For the Week of April 12, 2021
Cardiology
Cardiology Question for the Week of April 12, 2021
Question:
In the example of the EKG with an EP study, do you agree that we should report the 93005 but not modify it with modifier 59? Do other hospitals override the edit instead of using the GZ? If the entire claim is denied due to the GZ modifier being on the claim, what action should we take? Should we reach out to our FI?
Laboratory
Laboratory Question for the Week of April 12, 2021
Question:
Can modifier 91 be appended to every laboratory code that is reported more than one time on the same date of service?
Pharmacy
Pharmacy Question for the Week of April 12, 2021
Question:
Can you tell me more about when to use initial service codes versus additional codes for drug administration services?
Radiology
Radiology Question for the Week of April 19, 2021
Question:
If a film is obtained to verify the position of the clip placed during a needle localization procedure, can we bill this with the unilateral mammogram code 77065?
Respiratory
Respiratory Question for the Week of April 12, 2021
Question:
If a nurse is furnishing services that do not require the need for a respiratory therapist would the service be separately billable?
General
General Question for the Week of April 19, 2021
Question:
I’m being told I need a modifier if I bill 79005 and 78014 together. Do you know which modifier and why?
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