Mar 15, 2022
PR – Patient Responsibility denial code list MCR – 835 Denial Code List PR – Patient Responsibility – We could bill the patient for this denial however please make sure that any other rejection reason not specified in the EOB. Same denial code...
Feb 27, 2022
Medicare denial codes – OA : Other adjustments, CARC and RARC list Medicare contractors are permitted to use the following group codes: CO – Contractual Obligation (provider is financially liable);CR – Correction and Reversal (no financial...
Feb 27, 2022
Denial code and Reason PR 119 Benefit maximum for this time period has been reached (MEDICARE DOES NOT PAY FOR THIS MANY SERVICES OR SUPPLIES) CO -119 Benefit maximum for this time period or occurrence has been reached.Check Benefit Information through...
Feb 13, 2022
CPT Code and Description 81479 Unlisted Molecular Pathology Procedure Overview This policy describes the information required when claims are submitted for Molecular Pathology services utilizing Tier 1 and Tier 2 Molecular Pathology codes, Genomic Sequencing...
Jan 4, 2022
CPT Codes for Sigmoidoscopy (45330-45350) CPT Code Code Descriptor 45330 Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)45331 Sigmoidoscopy, flexible; with biopsy, single or...
Nov 18, 2021
CPT Code Description 29824 Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) 29825 Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation 29826 Arthroscopy,...
Oct 9, 2021
CPT code and Description 11044 Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle, and/or fascia, if performed); first 20 sq cm or less 11047 Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle, and/or fascia, if...
Aug 16, 2021
CPT CODE and Description CPT Code 58661 – Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) AMA Guidelines •Code 58661 describes a bilateral procedure, it would not be necessary to append Modifier 50 to...
Jul 10, 2021
HCPCS (Healthcare Common Procedure Coding System) Codes Code Description J7326 Hyaluronan or derivative, Gel-One, for intra-articular injection, per dose Coding and Billing for Gel-One Cross-Linked Hyaluronate • Prior authorization/pre-determination is suggested prior...
May 31, 2021
CPT CODE Definitions 92002 Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient 92004 Ophthalmological services: medical examination and evaluation with initiation of diagnostic...
