Practice Management

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  • 1.  Modified Barium swallows

    Posted 02-15-2018 15:25
    We are investigating performing Modified Barium swallows, in coordination w/a speech pathologist.  All of the three codes below seem to apply, but can we bill for all 3 with the expectation that we will be reimbursed for all 3?

    Group 1 Codes:

    70370    Throat x-ray & fluoroscopy

    70371    Speech evaluation complex

    74230    Cine/vid x-ray throat/esoph

    Thank you!

    Keith Indeck
    Practice Administrator
    Radiologic Associates of Middletown
    Guilford Radiology
    Middletown Vein & Aesthetics



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    Keith Indeck CRA, MBA
    COO, Director of Operations
    Radiologic Associates of Middletown
    Middletown CT
    (860) 346-8481 ext. 202
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  • 2.  RE: Modified Barium swallows

    Posted 02-16-2018 11:52
    2 sUN REVIEW Per Medicaid National Correct Coding Initiative edits, Procedure Code 74230[SWALLOWING FUNCJ W/CINERADIOGRAPY/VIDRADIOG] has a CCI conflict with procedure code 70371[CPLX DYNAMIC PHARYNGEAL&SP EVAL C/V REC]. Per Medicaid CCI guidelines, a modifier is NOT allowed to override the CCI conflict.


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    Monica Witt
    Patient Records Abstractor
    University of California - Irvine
    Orange CA
    (714) 456-3952
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  • 3.  RE: Modified Barium swallows

    Posted 02-16-2018 11:56
    ​Basically you can either bill the 70370  or 70371 with the 74230 together but you cannot bill all three at once 70370 and 70371 conflict with each other

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    Monica Witt
    Patient Records Abstractor
    University of California - Irvine
    Orange CA
    (714) 456-3952
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  • 4.  RE: Modified Barium swallows

    Posted 02-16-2018 15:16

    Thank you Monica!

     

     

    Thanks!!

     

    Keith

     

    Keith Indeck

    Practice Administrator

    Radiologic Associates of Middletown

    Guilford Radiology

    Middletown Vein & Aesthetics

    860-346-8481 (Middletown)

    203-453-5123 (Guilford)