Both CPT and CMS have developed codes for non-face-to-face technology-based services in recent years. These include interprofessional consults and … [Read more...]
Articles
Spotlight on up-to-date coding
Principal Care Management (PCM) Services G2064, G2065
CMS’s 2020 Physician Fee Schedule Final Rule adopted two new care management codes, Principal Care Management Services, for use by physicians who are … [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...]
Blood pressure self-measurement: education, training and analysis | CPT codes 99473, 99474
Two new CPT® codes in 2020. The first is for patient education and calibration of a home blood pressure device The second is for reviewing data … [Read more...]
The first element of MDM
The first element of MDM: number and complexity of problems addressed at the encounter E/M changes for 2021 for codes 99202—99215 There are … [Read more...]
The second element of MDM
The second element of MDM: amount and/or complexity of date to be reviewed and analyzed at the encounter E/M changes for 2021 for codes … [Read more...]
The third element of MDM
The third element of MDM: risk of complications and/or morbidity or mortality of patient management at the encounter E/M changes for 2021 for codes … [Read more...]
An overview of the revised MDM
Medical Decision Making: selecting the correct level of service for codes 99202—99215 in 2021: In 2021, E/M codes 99202—99215 will have a changed … [Read more...]
E/M Changes – Shared Services
The CPT® book defines shared or split services in 2021 Although the concept of shared or split services has been around for a long time, it was … [Read more...]
E/M Changes – History and Exam
History and exam for new and established patient visits in 2021 CPT® is revising the definitions of and documentation requirements for new and … [Read more...]
Time: using time for E/M services in 2021
CPT® is revising codes 99202—99215 in 2021. Beginning in 2021, time alone can be used to select one of these codes, whether or not counseling … [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...]
Overview of diagnosis coding for behavioral health services
DSM-5 From the American Psychiatric Association, “The Diagnostic and Statistical Manual of Mental Disorders (DSM) is the handbook used by health … [Read more...]
Medication management and Psychotherapy
Medication management performed by psychiatrists and medical psychiatric nurse practitioners and physician assistants is billed with Evaluation and … [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, 90832, +90833, 90984, +90836, 90837, +90838 There are two sets of psychotherapy codes. One set is the set of codes used … [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...]
Psychotherapy for patients in crisis
90839 is the code for psychotherapy for crisis; first 60 minutes. 90840 is an add-on code for each additional 30 minutes of time spent with a patient … [Read more...]
When a payer comes calling | Responding to payer audit
Medical practices receive many communications from payers that aren’t indicative of a problem. A payer needs more information to process a claim. Or, … [Read more...]
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