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  • Abdominal Aortic Aneurysm Screening (76706) - AAPC
    Abdominal Aortic Aneurysm Screening (76706) Effective January 1, 2017, code 76706, Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA), should be used to report AAA ultrasound screening This code was established in support of the recommendation of the United States Preventive Services Task Force (USPSTF) for screening
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    Medicine: Audiologic Function Tests (Codes 92550-92597) Diagnostic audiologic tests are conducted for individuals of all ages to identify hearing and balance disorders Hearing tests are conducted as part of the work-up for specific audiologic and otologic conditions (eg, otosclerosis, chronic otorrhea, chronic recurrent ear infections, ruptured ear drum, etc) The history of specific
  • When to Use Modifier SA - AAPC Knowledge Center
    Use modifier SA Nurse practitioner rendering service in collaboration with a physician for supervised NP services, when the insurer requires the modifier
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    You should double check me, but in general, I know the following do not pay for consult codes: Aetna, AVMED, Cigna, Department of Labor, Kaiser, Medicare, Medicare Replacement Plans, Medicaid, Meritain, United Health Care, UMR, and Tricare Again, you should double check me with your local insurer, especially with the commercial carriers
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    We are getting paid out of network with UMR and SUREST When I call and talk to a rep, they do see we are in network, they send the claim back for reprocessing, the claim comes back being paid in network, but the next time the patient comes in, the claim is getting paid out of network again
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    HCPCS Code for Slings A4565 HCPCS code A4565 for Slings as maintained by CMS falls under Various Medical Supplies Including Tapes and Surgical Dressings
  • Wiki - UMR Voiding Prior Authorizations? | Medical Billing and . . . - AAPC
    We have noticed UMR will void codes submitted for prior authorization stating "Included with Primary Code Review" Example: We submit authorization for 97162, and 97110
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    Hello all, for the new CPT codes for audio only telehealth visits using POS 10, do we need to use modifier 93? Do we also use modifier 93 for straight Medicare telehealth visits as well?
  • Wiki - Denial codes PI-B10 and PI-B15 | Medical Billing and . . . - AAPC
    The (UMR) insurance paid for procedure codes 90471 and 90476, but they denied the office visit billed under code 99214 with the denial code PI-B10 When I spoke to a representative from the insurance company, they explained that the denial was due to the payment already being included in another service





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