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CodingIntel

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

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Spotlight on up-to-date coding

 

 

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...]

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

Please see the Telemedicine article for the rules and guidelines for use during the COVID-19 public health emergency. Medicare covers some … [Read more...]

E/M frequency data for dermatology

For dermatologists, revenue in the office is generated by procedures and office visits. Often, both are provided on the same day. See the dermatology … [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? Although exam is not a key component in 2021 for codes 99202--99215, it is still a good idea to describe … [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...]

Other dermatologic procedures

This aricle reviews the codes and guidelines for these dermatologic procedures; Intralesional injections, photodynamic therapy, phototherapy, and … [Read more...]

Modifier 51 or 59? How to know which to bill?

Modifier 51 and 59 are both used on second and subsequent surgical procedures, when performed on the day of a primary procedure There are two … [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, and descriptions for shaving epidermal and dermal lesions. After the chart, there are important key points to … [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 is not a … [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: HCPCS codes G2010, G2012, G2250, G2251, G2252

Virtual communications are not considered telehealth These HCPCS codes were developed by CMS for virtual communication Do not use POS 02 or … [Read more...]

Interprofessional Internet Consultations

CMS recognizes and pays for six codes for interprofessional consults codes 99446–99449, 99451, 99452 These are not considered telehealth services. … [Read more...]

CPT® codes for fine needle aspiration

Fine needle aspiration biopsy Material is aspirated with a fine needle and the cells are examined cytologically Core needle biopsy is … [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...]

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CMS split/shared services

Questions about CMS split/shared services rule changes? In this quick reference sheet you'll learn what these services are, who can bill them, and where. And, information about "substantive portion" and selecting level of service for time vs. key components..

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Latest Intel

CPT Coding for Obstetrical and Gynecological Procedures | Webinar

Who Runs the World? GIRLS!!: CPT Coding for … Read More...

Payment denials for unspecified codes

From the day coders got their first glimpse at … Read More...

Behavioral health coding compliance

Compliance Lessons from the OIG In March 2022, … Read More...

Acute, uncomplicated vs. acute with systemic symptoms

Question: What is the difference between an … Read More...

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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.

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