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...]
Articles
Spotlight on up-to-date coding
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...]
Other dermatologic procedures
This aricle reviews the codes and guidelines for these dermatologic procedures; Intralesional injections, photodynamic therapy, phototherapy, and … [Read more...]
Use of Modifier 58 for Dermatology
The most common use of modifier 58 in dermatology is for re-excision of a lesion because the margins weren’t clear. Benign and malignant excisional … [Read more...]
Modifier 51 or 59? How to know which to bill?
There are two modifiers commonly used in surgical specialties when billing two or more procedures at the same encounter. Appending the correct … [Read more...]
Coding multiple procedures | Examples with modifiers
Biopsies and lesion destruction codes are often performed at the same patient visit. This leads to questions about bundling and modifiers. There are … [Read more...]
Shaving of epidermal or dermal lesions
The chart below includes CPT® codes, descriptions and RVUs for non-excisional shave biopsy procedures. After the chart, there are important key points … [Read more...]
E/M for Dermatology | History, Exam, MDM
Accurately documenting and coding E/M services is critical to reducing compliance risk and maximizing revenue for the evaluation and management … [Read more...]
Coding for destruction of malignant lesions
The primary factors in selecting a code for destruction of malignant lesions are: Size of lesion (not defect) Location Method (any) Per … [Read more...]
Modifier 25 for Dermatology
Modifier 25 Significant, separately identifiable E /M service by the same physician on the same day of the procedure or other service Use to … [Read more...]
Remote Physiologic Monitoring Treatment Management Services
2019 brought us three new CPT® codes and a revised existing code for remote monitoring and treatment. Here are the four active codes. Two of them have … [Read more...]
Virtual communication: two new HCPCS codes G2010 and G2012
Not considered telehealth These two HCPCS codes were developed by CMS for virtual communication Do not use POS 02 or modifier 95 on these … [Read more...]
Interprofessional Internet Consultations
CMS is recognizing six codes for interprofessional consults in 2019. Four of these were existing codes that did have a status indicator of bundled … [Read more...]
Fine needle aspiration: new codes in 2019
In 2019, CPT® changed the definition of code 10021 and deleted 10022. Read on for a review of these changes, as well as examples and additional … [Read more...]
Codes for skin biopsies
CPT updated certain skin biopsy codes in 2019 The codes for excision of benign and malignant lesions did not change, and codes for shave biopsies … [Read more...]
Intensive behavioral counseling for cardiovascular disease, HCPCS code G0446
Medicare pays a primary care physician or other primary care practitioner in a primary care setting to annually provide one face-to-face behavioral … [Read more...]
Screening for depression | HCPCS code G0444
Annual depression screening code G0444 Medicare pays primary care practices to screen all Medicare patients annually for depression. The service … [Read more...]
Smoking cessation coding, 99406 and 99407
Medicare and most private insurers pay for physicians, NPs and PAs to counsel patients about stopping tobacco use. Medicare waives the … [Read more...]
Behavioral counseling for obesity, HCPCS code G0447
Medicare pays for ongoing face-to-face behavioral counseling for patients with a BMI of ≥ 30, who are alert and able to participate in … [Read more...]
Two visits for the price of one? | Multiple medical visits on the same day
Patients often schedule two medical appointments on the same day with physicians of different specialties. It’s convenient for them. It saves travel … [Read more...]
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