tci Part B Insider - 2009 Issue 3

Part B Revenue Booster: 2 Tips Easily Solve Your Code Compliance Errors

Reduce denials for your practice by reading the fine print. There are always a few tricky codes out there that can cause denials from carriers. Take a few minutes to test yourself against these quick, easily-solved issues to reduce compliance errors. Tip 1: Beware of Tricky PC/TC Components Scenario: Your physician performs a sleeping or comatose EEG in the hospital ICU with a facility's equipment. You should use 95822 (Electroencephalogram [EEG]; recording in coma or sleep only) and append modifier 26 (Professional component). Common mistake: Some coders might mistakenly report the diagnostic study without any modifiers. But EEG code...

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