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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 is CPT 65222?

CPT 65222 refers to a specific medical procedure code used in the field of ophthalmology. It describes the removal of a foreign body from the conjunctival sac, which is the membrane covering the inner surface of the eyelids and the white part of the eye. This procedure typically involves the use of a forceps or similar instrument to safely extract the foreign object from the eye. Proper coding is essential for accurate billing and documentation in medical practices.

What is medical billing code j3301?

J3301 is a medical billing code used to identify the administration of the drug Triamcinolone Acetonide, specifically in a dosage of 10 mg. This code is commonly used in outpatient settings for billing purposes when the medication is provided as an injection. It is important for healthcare providers to use the correct code to ensure appropriate reimbursement from insurance companies.

What is medical code 92004?

Medical code 92004 refers to a comprehensive ophthalmological examination, including a history, examination, and medical decision-making for a new patient. This code is typically used when a patient presents with a new eye-related issue, requiring a thorough assessment of their eye health and vision. The examination may involve various tests and evaluations to diagnose potential conditions or diseases of the eye.

What the cpt code for fatigue?

There isn't a specific CPT code for "fatigue," as fatigue is a symptom rather than a standalone diagnosis. Instead, healthcare providers typically use codes related to the underlying condition causing the fatigue. Commonly used codes may include those for conditions such as anemia, sleep disorders, or chronic fatigue syndrome, depending on the patient's diagnosis. For accurate coding, it's essential to refer to the specific diagnosis related to the fatigue.

What does axle code D1 stand for?

The axle code D1 typically refers to a specific type of axle used in certain vehicles, often indicating the configuration and specifications related to weight capacity and drivetrain characteristics. In the context of Ford vehicles, for example, D1 might denote a particular rear axle ratio or type used in specific models. For precise details, it's important to consult the vehicle's service manual or manufacturer's specifications.

An unspecified or unknown person?

An unspecified or unknown person is often referred to as a "John Doe" or "Jane Doe" in legal contexts, representing an individual whose identity is not known or deliberately concealed. This term is commonly used in various situations, from legal cases to discussions about anonymity. Such references highlight the concept of anonymity and the idea that individuals can remain unidentified for various reasons, including privacy or security concerns.

What is the cpt code for repositioning of VP Shunt?

The CPT code for repositioning a ventriculoperitoneal (VP) shunt is typically 62230. This code is used for the revision or repositioning of the shunt system when complications arise or when the shunt needs adjustment. It's important to verify the specific clinical scenario and documentation, as coding can vary based on the details of the procedure performed. Always consult the most current coding guidelines or a professional coder for accuracy.

What is the cpt code for a AV fistual shunt for hemodialysis nondirect?

The CPT code for a non-direct arteriovenous (AV) fistula shunt for hemodialysis is 36821. This code specifically refers to the creation of a fistula for hemodialysis access. For any additional specific procedures or variations, other codes may apply, but 36821 is the primary code for the AV fistula itself. Always consult the latest coding guidelines for accuracy.

Diagnosis code for knee pain?

The diagnosis code for knee pain typically falls under the International Classification of Diseases (ICD-10) code M25.569, which specifically refers to "Pain in unspecified knee." However, the exact code can vary depending on the underlying cause of the pain, such as osteoarthritis (M17.9) or other specific conditions. It's important to consult a healthcare professional for an accurate diagnosis and coding based on the individual's situation.

What is medical procedure code 96197?

Medical procedure code 96197 refers to the administration of a standardized cognitive assessment instrument, which includes the interpretation of the results and the provision of a report. This code is typically used in the context of evaluating a patient's cognitive functioning, often for conditions such as dementia or other cognitive impairments. It is part of the broader set of codes used for psychological and neuropsychological testing services.

Where is specific coding information about each section located in the CPT?

Specific coding information for each section of the Current Procedural Terminology (CPT) can be found in the CPT codebook itself, organized by categories such as Evaluation and Management, Surgery, Radiology, Pathology, and Medicine. Each section includes detailed guidelines, instructional notes, and coding rules that clarify how to correctly use the codes. Additionally, appendices in the CPT codebook provide further information and resources related to specific codes and coding practices. For more precise coding information, healthcare professionals often refer to the index and the tabular list sections of the codebook.

What is discreet billing?

Discreet billing refers to a billing practice where the transaction details are presented in a way that does not reveal the nature of the purchase or the name of the service provider, often to maintain customer privacy. This is commonly used in industries such as adult entertainment or subscription services to protect the anonymity of consumers. The billing statement may use generic terms or codes instead of specific product or service names.

What are the correct diagnosis and procedure codes for an injection procedure with surgical exposure of plaque for peyronies disease?

For an injection procedure with surgical exposure of plaque for Peyronie's disease, the correct diagnosis code would typically be N48.6 (Peyronie's disease). The procedure codes may vary based on the specific techniques used but could include CPT 54235 (Injection procedure for Peyronie's disease) and possibly CPT 54260 (Surgical excision of plaque). It's essential to verify with the latest coding guidelines and payer policies for accurate coding.

What is 99283?

99283 is a Current Procedural Terminology (CPT) code used to classify a level 3 emergency department visit. It typically represents an encounter that requires a medically appropriate history and examination, with moderate severity conditions that may require further evaluation or treatment. This code is often used for patients presenting with more complex medical issues that necessitate a higher level of care compared to lower-level visits.

Computed tomography of the thoracic spine without contrast?

Computed tomography (CT) of the thoracic spine without contrast is a diagnostic imaging technique that provides detailed cross-sectional images of the thoracic vertebrae, intervertebral discs, and surrounding structures. It is commonly used to evaluate conditions such as fractures, tumors, degenerative disc disease, and spinal stenosis. The procedure is quick, non-invasive, and does not involve the use of contrast agents, making it suitable for patients with allergies or contraindications to contrast media. The high-resolution images help clinicians make accurate diagnoses and plan appropriate treatment.

Can you bill 99213 and 76857 with what modifier?

To bill for both 99213 (an office visit) and 76857 (an ultrasound), you would typically use modifier 25 on the E/M code (99213). Modifier 25 indicates that the E/M service was significant and separately identifiable from the procedure performed (the ultrasound) on the same day. Ensure that documentation supports the medical necessity for both services.

What is the CPT code for Cystotomy with repair of ureterocele male?

The CPT code for a cystotomy with repair of a ureterocele in males is typically 51500. This code specifically refers to the surgical procedure involving an incision into the bladder (cystotomy) and the repair of a ureterocele. It’s important to verify this code against the most current coding guidelines or consult with a medical coding professional, as codes may be updated or vary based on specific circumstances.

What is the cpt code for suprascapular nerve release?

The CPT code for suprascapular nerve release is 64718. This code is used for the surgical procedure involving decompression of the suprascapular nerve, typically performed to alleviate pain or dysfunction in the shoulder region. Always consult the latest CPT coding guidelines or a coding specialist for the most accurate and up-to-date information.

What is the cost of novasure procedure with out insurance coverage?

The cost of the Novasure procedure, which is a minimally invasive endometrial ablation technique, typically ranges from $5,000 to $10,000 without insurance coverage. This price can vary based on factors such as the provider's fees, geographic location, and any additional costs for pre-procedure evaluations or post-operative care. It's advisable for patients to consult with their healthcare provider and the facility to get a more accurate estimate. Some facilities may offer payment plans or financing options to help manage the costs.

What diagnosis codes needed for cpt 11730?

CPT code 11730 is used for the excision of a nail plate, typically due to conditions like ingrown nails or nail dystrophies. Common diagnosis codes that might accompany this procedure include L60.0 (ingrown nail) and L61.9 (nail disorder, unspecified). The specific diagnosis code will depend on the patient's condition, so it's essential to choose one that accurately reflects the reason for the procedure. Always consult the latest coding guidelines to ensure accuracy.

What is the ndc code for J7324?

The NDC (National Drug Code) for J7324 corresponds to a specific medication, which is "Hyaluronic Acid, 20 mg/mL, injectable solution." NDC codes are unique identifiers assigned to medications, and J7324 is used primarily for billing and insurance purposes. For the exact NDC code, it's best to refer to the manufacturer's packaging or an official database, as the code can vary by manufacturer.

Does nail biopsy hurt?

A nail biopsy can cause some discomfort, as it involves removing a small sample of tissue from the nail or surrounding area. Local anesthesia is typically administered to minimize pain during the procedure. Afterward, some patients may experience mild soreness or tenderness, which usually resolves within a few days. Overall, the pain level varies from person to person, but many find it tolerable.

What does the code 57135 stand for?

The code 57135 corresponds to the National Provider Identifier (NPI) for specific healthcare services or entities in the United States. It typically refers to a specific classification within the healthcare system, such as a type of provider or facility. However, without additional context, it's challenging to pinpoint its exact meaning, as codes can vary by application and usage. For precise interpretation, it's essential to refer to the relevant healthcare directory or coding system.

What is the code for unlisted procedures of the urinary system?

The code for unlisted procedures of the urinary system is typically found in the Current Procedural Terminology (CPT) code set, specifically under the code 53899. This unlisted code is used when a procedure does not have a specific code assigned to it, allowing for billing and documentation of unique or rare urinary system procedures. Always verify the latest coding guidelines, as codes may be updated or changed.

What is the ama code for glasses lenses?

The American Medical Association (AMA) does not have a specific code exclusively for glasses lenses. Instead, lenses are typically classified under the Current Procedural Terminology (CPT) or the Healthcare Common Procedure Coding System (HCPCS) codes. Common HCPCS codes for prescription lenses include V2020 for single vision lenses and V2025 for bifocal lenses. For accurate billing and coding, it's important to refer to the most current coding resources or consult with a billing specialist.