This quick reference sheet includes descriptions and examples for CPT ® codes 99091 and 99457-99458 for reporting remote physiologic monitoring … [Read more...]
Care Management Services
Technology advances and policy changes mean medical practices can now get paid for certain non-face-to-face services. But, you need to know how to code for them, consent rules, and documentation requirements, and what you’ll be reimbursed for these complex, new services.
Remote Monitoring 99453, 99454 | Reference Sheet
CPT® codes 99453 99454 are used to report remote monitoring device set up, supply and recording. This resource answers the questions: Who does … [Read more...]
Interprofessional Internet Consultations
CMS recognizes and pays for six codes for interprofessional consults codes 99446–99449, 99451, 99452 These codes were updated in 2023. Codes 99446, … [Read more...]
CPT® Codes (99421-99423) – and Payment for – Online Digital Evaluation and Management (E/M) Services
Or, as I call them: message, manage, message. There are CPT codes for online digital E/M services. CPT developed a set of CPT® codes for use … [Read more...]
Psychiatric Collaborative Care Management Services
Psychiatric Collaborative Care Management Services 99492, 99493, 99494 Care Management for Behavioral Health 99484 PCCM quick reference … [Read more...]
CMS Adopts HCPCS Codes for Community Health Integration (CHI) Services
This is information from the 2024 Physician Fee Schedule Final Rule https://public-inspection.federalregister.gov/2023-14624.pdf The effective … [Read more...]
Is ChatGPT Coming to Coding?
Question: What’s all this I hear about ChatGPT? Is it coming to coding? Answer: All right, I wrote that question myself. I’ve been thinking … [Read more...]
CMS Finalizing Principal Illness Navigation (PIN) Services
This is information from the 2024 Physician Fee Schedule Final Rule https://public-inspection.federalregister.gov/2023-24184.pdf CMS developed … [Read more...]
CMS Adopts Codes for Caregiver Training Services (CTS)
This is information from the 2024 Physician Fee Schedule Final Rule, published Nov. 2, 2023. You can read it for yourself by downloading the pdf … [Read more...]
Coding for Telehealth – Overview
Update: Medicare telehealth payment policies The public health emergency federal designation expired March 11, 2023 However, the end of the … [Read more...]
Chronic Care Management | Reference Sheet
This quick reference sheet includes clinical staff time, care planning and billing practitioner work criteria for chronic care management services. … [Read more...]
Principal Care Management (PCM) Services – CPT codes 99426—99427
There are four principal care management codes 99424 and 99425 are for time spent by a physician or other qualified health care professional … [Read more...]
Chronic Care Management
Medicare and private payers cover chronic care management services if a patient has two or more serious conditions that are expected to last at least … [Read more...]
Transitional Care Management
This article provides answers to frequently asked questions related to transitional care management services. It includes details about billing for … [Read more...]
Outpatient Diabetes Self-Management Training (DSMT) Services
Diabetes self-management training (DSMT) services are a covered benefit under Medicare when all requirements are met. This article will provide an … [Read more...]
Coding for Medical Nutrition Therapy Services
Medical Nutrition Therapy Services (MNT) have been a covered benefit under Medicare since the early 2000’s. This article will describe the rules … [Read more...]
Does a Practitioner Need to Document Time for a Telehealth Visit?
Question:Â Does a practitioner need to document time for a telehealth visit? What if it is audio only? Answer: First: For a telehealth visit, … [Read more...]
Should We Begin Using the New CPT Modifier -93
Question: Should we begin using the new CPT® modifier -93? Answer: I recommend a wait and see approach. Here’s the definition from the AMA, … [Read more...]
Remote Therapeutic Monitoring
There are five remote therapeutic monitoring codes in the general medicine section of CPT® which may be performed by physicians, PAs and NPs and other … [Read more...]
Medicare “Audio-Only” Telehealth Services
CMS issued multiple waivers and two interim final rules to support health care organizations and patients during the public health emergency in spring … [Read more...]
Coding Telehealth Visits: Place of Service
Information in this article was updated July 2023, based on the 2024 Proposed Physician Fee Schedule Rule. Coding telehealth visits changes faster … [Read more...]