Recorded April 25, 2019 CMS releases a Comprehensive Error Rate Testing (CERT) report annually. This report, prepared by an independent … [Read more...]
Anticoagulation Management
Currently, there are two sets of codes, three HCPCS codes and two CPT® codes. They aren’t defined exactly the same, and so take careful reading. The … [Read more...]
Physician Specialty Codes and Claims Processing
Specialty designation is determines how claims are processed for physician and non-physician practitioners in groups It is also important in … [Read more...]
Everyday Dermatology Coding
Everyday Dermatology Coding is a 40 page guide to coding dermatology services. Members can download the guide using the link below. This in-depth … [Read more...]
Initial Hospital Service Codes and Established Patients
Question: We are having a disagreement in our coding department. Our cardiologist sees an inpatient at the hospital, but it’s a patient she knows … [Read more...]
Screening for Skin Cancer
Dermatologists frequently see patients for skin checks, to examine their skin for signs of pre-malignant or malignant lesions. Some of these patients … [Read more...]
Diagnosis Coding for Dermatology
Diagnosis notes for dermatology Be sure to match the diagnosis to the procedure. For example, For skin tag removal, use skin tag For … [Read more...]
Coding for Breast Procedures: Biopsy, Localization Devices, and Surgery
From biopsy to localization device to mastectomy, coding for breast procedures can be challenging. This article summarizes the rules related to these … [Read more...]
Chronic Care Management Services (CCM), CPT® 99491: new code in 2019
CPT® has added 99491 to the section of chronic care management codes. The other code in this section is 99490 and there are two codes in the complex … [Read more...]
Overview of Medicare Telehealth Services
Please see the Telemedicine article for the rules and guidelines for use during the COVID-19 public health emergency. Medicare covers some … [Read more...]
Screening Codes Guide – G0442, G0443, G0444, G0446, G0447
Medicare pays for some screening services for its beneficiaries, using HCPCS codes. These screening codes are time-based HCPCS codes with relatively … [Read more...]
Pre-operative Clearance in Primary Care
Primary care practices are frequently asked to do preoperative evaluations or clearances on their own patients by a surgeon. Although a routine … [Read more...]
ROS Requirements for Preventive Services OB/GYN
Question: What are the review of system requirements when an annual physical (99381-99387, 99391-99397) is performed/billed by an OBGYN … [Read more...]
Coding Skin Procedures in Dermatology, Family Practice and Urgent Care | Webinar
Recorded February 21, 2019 Many practitioners would rather do a skin procedure than code for the service. Skin procedures aren’t just a staple of … [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...]
Describe the Exam | E/M Services for Dermatology
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 for Mohs Micrographic Surgery
Mohs surgery is performed to remove complex or ill-defined skin cancer, and the procedure includes both the surgery and histopathologic examination. … [Read more...]
Destruction of Benign and Pre-Malignant Lesions
There are several factors to consider when coding for destruction of benign and pre-malignant lesions. Let's begin with a definition. From the CPT® … [Read more...]
Using Time to Select a Code | Dermatology
Some Evaluation and Management codes, and some other codes are defined by the amount of time of the service. This article reflects the rules for using … [Read more...]
E/M in 2019: A Look Ahead
Now that the dust has settled from the release of the Physician Fee Schedule Final Rule, maybe it’s time for a re-cap. This article will also discuss … [Read more...]
Excisions of Benign and Malignant Lesions | Dermatology
Skin lesion excisions are reported using codes from the integumentary section: Excision of benign lesions: 11400—11471 Neoplasms … [Read more...]
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