Q: Are there any new drugs that received pass-through status in April?
Q: What are the requirements for using condition code 44?
Our experts answer questions about reporting modifier -59 with knee arthroscopies, updates on skin substitute codes, and more.
Should physicians write an order for a specific postacute care provider, such as a home health agency or skilled nursing facility?
Q: We have started receiving rejections for claims with HCPCS code C1842 (retinal prosthesis, includes all internal and external components). We provide the service with the retinal implant and are confused why it's getting rejected.
If my hospital submits an appeal to a payer and the payer upholds the denial, what next steps can we consider?
