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- New Telemedicine Codes for 2025 - AAPC
For the Current Procedural Technology (CPT®) 2025 code set, a new Telemedicine Services subsection with 17 new codes has been added to the Evaluation and Management (E M) section These 17 new codes are intended for reporting synchronous (ie, real-time) E M services, with coding options available for both new and established patients This article provides guidance on these new guidelines and
- aetna | Medical Billing and Coding Forum - AAPC
Aetna breast cancer patient had delayed reconstruction so the doctor inserted bilateral implants I coded 19342 with modifier 50 and aetna only paid for one side, do i need to bill with rt and lt modifiers to receive proper reimbursement?
- Bill G2211 With Confidence (and Modifier 25) - AAPC
Providers and patients both reap the benefits when this add-on code is used correctly HCPCS Level II add-on code G2211 recognizes the ongoing Providers and patients both reap the benefits when this add-on code is used correctly
- Telehealth: Medicare Policy for CY 2025 - AAPC
Rulemaking and lawmaking keep telemedicine a viable solution for the masses, for now Now that the dust has settled on the American Relief Act, 2025, Medicare policy for telehealth services is extended through March 31, but then what?
- Telehealth 2025: The Final Rule - AAPC Knowledge Center
Medicare reinstates certain pre-pandemic telehealth policies COVID-19 public health emergency waivers that applied to Medicare Part B policies for The 2025 PFS final rule is the final word for telehealth services effective Jan 1, 2025, unless Congress acts
- Downgrading E M services | Medical Billing and Coding Forum - AAPC
Aetna has a downgrading policy that they base the level of service on what's provided on the claim - if there's something in documentation that substantiates the level of service, appeal
- Wiki - 36415 denials | Medical Billing and Coding Forum - AAPC
My claims for Cigna and Aetna are being denied for the 36415 when performed with an office visit the lab bills the lab tests, we bill the venipuncture Is anyone out there getting paid for the 36415 for these insurance companies?
- Wiki - Telehealth visits and modifier for 2025 - AAPC
Hello all, for the new CPT codes for audio only telehealth visits using POS 10, do we need to use modifier 93? Do we also use modifier 93 for straight Medicare telehealth visits as well?
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