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Reader Question: Don’t Bill 99051 as Stand-Alone Code

Question: I have three questions about using 99051: 1. Should we use 99051 in addition to the E/M code for that service (scheduled hours)? 2. What is the definition of “basic service?”Read More...

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Reader Question: Appeal for Payment if LCD Support Spirometry Diagnosis

Question:My records indicate that spirometry is a coverable CMS expense, but we cannot get Medicare to reimburse for it. The denials state that COPD/pulmonary dysfunction and chronic bronchitis are not...

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Reader Question: Look to State Guidelines for 90-Day Supplies

Question: We have patients who have instructions from their employers to get a 90-day drug supply to save the employer and the patient money. My pediatricians want to help our Read More...

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Reader Question: Choose 64450 for Genicular Nerve Injection

Question: Our physician injected multiple branches of the genicular nerve (superior lateral, superior medial, and inferior medial). Do we report 64450 once, or bill it three times with modifier 51?...

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Reader Questions: Heed the POS for Rehab Inpatients

Question: One of our physicians was called and asked to do a consult on an inpatient. This patient was being treated in a rehab facility but was mobile enough to Read More...

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