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Puerto Rico state anesthesia conversion factor
2012 Anesthesia conversion factors for Puerto RicoThe conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through...
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2012 Anesthesia conversion factors for Florida
The revised conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through February 29, 2012, are as...
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BCBS covered anesthesia Modifier list
Anesthesia ModifiersModifiers are two-digit indicators that are used with a procedure code to add specific meaning to a service provided. Every anesthesia administrative code billed to BCBSF must...
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Understand Monitored Anesthesia Care
Intra-operative monitoring by an anesthesiologist, physician, or other qualified individual under the medical direction of the anesthesiologist, of the patient’s vital physiological signs in...
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CPT 01967, 01968 AND 01969
Regional AnesthesiaReimbursement for regional anesthesia, may include any one of the following procedures:Nerve BlocksA nerve block involves the injection of a peripheral nerve into or around a given...
View ArticleAnesthesia billing CPT and modifiers
. Approximately 4,000 surgical , medical, and radiology procedures are presented by 268 anesthesia codes. ANESTHESIA CODE RANGES 00100 - 00222 Head 00300 - 00352 Neck 00400 - 00474 Thorax...
View ArticleHealthcare Common Procedure Coding System (HCPCS) Codes Subject to and...
The CLIA regulations require a facility to be appropriately certified for each test performed. To ensure that Medicare and Medicaid only pay for laboratory tests in a facility with a valid, current...
View ArticleCMS releases updated frequently-asked questions for ICD-10 acknowledgement...
SummaryThe Centers for Medicare & Medicaid Services (CMS) recently updated frequently-asked questions and answers for health care providers and billing houses participating in testing programs for...
View ArticleClinical Laboratory Fee Schedule (CLFS) Update CPT 80300 through CPT 80377
Final DeterminationsCodes 80300 through 80377 (63 codes)Industry Recommendation: Various, from crosswalking to specific existing codes (e.g., G0434, G0431, etc.), to gapfilling.CMS Recommendation:...
View ArticleAdditional HCPCS Modifiers
Modifier DescriptionAE Registered DieticianAF Specialty PhysicianAG Primary PhysicianAH Clinical PsychologistAI Principal Physician of RecordAJ Clinical Social WorkerAK Non...
View ArticleWhat is Hospice, Hospice Terminal Diagnoses
Hospicethe term “hospice care” means the following items and services provided to a terminally ill individual by, or by others under arrangements made by, a hospice program under a written plan (for...
View ArticleCoding Guidelines: Modifiers (Index) and detail about Anesthesia Modifiers
Modifiers indicate a service or procedure that has been performed has been altered by some specific circumstance but not changed in its definition or code.When selecting the appropriate modifier to be...
View ArticleHospital billing setup
HospitalsThis page provides basic information about being certified as a Medicare and/or Medicaid hospital provider and includes links to applicable laws, regulations, and compliance information.A...
View ArticleCoding Guidelines: Modifiers (Index) and detail about Anesthesia Modifiers
Modifiers indicate a service or procedure that has been performed has been altered by some specific circumstance but not changed in its definition or code.When selecting the appropriate modifier to be...
View ArticleCentralized Billing for Influenza Virus and Pneumococcal Vaccines
Centralized billing is a process in which a provider, who provides mass immunization services for influenza virus and pneumococcal pneumonia virus (PPV) immunizations, can send all claims to a single...
View ArticleCoverage Article for Independent Diagnostic Testing Facility (IDTF) Coding...
Desk and Site ReviewsAll new IDTF applications shall receive (1) a thorough desk review, and (2) a mandatory site review prior to the contractor's enrollment of the applicant and issuance of a billing...
View ArticleDiagnostic Cardiology Services: Medical Necessity Denials & EKG, EKG Rhythm...
Diagnostic Cardiology Services: Medical Necessity DenialsDenial Reason, Reason/Remark Code(s) •CO-50, CO-57, CO-151, N-115 - Medical Necessity: An ICD-9 code(s) was submitted that is not covered under...
View ArticleCode/Modifier Combination Invalid and Modifier Invalid/Missing & Anesthesia...
Code/Modifier Combination Invalid and Modifier Invalid/MissingRemark Code/ Message Number: •4: The procedure code is inconsistent with the modifier used or a required modifier is missing•MA130: Your...
View ArticleCreatinine (Blood): NCCI Bundling Denials
Denial Reason, Reason/Remark Code(s) •M-80: Not covered when performed during the same session/date as a previously processed service for the patient•CO-B15: Payment adjusted because this...
View ArticlePQRS Payment Adjustments and Providers Who Rendered Services at IDTFs
The Physician Quality Reporting System (PQRS) is a program that promotes the reporting of quality information by eligible professionals (EPs) and group practices. Participation in PQRS is at the...
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