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Frequently Asked Questions

Can you put billing codes (CPT) codes on a custom MedicalTemplate?

MedicalTemplates FAQ | Medical Notes | Medical Documentation
No. Billing codes are part of the CPT system developed by the American Medical Association. As the copyright holder for the CPT system, the AMA requires a license for the inclusion of these codes in all commercial products such as MedicalTemplates.

What are the Insurance Billing Codes or CPT codes for CPAP?

SleepMed Online - SleepMed Resource Center - FAQs
Codes have changed as of January 2003. These updated codes are used to bill insurance and government plans for CPAP items.

Are the new CPT codes only for Part D MTM billing?

Pharmacist Services Technical Advisory Coalition
No. The MTM codes may be used by pharmacists in any situation where the described service is provided. Other CPT codes may be accepted by payers and depending on which CPT code being used, there may be restrictions with respect to how these specific codes may be used. It is advisable to contact a payer before using the code for the first time to make sure that they are configured to process the MTM codes.

What is the difference between CPT codes and ICD-9 codes?

School-Based Health Services Frequently Asked Questions
Current Prodedural Terminology (CPT) is a listing of descriptive terms and identifying codes for reporting medical services and procedures as they are performed by physicians. The purpose is to provide a uniform language to describe medical, surgical, and diagnostic services. The book is prepared by the American Medical Association.

What about call accounting codes and billing codes?

Access Point Products: VoicePoint Frequently Asked Questions
Answer: The Enterprise-level service has the ability for you to assign as many codes as you like, based on users, projects, and clients, for example. At the end of the billing cycle, these calls can be separated out by account/billing code, so you know where these calls are to be charged. Call us at 1-888-533-3429 to find out more about these services or e-mail us at salessupport@accesspointinc.

Can I add more CPT codes to the CPT hot list?

FAQ
Yes. You can add any number of codes to the CPT hot list from the database that is included with our system. You can also remove a code from the list.

What are the CPT codes for reimbursement?

Practitioner Coding Information
CPT 22520 Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; thoracic. CPT 22521 Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; lumbar. CPT 22522 Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; each additional thoracic or lumbar vertebral body. (List separately in addition to code for primary procedure.

What are the CPT codes for chronic hemodialysis procedures?

Arrow International Inc - Hemodialysis Catheters - Frequentl...
Consult your payor organizations with regard to local coverage, bundling requirements, and reimbursement policies.

What CPT Codes are to be Reported? What ICD-9-CM Codes are to be Reported?

Please refer to Procedure Codes, Required Outpatient Surgical Procedures and Related CPT and ICD-9 CM Procedure Codes, for a detailed list of CPT codes and ICD-9-CM procedure codes required. These codes will also be periodically reviewed and updated by the Board of Health with input from affected parties and others. Because codes are sometimes modified by the federal government and others, you may wish to periodically check to see if revisions have been made to the list.

Is there a global period for the CPT codes in APC 0050?

Practitioner Coding Information
There is no global period for the facility. However, there is a 10-day global period for the physician. This global surgical package of 10 days includes same day services (either preoperative or postoperative care), intraoperative* care and care within the global period of 10 days after the surgery. During this time, the physician will not be reimbursed for services related to the initial procedure.

I want to import CPT and ICD9 codes. Where can I get the Master CD's that I need?

M.D. Complete - Medical Billing Software and HCFA Software w...
The Office Suite version comes complete with all recent CPT? and ICD-9 codes. You can also purchase the codes on CD. These CD's are sold separately from MDC.

Are the MTM CPT codes exclusive for pharmacists and pharmacy services?

Pharmacist Services Technical Advisory Coalition
Yes. While physicians and other non-pharmacist providers may perform MTM services, the recently approved MTM codes can ONLY be used by pharmacists when submitting a claim for MTM. This has been specified by the AMA. (See MTM rationale)

Are there any standard or published payment schedules for use with the CPT codes?

Pharmacist Services Technical Advisory Coalition
No. Payers will be establishing their own fee schedules for the services provided with the CPT codes.

What are the billing codes for Carnitor® Injection?

Carnitor Injection for Dialysis Related Carnitine Deficiency
The J-code for Carnitor® Injection, 1 gm/5 ml is "J1955" and the revenue code is "0636."

How do I know what services specifically are covered and what billing codes to use?

Provider FAQ's
The Texas Women’s Health Program is limited to a very specific list of procedure codes. These codes are available online at www.hhsc.state.tx.us/womenshealth.htm. For additional assistance with billing and reimbursements under the Women’s Health Program, please call the TMHP Contact Center at 1-800-925-9126.

DR. ZUBELDIA: Have you looked at the mapping between LOINC and CPT for billing purposes?

Transcript of the October 28, 2003 NCVHS Subcommittee on Sta...
DR. SORACE: We've made a recommendation and I believe that LOINC is looking into that as well in terms of trying to construct such a map so that you'd have a ready access to billing codes method. DR. HUFF: There have been a number of people who have been interested in the CPT/LOINC mapping and both commercial companies and people who are just trying to create systems.

What if I have both CPT and CCS certification?

NSPA FAQ
Since the Certified Personal Trainer (CPT) Course is a pre-requisite for the Certified Conditioning Specialist (CCS) course, your re-certification will be for CCS only. Therefore, your expiration date is based on your CCS Certificate date.

What does the custom billing feature mean?

Partner FAQ - AppointmentQuest Online Scheduling Software
If you join AppointmentQuest Partner Program as Reseller or Private Label Partner you will get the custom billing benefit which allows you to create your own pricing model for our services. You bill your customers according to your private pricing policy and by the end of our billing cycle AppointmentQuest invoices you in the amount based on our original prices already reduced by the Partner volume discount plus our monthly maintenance fee when applicable.

Can my custom billing system or bond system integrate with SurePath?

SDK FAQs
Yes! InSure Vision Technologies provides a Software Development Kit (SDK) for FREE to any user of SurePath. Agencies, carriers and vendors are using the SDK to integrate with their accounting, bond, and agency management applications. The SDK shows you how to request, transmit and analyze your data from SurePath. All you need is someone who understands your applications well enough to map the data from SurePath to your systems.
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