2 coding questions

[Guest guest]

Hi all

Two coding questions.

I have been billing for H1n1 just fine, but it is not going through to medicare.

What is the adm code for this?

Also, I and D of abcess on first visit. How do you code and bill subsequent

visits for packing to be changed? Is this an EM code like 99213, another code

or is is surgical after care and included in the original bill?

Thanks!

Naureen Mohamed MD

solo solo IMP since 2004 and still loving it!

[Guest guest]

Naureen, You need to use a G code for the H1N1. Do a google search and it will come up; of course, you only bill for the admin.

--- 2 coding questionsDate: Sat, January 09, 2010 8:00 amTo:

Hi allTwo coding questions.I have been billing for H1n1 just fine, but it is not going through to medicare. What is the adm code for this?Also, I and D of abcess on first visit. How do you code and bill subsequent visits for packing to be changed? Is this an EM code like 99213, another code or is is surgical after care and included in the original bill?Thanks!Naureen Mohamed MDsolo solo IMP since 2004 and still loving it!

[Guest guest]

Naureen, Locke had previously posted this link explaining how to code for H1N1 shots:http://www.aafp.org/online/en/home/practicemgt/codingresources/h1n1admincoding.htmlCoding for Medicare PatientsMedicare created two new G codes to allow physicians providing the H1N1 to report the administration and, if desired, the vaccine itself. Medicare does not require reporting of a code for the vaccine because the vaccine is provided to physicians at no charge. Medicare's G codes are:G9141—Influenza A (H1N1) immunization administration (includes the physician counseling the patient/family)G9142—Influenza A (H1N1) vaccine, any route of administrationThis web site says that E/M visits during the 10 day postoperative period are part of the global fee and are not reimbursable for minor procedures such as I & D of simple abscess:http://codingahead.blogspot.com/2009/10/global-period.html010 Minor procedures with preoperative relative values on the day of the procedure and postoperative relative values during a 10-day postoperative period are reimbursable services. Evaluation and Management services on the day of the procedure and during the 10-day postoperative period are not reimbursable. (For example: CPT 10060, 11401, 46221) SetoSouth Pasadena, CAHi allTwo coding questions.I have been billing for H1n1 just fine, but it is not going through to medicare. What is the adm code for this?Also, I and D of abcess on first visit. How do you code and bill subsequent visits for packing to be changed? Is this an EM code like 99213, another code or is is surgical after care and included in the original bill?Thanks!Naureen Mohamed MDsolo solo IMP since 2004 and still loving it!