History and exam for E/M services “E/M Codes that have levels of services include a medically appropriate history and/or physical examination when … [Read more...]
Time: Using Time for Office Visits
Using time to select a level of service for office visit codes 99202—99215 Total practitioner time on the date of service can be used to select … [Read more...]
New E/M Rules Effective Date and Payer Policies
Question: When can we start using the new E/M rules for new and established patient visits? And, are all payers going to follow … [Read more...]
CMS 2020 Proposed Rule Updates
CMS rescinds bundled payments for 2021 and accepts CPT® revisions for new and established patients Proposes new HCPCS codes for care management … [Read more...]
Medicare National Coverage Determination (NCD) for Ambulatory Blood Pressure Monitoring (ABPM): CPT® and ICD-10 Coding
CMS released an NCD for ABPM on July 2, 2019. CMS has expanded the coverage for ABPM by allowing it for a greater range of BP measurements. Of course, … [Read more...]
Procedure Coding for Colonoscopies
“A colonoscopy is the examination of the entire colon, from the rectum to the cecum, and may include the examination of the terminal ileum or small … [Read more...]
New Versus established Patient Visits
There are other articles on CodingIntel about the difference between new and established patients, and the rules haven’t changed, but that doesn’t … [Read more...]
Overview of Diagnosis Coding for Behavioral Health Services
Match diagnoses on the claim form to those listed in assessment The diagnosis codes on the claim form should match those in the note. If the … [Read more...]
Medication Management and Psychotherapy Reference Sheet
This quick reference sheet illustrates the coding and documentation requirements for medication management services with, or without psychotherapy. … [Read more...]
Psychiatric Diagnostic Evaluation
There are two codes for psychiatric diagnostic evaluation. 90791 Psychiatric diagnostic evaluation 90792 Psychiatric diagnostic evaluation with … [Read more...]
Psychotherapy Codes
Individual psychotherapy codes are time based codes They may be reported as a stand alone service, or at the same visit as medication management … [Read more...]
Psychotherapy for Patients in Crisis
Page down for 2024 HCPCS codes for G0017, G0018 90839 is the code for psychotherapy for crisis; first 60 minutes. 90840 is an add-on code for each … [Read more...]
Interactive Complexity | CPT® 90785
Code 90785 is an add-on code for interactive complexity and may be added on to the diagnostic psychiatric evaluation (90791, 90792), to psychotherapy … [Read more...]
Family and Group Therapy Codes
Group therapy Group psychotherapy is reported with code 90853. This is not a time-based code: one unit of service should be reported for each … [Read more...]
Counting Conditions in the HPI and Assessment
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...]
Teaching Physician Rules – Evaluation and Management Services
CMS policy update: E/M services performed under the teaching physician rules Download this teaching physician rules quick reference sheet for a … [Read more...]
Transferring a Sick Baby to Another Hospital
Question: Our pediatric group practices in a community hospital, without an NICU. My pediatrician was called to attend a delivery of a newborn who … [Read more...]
Teaching Physician Rules – Psychiatric Services
In psychiatry if reporting time-based psychotherapy services, the time of the attending physician is the time used to select the code. For … [Read more...]
Drug Therapy Requiring Intensive Monitoring for Toxicity
Question: When auditing MDM, is there a list of drugs that are considered “drug therapy requiring intensive monitoring for … [Read more...]
Coding Inpatient Pediatric Services | Webinar
Recorded May 23, 2019 NOTE: This webinar contains observation services that are deleted effective 1-1-2023. Observation is reported with codes … [Read more...]
What is an Interval History?
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...]
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