CodingIntel

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

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Articles

Spotlight on up-to-date coding

 

 

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

In 2019, CPT® changed the definition of code 10021 and deleted 10022. Fine needle aspiration biopsy Material is aspirated with a fine needle and … [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...]

Preventive Medicine Services – Medicare

Medicare has very specific requirements for preventive services. What can you bill, what must you document? This article covers all the bases … [Read more...]

Shared Visits – Medicare

Medicare has specific rules for billing for nurse practitioners and physician assistants using shared services.  These rules are explained in this … [Read more...]

Transitional Care Management

This article provides answers to frequently asked questions related to transitional care management services. It includes details about billing for … [Read more...]

Emergency Department Visits

Definition Emergency department (ED) services are E/M services provided to patients in the Emergency Department. Explanation These services … [Read more...]

Critical Care Services

Critical care has high relative value units and payments so it's important to know the coding rules. This article describes what can be included in … [Read more...]

Minor Procedures

These cheat sheets for minor procedures include common CPT® codes, descriptions, current work and non-facility RVUs, and global days for quick … [Read more...]

Advance Care Planning | CPT® 99497, 99498

Advance Care Planning (ACP) and the Use of ACP CPT® Codes 99497 (Advance care planning including the explanation and discussion of advance directives … [Read more...]

Exam | Documentation Guidelines for E/M Services

This article relates to the 1995/1997 documentation guidelines, and not to office/outpatient codes 99202--99215 in 2021. Continue to use the 1995/1997 … [Read more...]

Using Time to Select a Code

Use these rules when billing for codes that use the 1995/1997 guidelines. In 2021, this does not include codes 99202--99215. What codes continue to … [Read more...]

Time based rules | Behavioral health services

Psychiatrists, psychiatric NPs and psychiatric PAs provide medication management using E/M codes and psychotherapy services. There are specific rules … [Read more...]

Chronic Care Management

Medicare covers chronic care management services if a patient has two or more serious conditions that are expected to last at least a year. … [Read more...]

Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse | HCPCS Code G0442

The  US Preventive Services Task Force (USPSTF) recommends screening for alcohol misuse and behavioral interventions for individuals whose screening … [Read more...]

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Looking for training on the new E/M Guidelines for 2021?

"Documentation Essentials for Codes 99202-99215 in 2021" is now available!

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Latest Intel

How medical practice services are paid | Webinar

How medical practice services are paid February … Read More...

Office Visit Fees in 2021

CMS released the updated conversion factor for … Read More...

CMS’s 2021 Physician Fee Schedule Final Rule | Webinar

2021 Medicare Physician Fee Schedule Final … Read More...

Physician Fee Schedule Final Rule for Calendar Year 2021

If you haven't signed up already, register for the … 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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