Question: I’ve been trying to figure out what the difference is between CPT® codes 99446 and 99451. I finally found this in re-reading your … [Read more...]
Anticoagulation Management | Can We Bill for RN Services?
Question: My question is regarding Anticoagulation Management Code 93793. Guidelines state that this code can be performed by a physician, NP, or … [Read more...]
Other Dermatologic Procedures
This aricle reviews the codes and guidelines for these dermatologic procedures; Intralesional injections, photodynamic therapy, phototherapy, and … [Read more...]
Use of Modifier 58 for Dermatology
The most common use of modifier 58 in dermatology is for re-excision of a lesion because the margins weren’t clear, based on the pathology … [Read more...]
Modifier 51 or 59? How to Know Which to Bill?
Modifier 51 and 59 are both used on second and subsequent surgical procedures, when performed on the day of a primary procedure See also Modifier … [Read more...]
Shaving of Epidermal or Dermal Lesions
The chart below includes CPT® codes, and descriptions for shaving epidermal and dermal lesions. After the chart, there are important key points to … [Read more...]
E/M for Dermatology | History, Exam, MDM
Accurately documenting and coding E/M services is critical to reducing compliance risk and maximizing revenue for the evaluation and management … [Read more...]
Quick Coding Reference Sheet – Hospitalists
This is the reference sheet for hospital services using the 1995/1997 guidelines. As of Jan 1, 2023 it will no longer be in use. Why have we kept it … [Read more...]
Quick Coding Reference Sheet – Dermatology
This is the quick reference sheet that includes the 1997 single specialty skin exam.  As of Jan 1, 2023 it will no longer be in use. Why have we kept … [Read more...]
Coding for Destruction of Malignant Lesions
The primary factors in selecting a code for destruction of malignant lesions are: Size of lesion (not defect) Location Method is not a … [Read more...]
Diagnosis Coding for Biopsy Sent for Pathology
Question: What diagnosis code should you use when sending a skin biopsy to pathology? a)Â D48.5 Neoplasm of uncertain behavior of skin, or b)Â … [Read more...]
Modifier 25 for Dermatology
Modifier 25 Significant, separately identifiable E /M service by the same physician on the same day of the procedure or other service Use to … [Read more...]
Incident to and Change to Medications
Question: A CodingIntel member writes: "I am getting mixed information about incident-to and I was wondering if you could weigh in? If a NPP … [Read more...]
Remote Physiologic Monitoring Treatment Management Services
This is an overview of coding for Digitally Stored Data Services/Remote Physiologic Monitoring in the E/M section of the CPT book. There are more … [Read more...]
Virtual Communication: HCPCS Codes G2010, G2012, G2250, G2251, G2252
Virtual communications are not considered telehealth These HCPCS codes were developed by CMS for virtual communication They are not on CMS's … [Read more...]
Checklist for CPT® code 99483 | cognitive assessment code for dementia
Is your practice performing cognitive assessments for patients with dementia, using CPT® code 99483? Primary care and neurology practices are likely … [Read more...]
CMS E/M Proposal: When Will We Hear?
Checking my crystal ball, my guess is Friday, November 2. Late afternoon. CMS releases its final rule about 60 days before it goes into effect, and … [Read more...]
CPT® Codes for Fine Needle Aspiration
Fine needle aspiration biopsy Material is aspirated with a fine needle and the cells are examined cytologically Core needle biopsy is … [Read more...]
Skin Biopsies
Correctly selecting and reporting skin biopsies requires an understanding of CPT codes for skin biopsies There are codes for excision of benign and … [Read more...]
Exam and Time in a Visit | Documentation Requirements in E/M Services
Question: For an established patient, if I don’t document a physical exam, am I required to say that the visit was a counseling visit and document … [Read more...]
Coding for Depression in the HCC System | Reference Sheet
Do you have questions about coding for depression in the HCC system? HCC diagnosis coding for depression can be confusing. This quick reference … [Read more...]
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