Pulmonology Articles and Resources

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ICD-10-CM 2021 Codes for your Specialty

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21. Factors influencing health status and contact with health services (Z00-Z99)    Code:            Description:Z03.821         Encounter for observation for suspected ingested foreign body ruled outZ03.822         Encounter for observation for suspected aspirated (inhaled) foreign body ruled outZ03.823         Encounter for ...

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ICD-10-CM 2021 Codes for your Specialty

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10. Diseases of the respiratory system (J00-J99) Code:            Description:J82.81           Chronic eosinophilic pneumoniaJ82.82           Acute eosinophilic pneumoniaJ82.83           Eosinophilic asthmaJ82.89           Other pulmonary eosinophilia, not elsewhere classifiedJ84.170         Interstitial lung disease with ...

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ICD-10-CM 2021 Codes for your Specialty

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3. Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) Code:            Description:D57.03          Hb-SS disease with cerebral vascular involvementD57.09          Hb-SS disease with crisis with other specified complicationD57.213        Sickle-cell/Hb-C disease with ...

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Incident To

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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 ...

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Are NCCI Edits and Modifiers Just for Medicare?

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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 ...

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New CPT® Codes Approved for COVID-19 Antibody Identification

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On April 10, 2020, the American Medical Association approved and published a revision of code 86318 and added two new codes 86328 and 86769 for reporting Coronavirus [COVID-19] antibody testing.

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