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.

7,025 Questions
Medical Billing and Coding

What is the icd-9 code for adnexal mass?

625.8

205206207
Medical Billing and Coding

What is the CPT code for endocervical polyp removal?

57500

193194195
Cold and Flu
Swine Flu (H1N1/09)
Medical Billing and Coding

What is Flu with manifestation NEC?

This sounds like the narrative description given for code 487.8 of the ICD-9-CM diagnosis and procedure coding system, which is used in medical billing and reports.

Flu is the shortened form of influenza, the infectious respiratory disease caused by the influenza viruses. When flu manifestations are discussed, it is a discussion of what the symptoms or signs of that infection were and/or what secondary conditions it caused in that infected individual. The typical symptoms are upper respiratory symptoms, such as cough and runny nose with nasal congestion, laryngitis, pharyngitis, and fever, aches, fatigue and malaise. When this is the diagnosis with the typical manifestations, then the code 487.1 is used, which stands for Influenza with other respiratory manifestations. Code 487.0 is influenza with the manifestation of pneumonia.

If there are manifestations of a complication, secondary condition, or sign or symptom caused by the infection that are not typical of the "run-of-the-mill" ordinary flu, then code 487.8 is used (and the code for the specific manifestation might be also coded in some situations along with 487.8.)

In the ICD-9-CM coding jargon, "NEC" means: Not Elsewhere Classified. This indicates that, although this code may not be exactly describing the specific manifestation, there is not another code/classification to use that is more specific. There isn't a code for every single manifestation of every single disease, so NEC helps a coder know there is no better code to hunt for in that situation. Some examples of conditions that would be coded to 487.8, Influenza with other manifestations (NEC) are: Encephalopathy due to influenza, and Influenza with involvement of the gastrointestinal tract.

185186187
Credit Reports
Credit
Medical Billing and Coding

Can an agency put your husband's medical bills on your credit report but not on his?

Not usually. They will place it on the person who was treated at the time. Unless other arrangements had been made (i.e. You asked for them to bill you in c/o (care of) your husband).

I had a credit report run when I was going to buy my new home. I had divorced from my wife. I had a number of reports on my report that where from my exwife one from a department store. I called the department store, I was told to call the creditor to have her credit removed they put a report out on her. I'm still working on the medical. What I have found is the insurance. was in my name Account number being my SS# not her's. The reports are coming accross in my name.

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Medical Billing and Coding

Cpt code for turbinate reduction?

The code for turbinate reduction is 30140-52.

183184185
Medical Billing and Coding

What does the medical code 99212 stand for?

Office/outpatient E & M of established patient, requiring 2 of 3 components: problem focused history/examination/straightforward decision making

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Medical Insurance
Medical Billing and Coding

What bill type code on ub04 home health claim?

Home Health UB-4 Type of Bill is: 341

UB-04/CMS-1450 Reference Material

Type of Bill Codes (Field 4)

This is a three-digit code; each digit is defined below.

1st Digit - Type of Facility Code

Hospital

1

Skilled Nursing Facility

2

Home Health

3

Christian Science (Hospital)

4

Christian Science (Extended Care)

5

Intermediate Care

6

Clinic

7 2nd Digit - Bill Classifications (Excluding Clinics & Special Facilities) Code

Inpatient

1

Outpatient

3

Other (For Hospital Referenced Diagnostic Services, or Home Health Not Under a Plan of Treatment)

4

Intermediate Care, Level I

5

Intermediate Care, Level II

6

Intermediate Care, Level III

7

Swing Beds

8 2nd Digit - Bill Classifications (Clinics Only) Code

Rural Health

1

Hospital Based or Independent Renal Dialysis Center

2

Free Standing

3

Other Rehabilitation Facility (ORF)

4

Other

9 2nd Digit - Bill Classifications (Special Facility Only) Code

Hospice (Non-Hospital Based)

1

Hospice (Hospital Based)

2

Ambulatory Surgery Center (ASC)

3

Freestanding Birthing Center

4 3rd Digit - Frequency Code

Admit through Discharge Claim

1

Interim - First Claim

2

Interim - Continuing Claims

3

Interim - Last Claim

4

Late Charge only

5

Adjustment of Prior Claim

6

Replacement of Prior Claim

7

Void/Cancel of Prior Claim

8

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Insurance
Medical Insurance
Medical Billing and Coding

With Primary and Secondary Insurance your primary denied your claim because it was over a year is your secondary obligated to pay?

Yes, subject to the limits in their policy. No. With most insurance policies, there is what is called a timely filing limitation. For my company; contracted providers have 6 months, and non-contracted providers have 12 months to submit the claim. If your primary insurance received the claim within timely filing, you may have the option of submitting the claim to your secondary with proof that it was filed in a timely manner. If that doesn't work you can always appeal the decision with the secondary or for that matter the primary insurance company. Policy holders are not responsible for claims that deny for timely filing.

176177178
Health
Medical Billing and Coding

What is a npi number?

The NPI, or National Provider Identification number, is an ID assigned to each health care provider or plan to facilitate billing.

175176177
Blood
Medical Billing and Coding

What is the CPT code for blood analysis for HGH?

83003. See Growth Hormone.

495051
Credit Reports
Credit
Medical Billing and Coding

How long do unpaid medical bills stay on your credit report?

Like other late payments reported to a credit reporting agency, an unpaid medical bill may stay on a credit report for up to seven years.

152153154
Medical Insurance
Medical Billing and Coding

What is the cpt code for bilateral total lung lavage?

32997-50

169170171
Medical Billing and Coding

What does NEC in icd9 code?

NEC stands for not elsewhere classifiable

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Medical Insurance
Medical Billing and Coding

Which icd9 code is use with cpt code 90862?

It depends on the reason the patient is receiving the treatment, for example bipolar, personality disorder ect. There is not one specific code that is to be used with 90862, it is a pharmacy management code, so it is basically asking you why the patient is taking medication.

161162163
Medical Insurance
Medical Billing and Coding

Cpt code 90700 what type of service?

90700 is not a service, it's a vaccine - DTaP. One brand is Daptacel by Sanofi Pasteur

The vaccine is a sterile isotonic suspension of pertussis antigens and diphtheria and tetanus toxoids adsorbed on aluminum phosphate, for intramuscular injection.

Each 0.5 mL dose contains diphtheria and tetanus toxoids and acellular pertussis antigens. Generally given to children <7 years old, but the recommended doses are at 2, 4, and 6 months; then again before kindergarten.

161162163
Insurance
Medical Insurance
Medical Billing and Coding

If you have medical insurance at work that pays 80 percent of medical bills can you get additional coverage for the other 20 percent?

Yes and no.

There are supplemental insurance programs available - do an internet search for "supplemental insurance."

Programs such as these will help pay that remaining percentage - in most cases, a large portion of it at least.

Adding supplemental coverage can be a good option. I have an accident supplemental that does exactly what you are asking. It will pay up to $5000 per person per year for any expenses related to an accident only that your primary carrier does not pay. This means it will pay for deductibles, co-pays (like your 20%), extra services (your plan only pays for 6 physical therapy visits and you need 10) etc. Because it only pays what your primary carrier does not it is very inexpensive ($30/month for the whole family).

If you also want coverage in the event of illness you can also by supplemental products for that as well.

161162163
Tuberculosis
Medical Billing and Coding

What is the icd9 code for pyelitis due to tuberculosis?

016.00 (tuberculosis)

590.81 (pyelitis)

159160161
Medical Insurance
Medical Billing and Coding

Modifier for j3301 with 99213 and diagnosis code for j3301?

Modifier 26

159160161
Medical Insurance
Medical Billing and Coding

What is the Cpt code for surgical removal of prepatellar bursa?

27340

159160161
Medical Billing and Coding

What cpt code is used with revenue code 250?

None. Revenue Code 250 is General Pharmacy. If the Drug has a CPT code it should be billed under 636, 637.

159160161
Medical Insurance
Medical Billing and Coding

What is medical billing code 80061?

Lab test

Lipid profile - must include the following; cholesterol, serum, total lipoprotein, direct measurement, high density cholesterol (hdl cholesterol) triglycerides

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Insurance
Medical Insurance
Medical Billing and Coding

If you and a spouse have different health insurance but have never designated one as primary or secondary could this cause problems when you do designate primary or secondary?

If you have insurance through your employer, and you are the policy holder,(the insurance is in your name) this insurance will be primary for you, and your spouses insurance policy will be secondary.

The insurance policy thru your spouse's employer, (your spouse is the policy holder, or the insurance is in their name), this would be primary for your spouse, and your policy would be their secondary.

Here's the phamplet from Medicare http://www.medicare.gov/Publications/Pubs/pdf/02179.pdf

153154155
Medical Insurance
Workers Compensation
Medical Billing and Coding

What does the cpt code 63087 mean?

Surgical procedure code for: vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single segment.

152153154
Medical Billing and Coding
Lungs

What is the cpt code for punture aspiration left lung?

10160

151152153
Medical Insurance
Medical Billing and Coding

What is the cpt code for one view of KUB?

74400

150151152

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