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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 medical code 996372?

Medical code 996.37 refers to a specific diagnosis related to complications arising from the internal prosthetic device, specifically indicating issues such as malfunction or breakdown of a device that has been implanted in the body. This code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to document and report medical conditions. It's essential for proper billing and treatment documentation in healthcare settings. Always consult a medical coding professional or refer to the most recent coding guidelines for accurate information.

What is the 2014 ICD-10 code for nasal septum hematoma?

The ICD-10 code for nasal septum hematoma is J34.2. This code specifically refers to a hematoma of the nasal septum, which can occur due to trauma or other injuries. It is important to use this code for accurate medical billing and documentation related to nasal septum conditions.

What is the cpt code for closed treatment of metacarpal fracture single without manipulation?

The CPT code for the closed treatment of a single metacarpal fracture without manipulation is 26600. This code is used when the fracture is treated non-operatively without the need for manual realignment. Always ensure to verify coding with current guidelines or a coding specialist, as codes may be updated.

What is the cpt procedure code for Cystography with contrast and four views for a patient with hematuria. Physician only.?

The CPT procedure code for a cystography with contrast and multiple views, specifically for a patient with hematuria, is 74360. This code represents a retrograde cystography performed with contrast material. It’s important to ensure that all documentation supports the indication for the procedure.

What is the ICD-9 code for insertion of Norplant contraceptive capsule?

The ICD-9 code for the insertion of the Norplant contraceptive capsule is 99.53. This code is used for the insertion of long-acting contraceptive devices, specifically the subdermal implant method. It's important to note that ICD-9 has been largely replaced by ICD-10, which provides more specific coding options.

Does CPT J3301 need modifier?

CPT code J3301, which refers to the injection of triamcinolone acetonide, typically does not require a modifier when billed alone. However, if it is being billed in conjunction with other procedures or services that might affect the reimbursement or reporting guidelines, a modifier may be necessary to indicate the specific circumstances. It's essential to review payer guidelines and coding policies to determine if a modifier is needed for specific situations. Always ensure proper documentation supports the use of any modifiers.

What is CPT-4 code for colectomy?

The CPT-4 code for a colectomy varies depending on the specific type of procedure performed. For example, a total colectomy is typically coded as 44150, while a partial colectomy may be represented by codes such as 44140 or 44143, depending on the extent of the resection. It's essential to refer to the most current coding guidelines to ensure accurate coding for the specific type of colectomy performed.

What does the diagnosis code on an insurance claim explain?

The diagnosis code on an insurance claim explains the medical condition or illness for which a patient is receiving treatment. It provides essential information to the insurance company about the necessity of the services rendered and helps determine the appropriateness of the claim for reimbursement. Accurate coding is crucial for ensuring that the claim is processed correctly and that the healthcare provider is compensated for their services.

What is medical procedure code 87210?

Medical procedure code 87210 refers to the laboratory test for the detection of rubella virus. Specifically, it involves the isolation of the rubella virus from clinical specimens or the detection of rubella virus RNA through nucleic acid amplification techniques. This code is used primarily in the context of diagnosing rubella infections, particularly in pregnant women or patients with suspected viral illnesses.

What is the cost from JHB to CPT?

The cost of a flight from Johannesburg (JHB) to Cape Town (CPT) can vary widely depending on factors such as the airline, time of booking, and travel season. On average, one-way fares typically range from approximately ZAR 800 to ZAR 2,000. It's advisable to check with airlines or travel websites for the most accurate and up-to-date pricing.

What is the cpt code for bilateral fracture of femur?

The CPT code for a bilateral fracture of the femur is not a single code, as CPT codes are typically used for specific procedures rather than diagnoses. However, if you're looking for the diagnosis code related to bilateral femur fractures, you would use the ICD-10 code, which is S72.001A for an unspecified fracture of the right femur and S72.002A for the left. For procedural coding, the specific surgical intervention would determine the appropriate CPT code. Always consult the latest coding guidelines or a coding specialist for accurate billing.

What is the CPT code for Nephrostomy nephrotomy with drainage?

The CPT code for nephrostomy nephrotomy with drainage is 50432. This code is used for the percutaneous placement of a nephrostomy tube with drainage of urine from the kidney. It is important to ensure proper documentation and coding based on the specific procedure performed and any additional services rendered.

What is the cpt code for scar revision of a mid-femur amputation of leg?

The CPT code for scar revision typically depends on the complexity and size of the scar. For a mid-femur amputation scar revision, you might use codes in the range of 14000-14302, which cover various types of scar revisions. It's best to consult the most recent CPT coding guidelines or a coding specialist for the exact code, as it can vary based on the specifics of the procedure and the extent of the scar.

What is the cpt code for esophagogastric tamponade with balloon?

The CPT code for esophagogastric tamponade with balloon is 43284. This code specifically refers to the procedure of using a balloon for tamponade in the esophagus or stomach to control bleeding. It's important to verify the code with the latest CPT coding guidelines or your healthcare provider, as codes may be updated or vary based on specific circumstances.

Can modifier 59 be used with cpt 87040 and 87070?

Modifier 59 can be used with CPT codes 87040 and 87070 when there is a need to indicate that the two procedures were performed separately and are not considered bundled services. However, it's essential to ensure that the use of modifier 59 is justified based on the clinical scenario and documentation, as payers may scrutinize its application. Always check the specific payer guidelines for any additional requirements or restrictions regarding modifier usage.

Where can someone find online billing software?

If you're looking for a billing service for your business, the best option is to connect with TSP Group.

We offer comprehensive billing solutions tailored to your business needs—covering invoicing, payment tracking, GST compliance, and real-time financial reporting. Whether you’re a small startup or a large enterprise, TSP Group ensures efficient, accurate billing processes so you can focus on your core operations rather than administrative tasks.

What CPT code for Supra clavicular biopsy?

The CPT code for a supraclavicular lymph node biopsy is typically 38500, which refers to a biopsy of lymph nodes or other structures in the neck or supraclavicular region. If the biopsy is performed with a needle, the appropriate code may be 10005 for fine needle aspiration. It's important to check the specific context and technique used, as that may affect the exact code. Always refer to the most current coding guidelines for accuracy.

What is the CPT code for left posterior axillary fold?

The CPT code for procedures related to the left posterior axillary fold can vary depending on the specific procedure being performed. Commonly, surgical codes for excision or biopsy in this area may fall under codes such as 19120 (excision, breast lesion) or 19301 (mastectomy). For accurate coding, it's essential to reference the specific procedure details and consult the latest CPT guidelines. Always verify with a coding manual or professional for the most precise code.

Can the state of mass withhold lottery winnings if you owe medical bills?

Yes, a state can withhold lottery winnings to satisfy outstanding debts, including medical bills, depending on the laws of that state. If you owe money to a state agency or have court-ordered judgments, the winnings may be subject to garnishment or seizure. However, specific rules vary by jurisdiction, so it's important to check the local laws regarding lottery winnings and debt collection. It's advisable to consult with a legal expert for guidance in such situations.

What is the statute of limitations on medica bills in Nevada?

In Nevada, the statute of limitations for medical bills is typically six years. This means that creditors have six years from the date the debt became due to file a lawsuit to collect the unpaid medical bills. It's important to note that this period can vary based on the specifics of the case, so consulting with a legal professional for personalized advice is recommended.

What is medical service code 84443?

Medical service code 84443 refers to the laboratory test for thyroid-stimulating hormone (TSH). It is used to evaluate thyroid function and diagnose conditions such as hypothyroidism or hyperthyroidism. This test measures the level of TSH in the blood, which is essential for regulating the production of thyroid hormones. It is commonly ordered in conjunction with other thyroid function tests.

What is the cpt code for biopsy hypopharynx?

The CPT code for a biopsy of the hypopharynx is typically 31622, which refers to a biopsy of the hypopharynx performed via laryngoscopy. However, it's essential to verify the specific procedure details and any updates to coding guidelines, as codes may vary based on the method and extent of the biopsy. Always consult the latest CPT coding manual or a coding specialist for the most accurate coding information.

How big is a18mm lesion?

An 18mm lesion is approximately 1.8 centimeters in diameter. To put it in perspective, it is slightly less than the width of a standard golf ball, which has a diameter of about 4.3 cm. In medical terms, lesions of this size may warrant further investigation depending on their characteristics and location.

What is the treatment of an osteolytic lesion of the ischium?

The treatment of an osteolytic lesion of the ischium typically involves a multidisciplinary approach, including surgery, radiation therapy, and possibly chemotherapy, depending on the underlying cause (e.g., malignancy, infection, or benign lesion). Surgical options may include resection of the lesion, stabilization of the bone, or reconstruction if necessary. In some cases, palliative care may be considered to manage symptoms. It is essential to perform a thorough evaluation to guide the appropriate treatment plan.

What is the cpt code for Bronchoscopy with transbronchial biopsies of two lobes of the right lung?

The CPT code for a bronchoscopy with transbronchial biopsies of two lobes of the right lung is 31628. This code specifically encompasses the bronchoscopy procedure along with the transbronchial biopsy component. When coding, it’s important to ensure that any additional procedures performed during the bronchoscopy are accurately documented and coded as necessary.