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Coding
DME Coding: Modifier Issue?
“I billed A5500 and A5512 with modifiers -KX, -RT, -LT.
L1940 KXRTLT
L2330 KXRTLT
L2820 KXRTLT
I billed these on separate lines. This claim was rejected so we re-billed putting the KX modifier in the 3rd spot and it was still rejected for the same reason. The comment was: 4 – the procedure code is inconsistent with the modifier used or a required modifier is missing Any thoughts on how to tackle this denial?”
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FDA Recalls
Coding
Billing for Percutaneous Tenotomies
If our provider does multiple Tenotomy procedures on one visit on different toes what are the appropriate procedure codes and modifiers to bill correctly? We have been billing 28010 with the "T" modifier and no other modifiers per the provider's request. I feel like we should be adding a "51" modifier on all lines except the first. I would love assistance with this.
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Coding
Q and A Feature "Step Up Foot and Ankle Coding"
In order to bill 28292, 28295, 28296, 28297, 28298, 28299, the medial aspect of the head of the 1st metatarsal MUST be excised/removed in addition to any additional procedures that are performed to correct the hallux valgus deformity to justify and support the CPT code that is billed.
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MIPS
MIPS 2024 Roundup
2024 is winding down and we should be getting ready to report our 2024 performance to CMS.
A common question that keeps popping up is:
“Am I required to report MIPS for 2024?”
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HIPAA