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...]
Articles
Spotlight on up-to-date coding
Consent for Communication Technology-Based Services (CTBS)
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...]
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 third element of MDM in 2021
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...]
The first element of MDM in 2021 office visits
The first element of MDM: number and complexity of problems addressed E/M changes for 2021 for codes 99202—99215 There are three elements in … [Read more...]
The second element of MDM in 2021
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...]
E/M Changes in 2021 – 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 2021 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...]
Surgical Coding for Hernia Repair
An abdominal hernia is a protrusion of part of the intestines through a weakened section of the abdominal cavity; herniations can occur in other parts … [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...]
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...]
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...]
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...]
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