General Surgery Articles and Resources
News and Important InformationCode SetsCPT CodesCPT Procedure Codes ICD-10-CM CodesICD-10-CM Diagnosis Codes Find-A-Code's Tools & ResourcesClick-A-Dex™Click-A-Dex™ Index Search Tool Build-A-CodeStep-by-step coding from all major code sets. NCCI Edits ValidatorValidate using NCCI edits for errors in code selection. Pro-Fee CalculatorVerify Medicare Reimbursement and UCR Fees for Professional Services Commercial Payer PoliciesView Clinical Indications for Medical necessity on procedures, Suggested Code Selection to assist your clinical judgment includes citations. Find-A-NPI™Find-A-NPI™ Fast Provider Lookup Additional Links and ResourcesNoridian: Surgery ResourcesNoridian JE Part B Surgery Resources Drugs and Biologicals Pub-100 Ch 17Drugs and Biologicals Pub-100 Ch 17 Billing Requirements for OPPSBilling Requirements for OPPS Providers with Multiple Service Locations Standard Written Order (SWO)Dates of Service on or After January 1, 2020 Select the title to see a summary and a link to the full article. March 16th, 2021 ICD-10-CM 2021 Codes for your Specialty| Published March 16th, 2021
11. Diseases of the digestive system (K00-K95)
Code: Description:K20.80 Other esophagitis without bleedingK20.81 Other esophagitis with bleedingK20.90 Esophagitis, unspecified without bleedingK20.91 Esophagitis, unspecified with bleedingK21.00 Gastro-esophageal reflux disease with esophagitis, ... March 16th, 2021 ICD-10-CM 2021 Codes for your Specialty| Published March 16th, 2021
13. Diseases of the musculoskeletal system and connective tissue (M00-M99)
Code: Description:M05.7A Rheumatoid arthritis with rheumatoid factor of other specified site without organ or systems involvementM05.8A Other rheumatoid arthritis with rheumatoid factor of other specified siteM06.0A ... March 16th, 2021 ICD-10-CM 2021 Codes for your Specialty| Published March 16th, 2021
19. Injury, poisoning and certain other consequences of external causes (S00-T88)
Code: Description:S20.213A Contusion of bilateral front wall of thorax, initial encounterS20.213D Contusion of bilateral front wall of thorax, subsequent encounterS20.213S Contusion of bilateral front wall of thorax, sequelaS20.214A Contusion of ... March 16th, 2021 ICD-10-CM 2021 Codes for your Specialty| Published March 16th, 2021
20. External causes of morbidity (V00-Y99)
Code: Description:V00.031A Pedestrian on foot injured in collision with rider of standing electric scooter, initial encounterV00.031D Pedestrian on foot injured in collision with rider of standing electric scooter, subsequent encounterV00.031S Pedestrian on foot injured ... October 28th, 2020 Incident To| Published October 28th, 2020
Just about any large clinic you visit will have non-physician practitioners, or NPPs. These will include physician assistants, nurse practitioners, and clinical nurses for example. Practices and clinics can bill under the NPPs if they are credentialed with the payer, but the reimbursement is only 85% of the fee schedule. There ... August 10th, 2020 Coding Injections for Pain Management| Published August 10th, 2020
Coding for pain management can get confusing. How many injections, the location, and when to use a modifier are all common questions. This article will cover some of the most common injections used in pain management.
Trigger Point Injections
Trigger point injections are reported by how many muscles are treated using an ... August 10th, 2020 Modifier 50 — Four "Must Know" Tips For Getting Paid| Published August 10th, 2020 Modifiers added to an HCPCS or CPT© code alters the code description, providing clarity about the service for proper claim processing and reimbursement. Here are four things you must know about modifier 50 to ensure proper payment. - Modifiers are either informational or payment related. Informational modifiers provide additional... July 14th, 2020 Are NCCI Edits and Modifiers Just for Medicare?| Published July 14th, 2020 The National Correct Coding Initiative (NCCI) edits were developed by CMS to help promote proper coding and control improper coding that leads to incorrect payments with part B claims. It is important to understand that NCCI edits do not include every possible code combination or every type of un-bundling combination. With that ... March 5th, 2020 Who Qualifies for Chronic Care Management Services| Published March 5th, 2020 Per MLN Chronic Care Management Services, the following patients are eligible: "Patients with multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, are eligible for CCM services."
Examples of chronic conditions ... February 10th, 2020 A 2020 Radiology Coding Change You Need To Know| Published February 10th, 2020 The radiology section of the 2020 CPT© has 1 new, 18 revised, and 14 deleted codes. Interestingly, six of the 14 deleted codes were specific to reporting single-photon computerized tomographic (SPECT) imaging services of the brain, heart, liver, bladder, and others. If your organization reports radiology services, it is... There are more articles. View all articles... View articles for the current specialty by subtopic: Select the webinar title to view a summary and link to the webinar video. April 10th, 2018 Liens and PI care — How to Make Them Work Better...Liens have been the salvation and anathema for doctors involved in personal injury care treatments. While an essential part of extending needed injury recovery care to those whose insurance coverage is minimal to non-existent, they are not a fool-proof way to secure reimbursement. How do you protect yourself against insurers and attorneys who refuse to honor the agreement? This webinar will explore various methods that have proven to be successful in enforcing a lien to secure reimbursement of your skillful services. March 15th, 2018 The Proper Way to Report Surgical ModifiersApplying the wrong modifier to a surgical procedure can cause a claim to deny or put you at risk of over-payment and accusations of fraud and abuse. Join Aimee as she demonstrates the proper use of surgical modifiers. February 8th, 2018 The Proper Way to Report ModifiersModifier 25 has long been a coding conundrum and an auditor's gold mine. Don't risk take-backs, penalties, or accusations of fraud and abuse. Join Aimee in this webinar on how to properly report modifier 25 and have confidence in your code reporting. January 25th, 2018 Surgical Coding and AuditingEver wonder what an auditor is looking for when they review your surgical coding? Join Aimee and review the basic rules and documentation requirements. We’ll tear apart a couple of operative reports, code them, review NCCI edits, modifiers, and more. Get an idea of how you are doing and things you may want to incorporate into your practice to be better prepared when an audit comes your way. Also, we’ll review our cool Code-A-Note tool and how it can help you locate CPT and ICD-10-CM codes quickly. This tool is great for new coders, coders new to a specialty, difficult coding situations, or anyone who just wants a second opinion on their code options. January 23rd, 2018 How to PREVENT and HEAL Dental Problems so You Can Enjoy a Healthy Body and LifeIn this webinar Dr. Jorgensen will share with you the REAL causes of dental disease and techniques for prevention and healing. You will also learn about dental problems that may be making you or your patients SICK, how to identify them, and what can be done to help them get better. Finally, she will tell you about cutting edge dental and health practices you need to know about to improve your patient's health, and how to find a dentist that can provide this care. Don't miss this life-changing webinar! January 4th, 2018 Proper Coding and Billing for Drugs, Biologicals and InjectionsProper Coding and Billing for Drugs, Biologicals and Injections February 2nd, 2017 How to Check NCCI Edits Using FindACodeHow to Check NCCI Edits Using FindACode Advanced Beneficiary Notice of Noncoverage (ABN) Form Instructions ToolBilateral Surgeries: Claim SubmissionCommonly Used Medicare Modifiers - GA, GX, GY, GZMedicare Part B Clinical Laboratory Fee ScheduleNoridian Surgery PoliciesNoridian: Allowed Amount ReductionsPhysician Assistant (PA) Resources NoridianSummary of the HIPAA Privacy Rule by HHS Select the podcast title to view a summary and link to the podcast. August 25th, 2020 Do You Have All the Right Dental Resources Needed to Succeed in Dental Medical Billing and Coding?Discussion with LaMont Leavitt (CEO of innoviHealth) and Christine Taxin (Adjunct professor at New York University, President of Dental Medical Billing, and Links2Success).
Some of the resources and tools they discuss will help you with your dental coding/billing and education.
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