Q: We have trouble billing multiple units of injections and infusions that are done during observation stays and exceed the medically unlikely edits number. What is the correct way to bill these and get paid?
Q: Based on CPT Assistant, CPT code 29874 (knee arthroscopy with removal of loose/foreign body) may be reported with modifier -59 (distinct procedural service) if performed in a separate compartment from procedures 29875-29881. This advice conflicts with NCCI edits between codes 29874 and 29880. Do the NCCI edits override the advice in CPT Assistant?
Q: Our billing office has noted that we have many recurring accounts that have seen a huge drop in reimbursement over the past couple of months. We have noted that our outpatient physical/speech therapy and speech-language pathologist accounts aren’t affected, but our wound care accounts are. What changed?
