March 12, 2010 – MedicalCodingNews.Org

Learn the Ins and Outs of Add-on Codes to Ensure Payable Claims

Knowing how to use add-on codes can net you up to $258 in additional reimbursement.

CPT is full of “add-on” codes, additions to minor and major surgical procedures as well as to E/M services. Fortunately for urology there are not…

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March 12, 2010

CMS / E/M / Medicare / modifier 25 / Oig / Toolkit

Use This Sample Appeal Letter As Ammo in Your Fight Against Modifier 25 Denials

Attach your procedure notes and the OIG’s report to pack extra punch.

Even if you follow all of CMS’s rules in reporting modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the…

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March 12, 2010

Coding Challenge / modifier 22 / modifier 59

Surgery Coding: Look at Service Date Before Appending Modifier 59

Make sure your documentation supports the additional substantial complexity of the hernia repair and mesh.

Question: A patient presented for a colectomy for colon cancer. The physician also discovered that the patient had a ventral incarcerated hernia that required a…

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March 12, 2010