Ask a Rev Cycle Expert: CPT® 73562 and Modifier 50?

We are not receiving the correct reimbursement when we are reporting bilateral knee x-rays with Current Procedural Terminology (CPT®) code 73562 Radiologic examination, knee; 3 views with modifier 50 Bilateral Procedure. The payer is stating that the CPT® can’t be reported with that modifier. Could you shed some light on this?

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Ask a Rev Cycle Expert: Fecal Impaction Removal?

A patient arrived in the emergency department (ED) with fecal impaction. The impaction was not relieved with medication or enema. Intravenous (IV) sedation with midazolam and fentanyl. Can we report code 45915 Removal of fecal impaction or foreign body (separate procedure) under anesthesia?

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Ask a Rev Cycle Expert: Coding from Pathology Report?

Is it ok for a coder to pull the final pathological diagnosis from the pathology report?

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Ask a Rev Cycle Expert: APC for New Code?

What is the APC for CPT® code 0074A? I have been unable to locate this when searching for information.

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Ask a Rev Cycle Expert: Therapeutic Apheresis?

Can you please provide a basic description of the difference between CPT® codes 36514 and 36516?

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Ask a Rev Cycle Expert: Critical Care Services and Vent Management?

When a patient receives critical care services 99291 or 99292 in the Emergency room on the same day as ventilator management charge 94002, can the facility report both?

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Articles

Ask a Rev Cycle Expert: CPT® 73562 and Modifier 50?

Ask a Rev Cycle Expert: Fecal Impaction Removal?

Ask a Rev Cycle Expert: Coding from Pathology Report?

Ask a Rev Cycle Expert: APC for New Code?

Ask a Rev Cycle Expert: Therapeutic Apheresis?

Ask a Rev Cycle Expert: Critical Care Services and Vent Management?