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Is the cpt code the same as the procedure code?
yes
What is the cpt code for repeat radiology procedure performed by the same physican?
repeat pericadiocentese
What are Medical fee codes?
Medical fee codes (more precisely Procedure Code) are a form of standarization for medical billing. Each procedure has a unique code used to determine everything from pricing to eligiblity. If you went to 10 different doctors for a flu shot, generally every one of them would use the same Procedure Code to determine the appropriate fees. The fees may vary greatly but the code number should be the same. In a hospital the code is checked against what is called a Charge Master. This is a dB that says for any given Procedure Code what do they charge based on what the negotiated price is with your insurance carrier.
Advantages of procedure oriented programming?
The ability to reuse the same code at different places in the program with out coping it.
What does the modifier 62 indicate in the CPT manual?
CPT Code Modifier 62 -Two Surgeons: When two surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons. Each surgeon should report the cosurgery once using the same procedure code. If additional procedure(s) (including add-on procedure(s) are performed during the same surgical session, separate code(s) may also be reported with modifier 62 added. Note: If a co-surgeon acts as an assistant in the performance of additional procedure(s) during the same surgical session, those services may be reported using separate procedure code(s) with modifier 80 or modifier 82 added, as appropriate.
Can procedure code 76942 be billed twice in same visit if patient was injected in 2 different areas of the knee?
YES
Is the cost of the IUD included in the insertion code?
No, the separate J code should be added to the claim for an IUD insertion. The device is not included in the insertion procedure code. (The same is true for the contraceptive implant as well).
What is the code for direct operative laryngoscopy for removal of button lodge in 2 year old child's larynx?
The code for any procedure will depend upon the Hospital and the Country you live in. Different Medical Insurance company may also different codes for the same procedure. You need to check with your local Hospital for the code
Is the cost of an IUD included in the code for insertion?
No, the separate J code should be added to the claim for an IUD insertion. The device is not included in the insertion procedure code. (The same is true for the contraceptive implant as well).
What is meant to code to the fullest extent of the procedure?
It's asking that you use the most specific code that applies to the procedure/diagnosis. An diagnosis example is: code 729.7 is Non-traumatic Compartment syndrome code 729.71 is Non-traumatic Compartment syndrome of upper extremity So on the bill to the insurance company they'll want the code similar to the 729.71 since it is more specific than the 729.7 code. For the above code, there are additional ones for lower extremity and other locations as well as a final "catch-all" for unknown location which I didn't list. In all cases you would put the 729.7x code. A procedure code would follow the same lines as the diagnosis example listed above. You simply select the procedure code that meets the requirements of the highest listed procedure. Most often this is measure by a count of some specific item such as minutes, units, or number of locations. This may require an additional modifier to narrow the code even further. I would think your original question was intended to be directed toward the diagnosis version since doctors have more flexibility with the procedure side. It is common to use a lower paying procedure in an effort to give a break to a patient (and insurance companies aren't going to complain about that one)
What is meant by code to the fullest extent of the procedure?
It's asking that you use the most specific code that applies to the procedure/diagnosis. An diagnosis example is: code 729.7 is Non-traumatic Compartment syndrome code 729.71 is Non-traumatic Compartment syndrome of upper extremity So on the bill to the insurance company they'll want the code similar to the 729.71 since it is more specific than the 729.7 code. For the above code, there are additional ones for lower extremity and other locations as well as a final "catch-all" for unknown location which I didn't list. In all cases you would put the 729.7x code. A procedure code would follow the same lines as the diagnosis example listed above. You simply select the procedure code that meets the requirements of the highest listed procedure. Most often this is measure by a count of some specific item such as minutes, units, or number of locations. This may require an additional modifier to narrow the code even further. I would think your original question was intended to be directed toward the diagnosis version since doctors have more flexibility with the procedure side. It is common to use a lower paying procedure in an effort to give a break to a patient (and insurance companies aren't going to complain about that one)
What does modifier 50 indicates in the cpt code?
CPT Code Modifier 50- Bilateral Procedure: Unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code.
