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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

Is mastitis included in postpartum global period?

Yes, mastitis is generally considered part of the postpartum global period. This global period typically encompasses the care related to complications arising from childbirth, including infections like mastitis. However, specific billing and coding practices may vary, so it's important to consult the relevant guidelines or a healthcare billing specialist for detailed information.

Where is the hypertension table located in ICD-10-CM?

In the ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification), hypertension codes are primarily found in Chapter 9, which covers diseases of the circulatory system. Specifically, they are located in the range I10-I15. The main code for essential hypertension is I10, while secondary hypertension is classified under I15, with further subdivisions for specific causes.

What is the cpt code for removal of cranial halo?

The CPT code for the removal of a cranial halo is typically 20680, which refers to the removal of an external fixator or similar device. However, it's essential to confirm the specific details of the procedure and consult the latest CPT code guidelines, as codes may vary based on the complexities involved or specific circumstances related to the removal. Always verify with the most current coding resources or a coding specialist.

What are five general rules for telephone collecting?

Five general rules for telephone collecting include:

  1. Maintain Professionalism: Always remain polite and respectful, as a courteous approach fosters better communication and cooperation.
  2. Verify Information: Ensure that you have accurate and up-to-date information about the debtor before making contact to avoid confusion or disputes.
  3. Listen Actively: Pay attention to the debtor’s responses and concerns, which can help build rapport and facilitate negotiation.
  4. Be Clear and Concise: Clearly explain the purpose of the call, the amount owed, and potential consequences, avoiding jargon to ensure understanding.
  5. Follow Legal Guidelines: Adhere to relevant laws and regulations governing debt collection practices, such as the Fair Debt Collection Practices Act in the U.S., to protect both the collector and the debtor.

What is billing code 99211?

Billing code 99211 is part of the Current Procedural Terminology (CPT) codes used for outpatient evaluation and management services. It specifically designates a low-level office visit that typically involves a problem-focused evaluation and management for an established patient. This code is often used for brief visits that do not require a comprehensive examination or extensive decision-making, allowing healthcare providers to bill for minor, routine follow-up care. It is generally associated with a lower reimbursement rate compared to higher-level codes.

What is the cpt code for bundle of his recording?

The CPT code for recording the bundle of His is 93600. This procedure involves the electrophysiological study of the His bundle to assess the conduction system of the heart, typically used in the evaluation of arrhythmias. It's important to ensure that the code is used in the appropriate clinical context, as coding guidelines may vary. Always consult the latest coding resources for accuracy.

What is the diagnosis code for Plano?

"Plano" typically refers to a type of vision correction, specifically for individuals with myopia or nearsightedness. In medical coding, the diagnosis code for myopia is typically represented by ICD-10 code H52.13 for myopia, unspecified. For specific coding, it's always best to consult the latest coding manuals or guidelines, as codes may vary based on context and specifics of the case.

What is billing code 83516?

Billing code 83516 refers to a specific procedure in the medical billing system, particularly under the Current Procedural Terminology (CPT) codes. It is used for the quantitative measurement of specific proteins, such as proteins in a blood test, typically related to various health conditions. This code helps healthcare providers and insurance companies standardize billing and ensure proper reimbursement for laboratory services. Always consult official coding resources or a medical billing professional for the most accurate and up-to-date information.

What is cpt code 70150?

CPT code 70150 refers to a diagnostic procedure involving magnetic resonance imaging (MRI) of the temporomandibular joint (TMJ) with the use of contrast material. This imaging technique is typically employed to evaluate conditions affecting the TMJ, such as disc displacement, arthritis, or other abnormalities. The use of contrast enhances the visibility of structures within the joint, aiding in accurate diagnosis and treatment planning.

What is the relationship between abstracting and the generation of diagnosis and procedure indexes in coding?

Abstracting involves summarizing and extracting key information from medical records to capture relevant data for coding. This process directly supports the generation of diagnosis and procedure indexes by ensuring that the essential details are accurately represented and classified according to coding standards. As a result, effective abstracting enhances the quality of indexes, facilitating better data management, analysis, and billing processes in healthcare. Ultimately, a well-executed abstraction process leads to more precise coding, which is vital for accurate healthcare documentation and reimbursement.

Is 73550 a valid cpt code for 2016?

No, 73550 is not a valid CPT code for 2016. The correct code for a bilateral knee x-ray is 73564, which was used for that purpose. CPT codes can change over time, so it's essential to refer to the specific coding guidelines for the year in question. Always consult the latest coding resources for accurate information.

Can you use cpt code 64721 with 64727?

CPT code 64721 (decompression of the ulnar nerve at the elbow) and CPT code 64727 (decompression of the median nerve at the carpal tunnel) can generally be used together if both procedures are performed during the same surgical session and are deemed medically necessary. However, it is important to check specific payer guidelines and any applicable bundling edits, as some insurers may have restrictions on billing multiple nerve decompression procedures together. Always ensure proper documentation to support the necessity of both procedures.

Cpt code for enterotomy of the small intestine for removal of foreign body?

The CPT code for an enterotomy of the small intestine for the removal of a foreign body is typically 44005. This code specifically describes the surgical procedure of making an incision into the small intestine to access and extract a foreign object. Additionally, modifiers may be used to indicate specific circumstances or additional procedures performed during the surgery. Always verify with the most current coding guidelines or resources for accuracy.

What does the modifier 58 indicate in the CPT manual?

The modifier 58 in the CPT manual indicates a staged or related procedure or service that is performed during the postoperative period of a previous procedure. It signifies that the subsequent procedure is intentional and planned, rather than a complication or unplanned service. This modifier helps to clarify the relationship between the procedures for billing and coding purposes. It is important for ensuring appropriate reimbursement and accurate reporting of surgical care.

What is therapeutic prophylactic diagnostic injection?

A therapeutic prophylactic diagnostic injection is a medical procedure that involves administering a substance to prevent disease, provide therapeutic benefits, or aid in the diagnosis of a condition. Therapeutic injections may deliver medication to treat existing conditions, while prophylactic injections aim to prevent disease, such as vaccines. Diagnostic injections involve injecting a contrast agent or tracer to help visualize or assess internal structures through imaging techniques. This multifaceted approach aids in both the treatment and diagnosis of various health issues.

What is the main term for entangiography of chest without contrast medium enhancement?

The main term for entangiography of the chest without contrast medium enhancement is "non-contrast chest CT" or "non-contrast chest computed tomography." This imaging technique allows for the assessment of chest structures and potential pathologies without the use of intravenous contrast agents. It is often used to evaluate conditions such as lung disease or pleural abnormalities.

What does ErrE code mean?

ErrE code typically indicates an error related to equipment or a specific operational issue in various systems, such as electronics or machinery. The exact meaning can vary depending on the context or manufacturer. To resolve it, consulting the user manual or support resources for the specific device or system is recommended.

Coding for removal of chest tube?

The coding for the removal of a chest tube typically falls under the Current Procedural Terminology (CPT) codes. The specific code used may depend on the method of removal and whether any complications were involved. Generally, the CPT code for the removal of a chest tube is 32551, which refers to the removal of a chest tube, including any associated procedures. It's important to refer to the latest coding guidelines and payer requirements for accurate billing.

Can cpt code 90853 be billed in an inpatient setting?

CPT code 90853, which refers to group psychotherapy, is typically intended for outpatient settings. In an inpatient context, the billing practices can vary by facility and payer policies. Generally, inpatient facilities may have specific codes that better reflect the nature of the treatment provided, so it's important to consult with the facility's billing department or the payer for guidance on appropriate coding in an inpatient setting.

What does a Billing Department do?

The Billing Department is responsible for generating and managing invoices for goods and services provided by a company. It tracks payments, processes transactions, and ensures accurate billing records are maintained. Additionally, the department addresses customer inquiries related to billing issues and collaborates with other departments to resolve discrepancies. Overall, it plays a crucial role in maintaining the financial health of the organization.

What is the icd 9 code for a ileostomy reversal?

The ICD-9 code for ileostomy reversal is 45.73, which specifically refers to "Closure of ileostomy." This code is used when documenting the surgical procedure of reversing an ileostomy, restoring the normal function of the digestive tract. It's important to note that ICD-9 has been largely replaced by ICD-10, so it's advisable to verify the current coding standards for accurate billing and documentation.

What is the cpt code for sinusotomy maxillary intranasal bilateral?

The CPT code for a bilateral maxillary sinusotomy performed intranasally is 31256. This code specifically pertains to the surgical procedure involving the opening of the maxillary sinuses through the nasal cavity. It is important to ensure proper documentation and coding guidelines are followed for accurate billing and coding practices.

When documenting a case for billing a level must be determined from which types of medical decision making?

When documenting a case for billing, the level of service is determined primarily by the complexity of medical decision-making (MDM), which is categorized into three types: straightforward, low complexity, moderate complexity, and high complexity. Key factors influencing MDM levels include the number of diagnoses and management options, the amount and complexity of data reviewed, and the risk of complications or morbidity associated with the patient's condition. Accurate documentation of these elements is essential for justifying the billed level of service.

How many subsections are in the surgery section?

The surgery section typically contains multiple subsections that can vary depending on the specific manual or guideline being referenced. In general medical contexts, you might find subsections categorized by types of surgery, anatomical regions, or specialties, leading to several distinct parts. For precise information, it's best to consult the specific surgical manual or guidelines in question.

What is the cpt code for a patient that is under anesthesia when the blepharoplasty was cancelled?

If a blepharoplasty is cancelled while the patient is under anesthesia, the appropriate CPT code to use is 00100, which covers anesthesia for procedures not performed. Additionally, you may need to document the reason for cancellation and any other relevant details for billing purposes. Always ensure accurate coding based on the specific circumstances of the case.