Cpt code general surgery
Guidelines for Medical Necessity Determination for ...
The secondary diagnosis name and current ICD-CM code pertinent to comorbid condition(s). The member’s comprehensive medical and surgical history, and when massive weight loss is the result of bariatric surgery, documentation must include immediate and late complications of the surgery, and post-surgical recovery.
[DOC File]Ambulatory Surgery Center (ASC) Payment Policies
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Example: Bilateral Procedure, Modifier -50, Chicago, IL. *(zip code 00523) Line item CPT Code Maximum Bilateral policy Max allowed. On bill modifier allowable applied amount. 1 64721–SG–50 $1,337.71 $2,006.561 $2,006.561 . Total allowed amount $2,006.561. 1. Bilateral procedure is paid at 150% of maximum allowed amount.
[DOC File]«FACILITY»
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Count each patient undergoing surgery as one case regardless of the number of surgical procedures performed while the patient was having surgery. CPT Code Description Cases 29827 Arthroscopy, shoulder, surgical; with rotator cuff repair 29880 Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving ...
[DOCX File]CPT Codes - American Society for Metabolic & Bariatric Surgery
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CPT® and ICD-9 Codes for Bariatric Surgery Presented. by the ASMBS Insurance Committee. CPT® and ICD-9 are dictated by payer policy guidelines. These codes are for reference only. Disclaimer:
[DOC File]VA NORTHERN CALIFORNIA HEALTH CARE SYSTEM (NCHCS)
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Procedural privilege bundles (e.g. CPT codes 10021-19272, 36556-36640, 31502, 31603-31830, 37565, 37607-37785, 38100-38115, 38300-38564, 38720-38747-38765, 38501-39561, 43020-49905, 58150, 58700-58720, 6000-60545, as well as musculoskeletal and soft-tissue procedures germane to general surgery, including digit and extremity amputation, and ...
[DOC File]Ambulatory Surgery Center (ASC) Payment Policies
https://info.5y1.org/cpt-code-general-surgery_1_f01f01.html
Line item CPT code Maximum Bilateral Policy Allowed. on bill modifier payment applied amount. 1 64721 –SG -50 $1,049.87 $1.574.801 $1,574.801 . Total allowed amount $1,574.801. 1. Bilateral procedure is paid at 150% of maximum allowed amount. Modifier -51, Multiple surgery modifiers, Chicago MSA.
Answer Key - Introduction to Clinical Coding
Note that the description for code 77055 is for a unilateral (one side) mammogram. 77056 is the correct code for a bilateral mammogram. Use of modifier -50 for bilateral is not appropriate when CPT code descriptions differentiate between unilateral and bilateral.
[DOC File]BILLING FACILITY FEES
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This code indicates charges for ambulatory surgery that are not covered by any. other revenue code category. According to national billing guidelines, CHAMPUS always requires the use of a specific detail code and the CPT-4 code rather than the “General” revenue code 490. For all other payers, HCPCS may be required for outpatient claims.
[DOC File]Department of Veterans Affairs Home | Veterans ...
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recently revised cpt codes effective jun 02, 1997 apr 16,1997 10:33 page 1. cpt code cpt category inactive flag-----00540 intrathoracic . anesth, chest surgery anesthesia for thoracotomy procedures involving lungs, pleura,
[DOCX File]64400 Peripheral Nerve Blocks - FSIPP
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Based on Medicare rules, regulations, and Correct Coding Initiative (CCI) edits, CPT codes 64400-64530 (Peripheral nerve blocks-bolus injection or continuous infusion) may be reported on the date of surgery if performed for post-operative pain management only if the operative anesthesia is general anesthesia, subarachnoid injection or epidural injection and the adequacy of the intraoperative ...
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