sample of tissue from the tongue for examination. It is typically performed to diagnose conditions such as oral lesions, infections, cancer, or other abnormalities. The tissue sample is then analyzed under a microscope to determine the nature of the problem. This procedure can help guide appropriate treatment based on the findings.

Which CPT modifier do we use for moderate sedation?

The CPT modifier used for moderate sedation is -G0. This modifier indicates that the sedation was provided by the same physician or other qualified healthcare professional performing the procedure. It is typically applied to procedures requiring moderate sedation, as it distinguishes the sedation services from the main procedure being performed.

What is the verbal description for CPT code 20999?

CPT code 20999 is used for "unlisted procedure, musculoskeletal system, and fascia." This code is applicable for reporting surgical procedures related to the musculoskeletal system when no specific code exists for the procedure performed. It is important for the provider to include detailed documentation of the procedure, including the nature of the service and any relevant specifics, to justify the use of this unlisted code.