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4 Tips Position Your ‘Multiple Scope’ Codes Perfectly

Ortho coders: Here’s what you should do when there’s no ‘base’ procedure.
This week is the 400th anniversary of Galileo’s telescope, so let’s celebrate in our own small coding way and get our own scope coding correct.
If your physician performs several knee arthroscopies on the same patient on the same day, you’ll need to understand the […]

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MAC Auditors Will Stick It To Facet Joint Injection Claims

We hook you up with CMS instructions for when to use +64472, +64476 and when to use modifier 50.

Thanks to a 2006 OIG audit, MACs are on the lookout for incorrectly-billed facet joint injections, so it’s time to scrutinize your claims. Medicare guidelines are very strict about when you can append modifier 50 (Bilateral procedure) to a facet joint injection code — so […]

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  3. CMS Adds 5 New Codes Effective July 1, Changes Bilateral StatusYes. It’s true. Fireworks aren’t the only excitement you can…
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Do I Use a Chemo Code for Zevalin Therapy?

Question: When I looked up Zevalin, I found out it’s a monoclonal antibody. Does that mean I should report a chemotherapy administration code for Zevalin therapy? CPT guidelines say chemo admin codes are correct for monoclonal antibodies.
Answer: Zevalin is a monoclonal antibody, and CPT does say chemotherapy administration codes are correct for “certain monoclonal antibodies.” […]

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  3. Which HCPCS Code Should I Use for Eovist MRI contrast? Question: Which HCPCS code should I use to report…
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