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...]
Articles
Spotlight on up-to-date coding
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...]
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