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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

Do i ned modifiers whne coding more than one ophthamological code?

Yes, modifiers are often needed when coding more than one ophthalmological procedure to provide additional information about the services performed. They help clarify whether procedures were distinct or if they were performed on the same eye or different eyes. Proper use of modifiers ensures accurate billing and reduces the likelihood of claim denials. Always refer to the specific coding guidelines and payer requirements for the correct application of modifiers.

What is the medical procedure code for D7230?

The medical procedure code D7230 refers to the extraction of a tooth that is partially erupted or impacted. This code is part of the American Dental Association's Current Dental Terminology (CDT) codes, which are used for dental procedures in billing and insurance claims. It typically applies to teeth that are not fully visible in the mouth and may require surgical intervention for removal.

WHAT IS THE MODIFIER THAT INDICATES THAT ONLY THE PROFESSIONAL PORTION OF THE SERVICE WAS PERFORMED?

The modifier that indicates that only the professional portion of a service was performed is typically the "26" modifier. This modifier is used to signify that the professional component of a service, such as a medical procedure or diagnostic test, was provided separately from the technical component. It helps clarify billing and reimbursement by distinguishing between the services provided by the physician and those performed by other entities or facilities.

What is cpt code 52281?

CPT code 52281 refers to a transurethral resection of the prostate (TURP) with a focus on the treatment of benign prostatic hyperplasia (BPH). This procedure involves the removal of prostate tissue to relieve urinary obstruction caused by an enlarged prostate. It is typically performed using a resectoscope inserted through the urethra, allowing for minimally invasive access. This code is used for billing and documentation purposes in medical settings.

What ICD-10-CM code is reported for spontaneous pneumothorax?

The ICD-10-CM code for spontaneous pneumothorax is J93.11 for a primary spontaneous pneumothorax and J93.12 for a secondary spontaneous pneumothorax. These codes are used to classify and document the condition in medical records and billing. It is important to specify whether the pneumothorax is primary or secondary for accurate coding and treatment planning.

How do they do a needle biopsy?

A needle biopsy is performed by inserting a thin, hollow needle through the skin to obtain a sample of tissue from a specific area, such as a tumor or suspicious lesion. The procedure may be guided by imaging techniques like ultrasound, CT, or MRI to ensure accurate placement. After local anesthesia is administered, the needle is inserted and the sample is extracted, which is then sent to a laboratory for analysis. The procedure is typically quick, minimally invasive, and can be done on an outpatient basis.

What is procedure code 98960?

Procedure code 98960 refers to a specific billing code used in the healthcare system, particularly for telehealth services. It is typically associated with counseling and education for patients regarding their health conditions, often involving a time-based component of 30 minutes. This code helps healthcare providers document and bill for services that focus on patient education and self-management.

What is the ICD-9 code for non-hodgkins lymphoma?

The ICD-9 code for non-Hodgkin's lymphoma is 200.0 to 200.8, depending on the specific type and site of the lymphoma. Non-Hodgkin's lymphoma is classified under these codes, which encompass various lymphoid tissue malignancies. It's important to specify the subtype for accurate coding and treatment purposes.

What is the cpt code for an mri of the adrenal glands?

The CPT code for an MRI of the adrenal glands is typically 74181. This code is used for an MRI of the abdomen with and without contrast. However, it is always advisable to check the most current coding guidelines or consult a coding specialist, as codes can vary based on specific circumstances or additional procedures.

What is medical code 0305?

Medical code 0305 refers to a specific diagnosis related to a health condition, typically found in systems like ICD-10 or other classification systems. However, it is important to consult the latest coding manuals or databases to obtain the most accurate and specific information about this code, as meanings can vary based on the context and coding system used. If you need more detailed information, please provide additional context or specify the coding system you are referring to.

What is the cpt code for recto sigmoid resection with colostomy?

The CPT code for rectosigmoid resection with colostomy is typically 44150. This code specifically designates the surgical procedure involving the removal of the rectosigmoid colon and the creation of a colostomy. It's important to verify the specific details of the procedure, as variations may warrant different codes. Always consult the latest coding resources or a medical billing professional for accuracy.

What does with and without contrast material mean?

"With and without contrast material" refers to imaging studies, such as CT scans or MRIs, where contrast agents are used to enhance the visibility of certain structures or abnormalities within the body. "With contrast" means that a contrast agent has been administered, improving the differentiation of tissues or highlighting blood vessels, tumors, or infections. "Without contrast" indicates that the imaging is done without any contrast agent, which may provide a different perspective but can sometimes miss subtle details that the contrast would reveal. This approach allows for comprehensive evaluation in medical diagnostics.

What does procedure code 99930 stand for?

Procedure code 99930 is a temporary code used in specific medical billing contexts, often related to services that do not have a defined code in standard coding systems like CPT or ICD. Its use typically indicates a service that is either experimental, not yet classified, or requires additional information for billing. The specifics can vary by healthcare provider or payer, so it's essential to consult relevant coding guidelines or billing resources for precise details.

What is the cpt for corporoplasty?

The CPT code for corporoplasty, a surgical procedure aimed at reconstructing the corpora cavernosa of the penis, is typically 54150. This code specifically refers to the surgical repair of the penile corpora for conditions like penile curvature or erectile dysfunction. However, it's important to confirm the exact code with the latest CPT guidelines or billing resources, as codes may be updated or vary based on specific procedures performed.

What is cpt code 77603?

CPT code 77603 refers to the medical billing code used for brachytherapy, specifically for the treatment of cancer using a radioactive source. It indicates the use of a radioactive source for interstitial brachytherapy, typically involving a single source application. This code is often associated with procedures that require the placement of radioactive seeds or sources directly into or near a tumor. It is important for accurate billing and documentation in oncology practices.

What does medical code 99290 stand for?

Medical code 99290 refers to the evaluation and management of critically ill patients in an intensive care unit (ICU). It specifically pertains to the initial care of a critically ill patient, including the assessment and management of their condition. This code is part of a set of codes used to document the complexity and time involved in the care of patients in critical situations. It is typically used by healthcare providers to report services rendered during a patient's ICU stay.

What is the medical code for partial denture?

The medical code for a partial denture is typically represented by the Current Procedural Terminology (CPT) as well as the American Dental Association's Current Dental Terminology (CDT). In CDT, the code for a removable partial denture is often D5211 for a maxillary partial denture and D5212 for a mandibular partial denture. It's important to check the most recent coding manuals or guidelines, as codes may be updated.

What is the CPT code for excision of accessory navicular bone in foot?

The CPT code for the excision of an accessory navicular bone in the foot is 28307. This code specifically pertains to the excision of an accessory bone in the foot, and it is commonly used for procedures involving the accessory navicular. Always verify with the latest coding guidelines or consult a coding professional for accuracy.

What does diagnostic code p0205 mean?

Diagnostic code P0205 refers to a malfunction in the fuel injector circuit for cylinder number five in an internal combustion engine. This code indicates that the Engine Control Module (ECM) has detected an issue, such as an open or short circuit, affecting the fuel injector's operation. Common causes can include a faulty injector, wiring problems, or issues with the ECM itself. Addressing this code typically involves inspecting the injector and its connections, as well as testing the wiring.

Can you bill 96372 and 96402 together?

Yes, you can bill 96372 (therapeutic, prophylactic, or diagnostic injection) and 96402 (chemotherapy administration, subcutaneous or intramuscular) together, provided that the services are distinct and necessary. However, it is essential to ensure that documentation supports both procedures, as well as adherence to payer guidelines to avoid bundling issues. Always check specific payer policies, as they can vary in terms of billing requirements.

What modifier do you use with cpt code 94640 and j7611?

For CPT code 94640 (inhalation treatment for asthma or COPD), you typically do not need a modifier unless there are specific circumstances requiring one. For J7611 (albuterol sulfate for inhalation), you may use modifier -59 to indicate a distinct procedural service if it is administered separately from other services. Always refer to current payer guidelines for specific modifier requirements.

What is ADA procedure code d2792?

ADA procedure code D2792 refers to a crown restoration made of porcelain fused to a metal substrate. This type of crown is typically used to restore a tooth that has been significantly damaged or decayed, providing strength and durability while also mimicking the appearance of natural teeth. It is commonly employed in both anterior and posterior teeth restorations.

What does FF code mean?

FF code typically refers to a specific type of error or status code used in various contexts, such as programming or telecommunications. In some cases, it can indicate a "File Format" error, while in others, it might represent a "Fast Forward" function in media playback. The exact meaning can vary based on the specific application or system being referred to, so additional context is often needed for precise interpretation.

What is cpt code for thromboendarterectomy with patch graft?

The CPT code for thromboendarterectomy with patch graft is 35301. This code is used for the surgical procedure that involves the removal of atherosclerotic plaque from a blood vessel and the use of a patch graft to repair the vessel. It's important to check for any updates or specific guidelines related to the procedure when coding.

What is the CPT code for ileorectal resection?

The CPT code for ileorectal resection is 44160. This code is used for the surgical procedure that involves the removal of the ileum and the rectum, often performed to treat conditions such as inflammatory bowel disease or colorectal cancer. Always verify with the most current coding resources to ensure accuracy, as codes may be updated.