Ask a Rev Cycle Expert

Our experienced revenue cycle experts explore today's most asked about topics.

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Ask a Rev Cycle Expert: OPPS Packaging?

Under OPPS, are pathology codes with status indicators Q1 and Q2 packaged with procedures listed as J1 and J2 when performed on the same day?

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Ask a Rev Cycle Expert: PO Modifier?

Is there any guidance that states whether or not the PO modifier is applicable or required to be used for Medicare Advantage?

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Ask a Rev Cycle Expert: Hemospray® HCPCS C1052 With 43242 & 43270?

Can Hemospray® (C1052) be reported/charged when the patient presents for an EGD with biopsy?

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Ask a Rev Cycle Expert: Unattended Sleep Study 95806 vs G0399?

Both CPT® codes 95806 and G0399 are accepted by Medicare for unattended home sleep study. Both codes are very similar, but what is the differentiating factor for these? Is it the use of the devices in the G code?

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Ask a Rev Cycle Expert: Laterality Modifiers and CPT® Code 63047?

Why would modifiers LT Left Side or RT Right Side be used on a claim when the payment indicator for bilateral is 2?

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Ask a Rev Cycle Expert: Manual Reduction of Hernia?

How would you report a manual reduction of a hernia that is performed in the emergency department (ED)?

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