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01/21/2010

Be sure to use the ICD-9 code 585.4 (chronic kidney disease, stage IV, severe) on claims billing the new stage IV chronic kidney disease (CKD) education services G0420-G0421 (NPP Report 11/23/09). Your claims will be denied without this diagnosis code. 

01/21/2010

Summary: The two major non-physician practitioner (NPP) specialties, nurse practitioners (NPs) and physician assistants (PAs) have been billing more common imaging services over the last four years. NOTE: The percentage figures above the bars indicate the net year-to-year change. Because 2004 is outside the timeframe analyzed, 2005 has no data.

01/21/2010

This month's question is answered by Margie Scalley Vaught, CPC, coding content specialist for DecisionHealth.  

Q. How do we document and bill the following scenario: The PA or NP examines a patient while on the phone with the doctor (who is at home) during a patient exam. The doctor agrees with the NPP's findings. Can we bill this as a telehealth service?

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