• My Account
    • Login
  • Contact Us

CodingIntel

Medical coding resources for physicians and their staff. CodingIntel was founded by consultant and coding expert Betsy Nicoletti.

  • Join Today
  • What is CodingIntel
    • About
    • Become a Member
    • FAQ
  • Free Resources
    • Overview
    • Blog
    • Everyday Coding Q&A
    • Newsletter
    • Can I get paid
  • Coding Library
    • Coding Guides
    • Quick Reference Sheets
    • E/M Changes
    • How Physician Services Are Paid
    • In Person E/M
    • Prevention & Screening
    • Care Management & Remote Monitoring
    • Surgery, Modifiers & Global
    • Diagnosis Coding
    • New & Newsworthy
    • Speciality
    • Practice Management
  • Webinars

Articles

Spotlight on up-to-date coding

 

 

The first element of MDM: number and complexity of problems addressed

E/M rules for codes 99202—99215 There are three elements in medical decision-making and this article describes the first of three When … [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 office and outpatient … [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 2021 Changes – History and Exam

History and exam for new and established patient visits: CPT® revised the definitions of and documentation requirements for new and established … [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...]

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...]

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

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...]

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...]

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...]

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...]

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...]

  • « Previous Page
  • 1
  • 2
  • 3
  • 4
  • …
  • 6
  • Next Page »

Wondering about the rules for HCC coding?

Wondering what the rules are for HCC coding, and where you can find them? This video answers your questions. The topic is important to medical practices because risk-adjusted diagnosis coding is part of Medicare Advantage contracts, many commercial contracts and Accountable Care Organizations (ACOs). Sign up for our monthly newsletter to download the whitepaper and watch the video.

Sign Up Now

Recommended Resource

You’ve coded it, but you still have to fight to get paid! We’ve partnered with Elizabeth Woodcock to give you the tools and strategies you need.

Find them here!

Latest Intel

Diagnosis Coding for Antepartum Care

Question: Patient seen for antepartum care but … Read More...

2023 CPT E/M Changes

Ready to learn about the 2023 CPT® E/M changes? … Read More...

Outpatient Diabetes Self-Management Training (DSMT) Services

Diabetes self-management training (DSMT) services … Read More...

2023 CMS Proposed Physician Rule | Webinar

CMS’s 2023 Proposed Physician Rule August 25, … Read More...

Browse By Categories

Browse Content

  • Articles
  • Coding Guides
  • Everyday Coding Q&A
  • Videos
  • Can I Get Paid to
  • Blog
  • Webinars

Tags

behavioral health_cpt codes behavioral health_E/M services care management category of service CMS updates Code sets and reimbursement compliance issues CPT codes for preventive services CPT updates critical care services dermatology_E/M services dermatology_essential resource dermatology_procedures E/M frequency data E/M medical decision making E/M overview E/M reference sheets E/M rule changes FQHC general surgery_diagnosis coding general surgery_E/M services general surgery_modifiers general surgery_procedures global surgery issues HCC diagnosis coding ICD-10 coding level of service_MDM level of service_time medicare incident-to and shared services minor procedures modifiers other E/M services Preventive and problem visits preventive services for medicare primary care_diagnosis coding primary care_E/M services primary care_essential resource primary care_modifiers primary care_other E/M services primary care_preventive services primary care_procedures remote physiologic monitoring screening and counseling for behavioral conditions teaching physician rules telehealth
  • What is CodingIntel
  • FAQs
  • Terms of Use
  • Privacy Policy
  • Contact

Our mission is to provide accurate, comprehensive, up-to-date coding information, allowing medical practices to increase revenue, decrease coding denials and reduce compliance risk. That's what coding knowledge can do.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions. For more about Betsy visit www.betsynicoletti.com.

Copyright © 2022, CodingIntel
Privacy Policy