Home Forums Discussions Coding and Billing 25 modifier, Q2037 code, G0438, G0439

I am trying to get the 25 modifier, the Q2037, the G0438 and G0439 codes onto my quick code section--I am not able to get these codes into the quick code section as Amazing Charts software (I think) does not recognize these codes--so when I print up a "superbill" at the end of the encounter to send out to my billing/coder gal I have to leave these off the "superbill"--any easy solution that I am overlooking?
My intent is to either PDF the superbill or updox the superbill to my coder gal and get rid of the paper superbill if I can resolve this issue. Thanks--jimmie

PS--I did a quick look through the threads and didn't see this addressed, so I apologize if this topic has a thread already started

Dear Jimmie,

You may need to add the cpt codes to your database. You can go to Administrator Options and from the word tools at the top edit the cpt codes to included the missing codes. After that you can add them as quick codes.

Claire

Yes, I had to add these G-codes, which I don't think were in the database. I also added some others, such as the updated child vaccine codes. You can then easily put them in the quick code section for use in wellness visits for medicare. I do this all the time.

THANKS CLAIRE AND BOONDOC!!!!!

That worked great--appreciate the help!! jimmie

There is a drop down option for many of the modifiers. I wish you could free-enter into the modifier box. Scrolling through the apparently randomly sorted list is cumbersome when it would be so much easier just to free text "25" in the modifier box.

Dear Leslie,


At the top of the modifier list there is an option to add more than one modifier. Select this option then there will be 4 boxes. The list in these boxes is much more orderly.

Claire

I cannot find the drop down box for the modifiers - where would this be?

I also use a paper super bill, and am trying to get used to coding in AC.

is there a way to tie a specific cpt to a specific icd9; for example when I do a physical -v20.2 and if I give 3 different vaccines, each vaccine might have a unique icd9, and a unique cpt code; and if I code the three icd9 codes and the three cpt codes, then on the coding form it will for each cpt list the v20.2 plus all of the vaccine codes. Also, now the vaccine icd9s are in the problem list - any suggestions?

Also on a related issue, when I give the vaccine, there is a cpt for the vaccine administration also. And, just to confuse the issue a little more for me, if I give three vaccines, there will be multiple use of the same cpt code- I do not know how to do multiple 'same' cpt codes on the same encounter. [how about two nebulizer treatments]
And if I dare to confuse the issue just a little more, for the dpt vaccine, there are three cpt codes associated with the administration; one is unique [90460], and one that is used twice [90461].

Thank you for considering my questions. I appologize as it all seems a little incoherent to me as I read my post, but I do find it confusing.

Once you put a CPT in the box, if you click on the modifer box, you will get a drop down "arrow." It does not work unless you put a CPT code to begin (I just realized this on testing.)

It will pick the ICD's in the order that you have them in the chart. If V20.2 is your first dx it will be the leading dx. If you need to change it there is a drop down box (or you can cut and paste dxs in the note before you sign off on the chart.) There is an option to look up an ICD that is not listed in the note.

For multiple 90461's you should increase the units. Thus you may have 90461 x 4, 90462 x 2 (Apparently some of the medicaid programs want them separate after each vaccination, THAT AC does not do.)

Should I expect that my summary of problems will include all of the individual vaccinations?

No, they are listed in your Plan section and in the immunization section in the summary page.

They are not listed as a problem. I'm not sure why that would be a good thing.

They will be listed in the summary section if they have been entered either in the order section, or in the decision support HM:Immunizations and Shots section.

I use templates that have the shots listed on them, the MAs put them into health maintenance and I bill them out. I personally don't use the orders section for shots. Putting them in the billing section has no effect on the rest of the chart. It would be nice if the billing section at least was reflected back to the immunization section, but it is not.

I thought that the bill for each shot needed to have the cpt code tied to the icd9. [Is this true?]
For example, for DtaP, Polio, and Prevnar it would need to have:
90700 V06.1
90703 V04.0
90670 V03.82

If this is true, then how do I enter the V codes in the billing section without putting them them in the diagnosis box [which will then add them to the problem list]

I use V20.2 (Routine child health check) for all immunizations and have no issues.