This quick reference sheet provides guidance for billing preventive medicine services and split visits. When can you bill for both an office visit AND … [Read more...]
Medical Record Documentation | Webinar
Medical Record Documentation: CMS reducing the burden Recorded April 23, 2020 CMS wants to ease the burden of physician documentation of E/M … [Read more...]
CMS Update on Medical Record Documentation for E/M Services
The world as we knew it Both the 1995 and 1997 evaluation and management (E/M) documentation guidelines stated that ancillary staff could record a … [Read more...]
Blood Pressure Self-Measurement 99473, 99474 | Reference Sheet
CPT ® codes 99473 and 99474 are used to report specific clinical staff and/or physician, NP or PA work related to blood pressure self-measurement by … [Read more...]
On-line Digital Services and Remote Monitoring | Webinar
Recorded February 27, 2020 The new CPT ® codes for non-face-to-face services include both on-line digital evaluations and remote physiological … [Read more...]
Consent for Communication Technology-Based Services (CTBS)
Both CPT and CMS have developed codes for non-face-to-face communication-based technology services in recent years. In addition to care management … [Read more...]
Psychiatry Exam Reference Sheet 1997 Guidelines
This is the single specialty psychiatry exam from the 1997 guidelines. As of Jan 1, 2023 it will no longer be in use. Why have we kept it on the site? … [Read more...]
Chronic Care Management, Add-on Code G2058
CMS developed this HCPCS code to report additional non-face-to-face staff time performing non-complex care management services Use this code only … [Read more...]
Can We Give a Flu Shot if the Doctor isn’t in the Office?
Question: Do we need to have a physician in the office when our clinical staff gives flu shots? Answer: No. CMS allows flu shots to be given … [Read more...]
Non-Physician Practitioners in Nursing Facilities
Find additional information about nursing facility services  Everyday Coding. Question: Can a physician assistant see patients in a nursing … [Read more...]
Blood Pressure Self-Measurement: Education, Training and Analysis | CPT Codes 99473, 99474
There are two CPT codes specifically for blood pressure self-measurement and management. The first is for patient education and calibration of a home … [Read more...]
What are the Requirements for Billing a TCM Visit?
Question: In order to bill a TCM visit, is anything else needed besides the phone call and E/M visit? (Codes 99495 and 99496) Answer: Yes, … [Read more...]
Coding Guide – How Physician Services are Paid
Have a new staff member or practitioner? Looking for a resource that provides an overview of how physician. services are paid? Download our guide. … [Read more...]
Coding Guide – E/M Services
This coding guide will describe the guidelines for evaluation and management (E/M) services reported in the office or outpatient department, … [Read more...]
Scoring Medical Decision Making for Office Visits in 2021
Recorded October 31, 2019 This content is no longer current Let’s compare the current medical decision-making rules with the CPT changed rules … [Read more...]
Can We Bill an E/M Service with a Scheduled Endoscopy?
Question: Can we charge an E/M service when we do a scheduled endoscopy to account for the cost of nursing staff, supplies, pre- and post- care of … [Read more...]
The First Element of MDM: Number and Complexity of Problems Addressed
E/M elements for MDM There are three elements in medical decision-making and this article describes the first of three When selecting a level … [Read more...]
An Overview of the Revised MDM
Medical Decision Making: selecting the correct level of service for codes 99202—99215:  E/M codes 99202—99215 have a changed definition of MDM … [Read more...]
The Third Element of MDM: Risk of Complications
The third element of MDM: risk of complications and/or morbidity or mortality of patient management at the encounter Coding for E/M services … [Read more...]
The Second Element of MDM: Amount and/or Complexity of Data
There are three elements in medical decision-making and this article describes the second, arguably, the most complex of the three elements When … [Read more...]
E/M Changes in 2021 for 99202-99215 | Overview
It's here! New definitions for codes 99202--99215 Clinicians can select new and established patient visit based on time or medical decision making … [Read more...]
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