Surgeons sometimes think that the E/M service on the date of every emergency surgery is the highest level E/M. 99285 or 99223. This article … [Read more...]
Articles
Spotlight on up-to-date coding
Wellness visits and care management in Rural Health Centers and Federally Qualified Health Centers (RHCs and FQHCs)
RHCs and FQHCs are paid an all-inclusive rate (AIR) or national prospective payment system (PPS) rate for any service that is defined as a visit to … [Read more...]
Diabetes coding in Hierarchical Condition Coding (HCC)
CodingIntel members can download our guide to Risk adjusted diagnosis coding for medical practices for more explanation and examples. This article is … [Read more...]
Depression coding in Hierarchical Condition Coding (HCC)
Introduction | Depression coding in HCC In fee-for-service medicine: Diagnosis coding establishes the medical necessity for a service. At times, … [Read more...]
HCC coding: round up of chronic conditions
I saw on twitter recently that COPD was the third leading cause of death in the U.S. If it was on twitter, it must be true, right? This article … [Read more...]
Don’t forget Care Plan Oversight
There are two sets of codes for care plan oversight, CPT (99374–99380) and HCPCS codes (G0181, G0182) The requirements for each are different, … [Read more...]
Billing medical practice services for patients on hospice
Overview of hospice care Medicare beneficiaries who have a terminal illness with a life expectancy of six months or less can elect to have their … [Read more...]
Prolonged services codes for Medicare preventive medicine services: G0513, G0514
There are HCPCS prolonged services codes to be used with Medicare preventive services reported based on time. Wellness visits and prolonged care … [Read more...]
Dear Resident, Do you Understand Relative Value Units (RVUs)?
Measuring physician productivity with work RVUs: News flash! Physicians are more interested in medicine than coding. No doctor undertook the … [Read more...]
A Bundle of (un) Joy | New CPT® bundled codes
A new baby in the family is considered a bundle of joy by friends and family members alike. New “bundled” CPT® codes arriving January 1st each year … [Read more...]
CPT® coding changes
2020 coding changes For a summary of this year's CPT® coding changes download the handout and watch the webinar here. We provide a review of CPT® … [Read more...]
New CPT® codes for 2018 | Anticoagulation management and education for home INR monitoring
CPT developed (and Medicare recognizes) two new codes for services related to home and outpatient international normalized ratio (INR) monitoring … [Read more...]
Compliance issues in ICD-10 coding for risk based contracts and HCCs
Everyone loves to read the general guidelines at the front of the ICD-10 book, right? No? Well, here’s an excerpt. “Code all documented conditions, … [Read more...]
Risk Coding for Medical Practices and Outpatient Services
This article discusses the dos and don’ts of assigning diagnosis codes in medical practices for risk adjustment, using the HCC system. Watch our … [Read more...]
CPT® code 99483: Cognitive assessment and care plan services
Definition of CPT® code 99483 99483: Assessment of and care planning for a patient with cognitive impairment, requiring an independent historian, in … [Read more...]
Psychiatric Collaborative Care Management Services
Psychiatric Collaborative Care Management Services 99492, 99493, 99494 Care Management for Behavioral Health 99484 Psychiatric Collaborative … [Read more...]
General Behavioral Health Integration Care Management
99484 Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other … [Read more...]
Selecting CPT® rules for excision of skin lesions
Many medical practices perform skin procedures. A patient may see a dermatologist, a family physician or a surgeon when the time comes to find out, … [Read more...]
Destruction of benign or pre-malignant lesions
Finding the right code for lesion destruction is not easy. The codes are distributed in the CPT® book in the integumentary, digestive, male genital … [Read more...]
What’s the difference between B20 and Z21? Which is right for positive HIV status?
ICD-10-CM diagnosis coding for positive HIV status Question: For an HIV positive patient without symptoms, is the correct diagnosis code Z21 or … [Read more...]
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