Are there restrictions on co-claiming item 36 alongside a T8 procedural item?
18 September 26Are there restrictions on co-claiming item 36 alongside the T8 fracture/dislocation treatment items?
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Co-Claiming
Why can’t a dermatologist bill item 105 with a skin lesion injection? The dermatologist has to ‘attend’ the patient so isn’t that an item 105?
24 April 26I read your book [sic: How to Avoid the Medical Bill Rip off! By Margaret Faux] and think you are wrong on Maeve’s case. That dermatologist definitely attended so he/she was allowed to bill it…
read more >Are there any co-claiming restrictions on billing both a menopause assessment and a mental health treatment plan?
11 January 26This question actually came from a consumer who saw items 695 and 2715 billed on her Medicare statement by her GP. The total consult time for both services was 35 minutes and according to the …
read more >I saw your LinkedIn post that said the MBS is not the law. So what is it?
24 August 25I was fascinated by your LinkedIn post that said the MBS is not the law. I (and I think the whole nation) always thought it was. How can the MBS and the law be different and what is the MBS th…
read more >Why are the procedures I bill being rejected when I bill them together with a consultation? I do both so why aren’t both paid?
23 June 25When I bill an attendance item with a procedure like say, a skin excision, why is the consult paid but the procedure is rejected? It happens a lot, with similar item combinations. I do both th…
read more >Can rehabilitation physicians bill for an ultrasound when using it to guide botox injections for spasticity?
10 March 25I am hoping for some clarification around using the item number 55848 for ultrasound. Rehabilitation medicine physicians require ultrasound guidance for botulinum toxin injections. Assuming th…
read more >As a cardiologist, can I bill an attendance item when I am acting as the surgical assistant for an interventional cardiology case?
3 March 25I am a cardiologist. Sometimes I assist at interventional cardiology procedures and claim the assisting item 51303. However, every time I co-claim item 110 it is rejected but I think I should …
read more >Can an anaesthetist bill a pre-anaesthetic consultation when taking a sedated & ventilated patient from the intensive care unit for a CT scan?
24 February 25As an anaesthetist who is not rostered in the intensive care unit (ICU), I am sometimes asked to go to ICU and take a ventilated and sedated patient to radiology for various imaging procedures…
read more >Can an intensivist use a separate provider number for medical imaging services and their main provider number for usual ICU services to avoid rejected claims that should be paid?
30 September 24The context for this question involves co-claiming diagnostic ultrasound and vascular access items. After the last MBS review, vascular access items 13815, 13842 and the newly introduced E…
read more >Can item 11714 (ECG) be co-claimed with item 17610 or 17615 (pre-anaesthetic consultations) prior to admission?
24 February 21The question posed was: If an ECG is performed during a pre-admission consultation (MBS Item 17610 or 17615) and the criteria of item number 11714 is met, is it permissible to claim both?
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RECOMMENDED RESOURCE
HOW TO AVOID THE MEDICAL BILL RIP OFF
HOW TO AVOID THE MEDICAL BILL RIP OFF