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...]
Articles
Spotlight on up-to-date coding
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...]
Teaching Physician Rules – Psychiatric Services
Billing for psychiatric services under the teaching physician rules Psychiatrists use two distinct sets of codes, and so must know two sets of … [Read more...]
E/M frequency data for psychiatrists
CMS releases E/M frequency data annually. A physician self-elects their specialty designation when enrolling with Medicare. This is the data for … [Read more...]
E/M frequency data for infectious disease, pulmonary medicine and cardiology
CMS releases E/M frequency data annually. A physician self-elects their specialty designation when enrolling with Medicare. Infectious disease, … [Read more...]
Physician specialty codes and claims processing
When physicians enroll in Medicare, they self-elect their specialty designation. In the enrollment process, there are fields to indicate primary and … [Read more...]
Screening for skin cancer
Dermatologists frequently see patients for skin checks, to examine their skin for signs of pre-malignant or malignant lesions. Some of these patients … [Read more...]
Diagnosis coding for dermatology
Diagnosis notes for dermatology Be sure to match the diagnosis to the procedure. For example, For skin tag removal, use skin tag For … [Read more...]
Coding for breast procedures: biopsy, localization devices, and surgery
From biopsy to localization device to mastectomy, coding for breast procedures can be challenging. This article summarizes the rules related to these … [Read more...]
Chronic care management services (CCM), CPT® 99491: new code in 2019
CPT® has added 99491 to the section of chronic care management codes. The other code in this section is 99490 and there are two codes in the complex … [Read more...]
E/M frequency data for surgical specialties
CMS releases E/M frequency data annually. A physician self-elects their specialty designation when enrolling with Medicare. Unfortunately, there … [Read more...]
Overview of Medicare telehealth services
Medicare covers some services performed via real-time audio and video between a patient in an underserved area and a physician or other practitioner … [Read more...]
Pre-operative clearance in primary care
Primary care practices are frequently asked to do preoperative evaluations or clearances on their own patients by a surgeon. Although a routine … [Read more...]
E/M frequency data for dermatology: Let’s see the numbers
For dermatologists, revenue in the office is generated by procedures and office visits. Often, both are provided on the same day, and CodingIntel has … [Read more...]
Repair (closure) CPT® 12001–13160–2020 update
Laceration or wound repair codes are reported based on the type of repair (simple, intermediate, complex), the anatomic location, and the length … [Read more...]
Describe the exam | E/M services for dermatology
What do you need to document for the exam? According to the Documentation Guidelines, exam findings must be documented. It is not sufficient to … [Read more...]
Destruction of benign and pre-malignant lesions
There are several factors to consider when coding for destruction of benign and pre-malignant lesions. Let's begin with a definition. From the CPT® … [Read more...]
Coding for Mohs Micrographic Surgery
Mohs surgery is performed to remove complex or ill-defined skin cancer, and the procedure includes both the surgery and histopathologic examination. … [Read more...]
Using Time to Select a Code | Dermatology
Some Evaluation and Management codes, and some other codes are defined by the amount of time of the service. This article reflects the rules for using … [Read more...]
Excisions of benign and malignant lesions | Dermatology
Skin lesion excisions are reported using codes from the integumentary section: Excision of benign lesions: 11400—11471 Neoplasms … [Read more...]
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