Coding, Classification & Reimbursement

Latest Discussion Posts

  • Did you have any issues with audits because the sex was changed just to assign the codes, and then changed back? We have a patient who is transitioning from Female to Male. The patient identifies as a Male but still has female organs. Admitted for procedures ...

  • Hi, Steve, CMS has rules and guidelines for FQHC billing and specific lab codes along with place of service. If the provider is bill G0467/68 they will need to bill with the correct Revenue code, and the correct qualifying code along with the labs. ...

  • Hi  I would use  Z15.09 (Genetic susceptibility to other malignant neoplasm) , since monoallelic mutation of SDHB gene increase risk for rare tumors specially malignancy,   that affect your endocrine system such us supra renal, GIST, and Kidney Cancer. ...

  • Hi Joanne  My name is Favio, I work in a Radiation Oncology Facility. We have several scenarios like yours. Would your question would be? ------------------------------ Favio Freyure ------------------------------

  • Hi, I,m a medical coder for a FQHC and we have had a problem with Labs not meeting medical necessity for the lab tests. We just email the providers or unit managers about the codes. We use labcorp. If you have any  question you can use their website and ...