Medical Coding Rights

CPT Code History & Guidelines There are three CPT codes are available, 90901 -  Biofeedback training by any modality 90912 - Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care professional contact with the patient +90913 - Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health care professional contact with the patient (List separately in addition to code for primary procedure) The CPT 90911 was deleted in 2022 and the CPT  90912 & +90913 was added in Jan'2020. The purpose of this codes added, The provider or other qualified healthcare professional will be trained the patients to control of involuntary bodily functions. There are, Altering brain activity, Blood pressure, Heart rate, and Othe

The Centers for Medicare and Medicaid services are allowed to submit claims with 12 diagnoses in CMS 1500 form. However, some of the practice management systems will limit the diagnoses to fewer than 12 diagnoses. If any practice management system limits the number of diagnoses to fewer than 12 and the supplemental claims can be submitted with E&M Codes with $ 0.01 or $0.00 based on whether the system allows it. Billing and Coding Guidelines The simple question is, how to capture all the diagnosis and billed it out to Florida Blue Insurance?.    Submit a second line item with CPT 99080 other than the first 12 diagnoses. Initially, the BCBS accepted only CPT 99080 for additional diagnoses but now, the BCBS insurance will allow to bill CPT 99499 as well for the additional diagnoses.  The BCBS can accept a zero-dollar charge ($0.00), or a penny charge ($0.01) if your system does not allow zero-dollar charges.    If the claim is electronic, use frequency code “0.” This code will deny a

CPT Code Description: - 94760 - Noninvasive ear or pulse oximetry for oxygen saturation; single determination 94761 - Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (e.g., during exercise) The provider and or other qualified healthcare professional takes the oxygen  saturation using the a sensor on the ear or finger from the patients. To perform this service, the doctor places a sensor, such as one in the form of a clip, on the patient’s earlobe or fingertip. The sensor uses a light shining through the body part to measure the oxygen saturation, detecting the differences in the ways blood cells with and without oxygen reflect light.   The Oxygen saturation, is also called as O2 sat, and the percentage of hemoglobin carrying oxygen molecules.   Guidelines: - The CPT Codes ranges from 94010 to 94799 include laboratory procedure(s) and interpretation of test results. If a separate identifiable evaluation and management service is performed on the same day

Proposed Billing Rules 2022 CMS unveiled July 2 the first in a series of rules aimed at shielding patients from surprise billing. The interim final rule addresses several provisions in the No Surprises Act passed by Congress last year. Most provisions outlined in the proposed rule will not take effect until Jan. 1, 2022.  Ten things to know, 1. Bans surprise billing for emergency services The interim final rule bans surprise billing for emergency services, regardless of where they are provided.  Providers are required to bill emergency services on an in-network basis without prior authorization. 2. Bans high out-of-network cost-sharing for emergency and non-emergency services  CMS proposed that patient cost-sharing, including coinsurance and deductibles, be based on in-network provider rates.  This means that cost-sharing can't be higher than if the services were provided by an in-network physician.  3. Bans surprise billing for ancillary services and any "others."  The i