From biopsy to localization device to mastectomy, coding for breast procedures can be challenging. This article summarizes the rules related to these … [Read more...]
Search Results for: minor surgery
Minor Procedures
These reference sheets for minor procedures include common CPT® codes, descriptions, current work and non-facility RVUs, and global days for quick … [Read more...]
What does the decision to perform a minor procedure really mean?
I received this question recently and want to share it with you. “Since the decision to perform a minor procedure is included in the payment for the … [Read more...]
Avoid these 4 costly errors when coding minor surgical procedures
Does your practice perform any minor or major procedures? If so, this post is for you! Primary care practices and urgent care centers should pay … [Read more...]
Coding Guide – Global Surgery
An Overview of Global Surgery & Surgery Coding Guidelines Physicians, nurse practitioners and physician assistants in many specialties perform … [Read more...]
Critical Care for General Surgery and Trauma Surgeons
Critical care provided as a stand alone service is based on the seriousness of the patient, the types of interventions, and time Critical care … [Read more...]
Can I get paid for…an office visit the same day as a minor procedure
Can you bill an E/M service on the same day as a minor procedure? Sometimes yes, sometimes no. The decision to perform a minor procedure is included … [Read more...]
FAQ: Scoring the elements in the new E/M guidelines for 2021
Scoring elements can be challenging with the new E/M guidelines for 2021. This article is updated based on the 5/25/2021 AMA webinar, given by … [Read more...]
Specialty resources
Coding for every specialty is different. For some specialties, you'll find the in-depth knowledge and specific coding information you need to … [Read more...]
CPT® coding changes – 2020
2020 coding changes For a summary of this year's CPT® coding changes download the handout and watch the webinar here. We provide a review of CPT® … [Read more...]
Coding for laceration repair, two visits on the same day
Question In our urgent care center, our physician treated a child for a lip laceration in the morning, closing it with dermabond. Later that … [Read more...]
Surgical procedures, modifiers, global package
CMS and CPT both define the components of the global surgical package to include certain pre-op, intra-op, and post-op services. Learn what is … [Read more...]
Repair (closure) CPT® 12001–13160–2020 update
Laceration or wound repair codes are reported based on the type of repair (simple, intermediate, complex), the anatomic location, and the length … [Read more...]
Coding Guide – CPT® and HCPCS Code Modifiers
Table of Contents Modifier introduction Initial evaluation – minor procedure E/M service same day Initial evaluation – major procedure … [Read more...]
Destruction of benign or pre-malignant lesions
Finding the right code for lesion destruction is not easy. The codes are distributed in the CPT® book in the integumentary, digestive, male genital … [Read more...]
7 sure fire ways to owe the government $4 million in fines and repayments | Coding Compliance
Most practices aren’t looking to pay the government any money in fines and repayment because of coding errors. Two recent OIG settlements described … [Read more...]
Primary care and post-op reporting | Medicare requirements
Hey, primary care! This one’s for you too. Primary care doctors probably didn’t pay attention when the news broke that CMS is requiring reporting … [Read more...]
Modifiers in the Post-op Period | Global Surgical Package
Although there is a single payment for surgical procedures that have 0, 10 and 90 global days, there are frequent instances in which the surgeon … [Read more...]
More modifier mishaps | CPT® Modifiers
Some modifier errors are easily avoided by experienced coders or practice management software with an editing function to stop incorrect claims before … [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...]