This 5 minute video covers the criteria for billing Advance Care Planning services, CPT® codes 99497 and 99498. For additional information on … [Read more...]
Care Management for Behavioral Health Conditions
Care Management for Behavioral Health Conditions Overview CMS developed HCPCS G0507 code for care management performed by clinical staff for … [Read more...]
Prolonged Services
Lunch and Learn There are three sets of prolonged services codes. The first set describes add-on codes to E/M services, 99354—99357. The … [Read more...]
Global Post-Op Reporting
Coding. Why does is keep changing? This post was out of date and has been removed. For information about the global surgical package and … [Read more...]
Modifier 95, 93: Telemedicine
CPT has two modifiers for telemedicine. Modifier 95 was an existing modifier from before the public health emergency. They added modifier 93 for … [Read more...]
HCPCS Code G0505: Cognitive Assessment for Patients with Dementia
In 2017, CMS developed a HCPCS code, G0505, for cognitive assessment of patients with a cognitive impairment. This code was replaced in 2018 with … [Read more...]
Wound Care | CPT® Codes for Debridement
Health care organizations have started wound care clinics to care for patients with non-healing wounds and frequently use wound care debridement codes … [Read more...]
Quick Coding Reference Sheet – E/M Services
E/M Quick Reference for Evaluation and Management Codes This is an E/M reference using the 1995/1997 guidelines. As of Jan 1, 2023 it will no longer … [Read more...]
Quick Coding Reference Sheet – Psychiatry
This is an E/M reference using the 1995/1997 guidelines. As of Jan 1, 2023 it will no longer be in use. Why have we kept it on the site? In case you … [Read more...]
This Practice Paid Medicare $4.48 Million
Do you sign up for email lists and then wonder why you did it? We all do, don’t we? But, one email I always read is from the Department of Justice … [Read more...]
Modifier 57
Decision for Surgery. An evaluation and management service that resulted in the initial decision to perform surgery may be identified by adding … [Read more...]
Psychotherapy Coding Changes
Words removed from one set of codes, time added to another code. There are two changes in the psychiatry section of CPT® for 2017 behavioral health … [Read more...]
Medical Decision Making | Documentation Guidelines for E/M Services
ARCHIVE The 1995/1997 Documentation Guidelines are gone beginning 1-1-2023. (Ding dong....) However, we will still need to use them when auditing … [Read more...]
Global Surgical Package: An Overview
Need a quick summary of the global surgical package and frequently used modifiers? This article from CodingIntel will ensure that your medical … [Read more...]
Modifier 24 and 25
This summary of the rules regarding modifier 24 and 25 is a must read; it includes specific examples of when to report both an E/M and a procedure and … [Read more...]
Incident To Services – Medicare
Medicare has specific rules for billing for nurse practitioners and physician assistants and other office staff incident to a physician services in an … [Read more...]
Moderate or High MDM – General Surgery
ARCHIVE The 1995/1997 Documentation Guidelines are gone beginning 1-1-2023. (Ding dong....) However, we will still need to use them when auditing … [Read more...]
Coding Guide – Global Surgery
Physicians, nurse practitioners and physician assistants in many specialties perform procedures in the office, surgery center or hospital. The payment … [Read more...]
Coding Guide – Newborn and Pediatrics
Neonatologists, pediatricians and family physicians who care for newborns and sick children in the hospital need to select the category of code that … [Read more...]
Billing Admission and Subsequent Visits for Patient Having Surgery
What if I admit a patient and don't take the patient immediately to surgery? Can I bill for the admission and subsequent visits if the patient goes … [Read more...]
Teaching Physician Rules and Surgical Procedures
The teaching physician rules describe a payment method by which Medicare pays an attending physician or teaching physician for services performed … [Read more...]
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