Infusion Administration
Many offices are using Medical Assistants to infuse biologics under the direct supervision of a physician. It is very unclear whether or not this is under their scope of practice legally. My question...
View Article20611 Injection with calcium breakdown
I don't often bill for such injections so I thought I should ask the experts. Procedure: Ultrasound Guided Subacromial Subdeltoid Bursa Injection w/ tenotomy and Percutanious Needlain of Calcification...
View ArticleSubacromial Bursa & Glenohumeral Joint Injections
Has anyone billed a subacromial bursa and glenohumeral joint injection together? These are 2 seperate areas of the shoulder with 2 different reasons for the injection. It seems you should be able to...
View ArticleRheumatology 99214
I have a couple of Rheumatolgiest that see alot of RA patients. When they come in for a follow up they are wanting to bill level fours. If the patient is in stable condition and nothing is being...
View ArticleUltrasound Guided Injection as of 2015
Medicare coding I haven't been having an issue with- I know what their rules are. I have had problems with commercial insurance companies. Some deny the new codes, but only sometimes. I haven't been...
View Article96401 billed twice with J0717
Can anyone clarify if 96401 can be billed twice with J0717 (Cimzia), which is a Sub Q administered drug? It is given as two injections (left and rt side of abdomen). The manufacturer protocol says we...
View ArticleUltrasound for diagnostic
Can you tell me if a physician uses ultrasound for diagnostic and then decides based on findings to inject the joint that now includes the ultrasound is acceptable to charge the diagnostic ultrsound...
View Article20610 SI injection
Can this CPT be used for this anatonical site? I came across an LCD ( 31359) that says it is not appropriate to use this code for SI joint injection, rather use 27096. This code Injection procedure for...
View ArticleAlemtuzumab/ Lemtrada HCPCS code
I'm am wondering what code you are using for this drug prior to October 1st for Medicare patient in particular. We are having problems getting payment to even cover the cost of this. We have used J3590...
View ArticlePositive RF without RA
Hello: I'm looking for an ICD-10 code for patients that are seropositive (+RF) but does not actually have Rheumatoid Arthritis (RA). Thank you
View Articlerheumatology
I'm not sure if I agree with the CPT my Doctor chose for the patients procedure. The treatment was for trochanteric bursitis. The Doctor injected 40 mg of kenalog into the patients left trochanteric...
View Article20551 vs 20610
M Doctor is billing a 20551 and I do not agree with the procedure she chose. I think she should have billed a 20610 because she injected into the left trochanteric bursa. Her note indicates Patient...
View ArticleNail fold capillaroscopy
Could someone please advise if nail fold capillaroscopy is billable? I am unable to find a CPT code. If anyone has any information or links they could post, would be much appreciated! Thank you!
View Articledocumentation post ICD10 grace period
With the grace period for documentation/coding issues for ICD10 ending effective 10/1/2016---can someone please clarify for me if our physicians (rheumatologists) are also required to be very detailed...
View ArticleRA with positive or negative RF
Hi, I have a question that may seem silly but, if a patient has a negative Rheumatoid Factor and a positive Anti- CCP would you use M05.79 Rheumatoid arthritis with rheumatoid factor of multiple sites...
View Articletreatment due to adverse reaction to HEP B Vaccine
Hi All, So here is the scenario.... Patient is seen in Rheumatology dept. for Hep B vaccine. Patient has a adverse reaction and Diphenhydramine 25mg is administered Intramuscular. Hydrocortisone 100mg...
View ArticleIgG4 Dx Code?
Does anyone have a code they use for this DX? I guess it is a new DX and no official code yet? Shari
View ArticleRheum specialty test & CEUs
Planning on taking the AAPC specialty test for this, any advice? And any idea on where to get the specialty CEUs? That is the one reason I am hesitant to go for this....Any help would be appreciated!...
View ArticleDrug Waste for Simponi Aria-Need Help ASAP
Each vial is 50 mg. We only gave 138.18 mgs and we wasted 11.89 mgs. How do we report this as drug waste? Thanks.
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