Ready to learn about the 2023 CPT® E/M changes? There is a significant update to the Evaluation and Management (E/M) section of the CPT® book. There … [Read more...]
Nicoletti Notes
This way for news!
Written for coders and medical professionals, Nicoletti Notes is a coding blog designed to keep you up-to-date with coding news and refreshers. Written by CodingIntel founder and coding expert Betsy Nicoletti.
Payment denials for unspecified codes
From the day coders got their first glimpse at ICD-10 codes, the question went out in the land: “Will payers deny unspecified codes?” Recently, a … [Read more...]
Behavioral health coding compliance
Compliance Lessons from the OIG In March 2022, the Office of Inspector General (OIG) released a report outlining errors one psychiatrist made in … [Read more...]
How old is your oldest CPT book
My, how CPT® has grown Thank you to everyone who completed our mission critical survey: how old is your oldest CPT® book and how many pages is it? … [Read more...]
2022 RVU table with national fee amounts
Looking for 2022 work RVUs? Wondering how much a new code pays? Look no farther. You can download the 2022 CMS national RVU table below. It does … [Read more...]
Physician Fee Schedule Final Rule for Calendar Year 2022
Conversion factor for 2022 released UPDATED CONVERSION FACTOR - $34.6062 Conversion factor decreased 3.75% from 2021 to 2022 CMS posts … [Read more...]
CMS’s 2022 shared or split services policy: document and report them correctly
Medical practices need to know CMS's 2022 split or shared services policy rules Shared or split services are Evaluation and Management (E/M) … [Read more...]
Why not bill all 99213 visits in an FQHC?
Why not bill all 99213 visits in an FQHC? (Hint: it's a good way of telling everyone that they were pretty easy visits.) Practitioners who work in … [Read more...]
What’s New in the Proposed Physician Fee Schedule Rule
Highlights of the 2022 Proposed Physician Fee Schedule rule Conversion factor decreases, sequester and PAYGO decreases still in place … [Read more...]
Consultation Codes Update
Consultation Codes Update, June 2022: The May 2022 CPT Assistant announced there are changes coming to E/M codes in 2023, including consultations. The … [Read more...]
Medicare “Audio-Only” Telehealth Services
CMS issued multiple waivers and two interim final rules to support health care organizations and patients during the public health emergency in spring … [Read more...]
Coding Telehealth Visits
Coding telehealth visits changes faster than the weather here in New England. The resources on the site relate to Medicare policy and CPT codes and … [Read more...]
Telecoding for telemedicine
Some coders were already working from home either full time or a few days a week. Many practices and health care facilities implemented remote coding … [Read more...]
Modifier CS: cost sharing for COVID-19 testing and visits related to testing
Effective retroactively to 3/18/20, there is no cost sharing allowed for COVID-19 testing or for the evaluation visits related to the testing … [Read more...]
Payment for telephone calls during the PHE: CMS rules for phone calls
CMS rules for phone calls has changed during the course of the pandemic. Prior to the public health emergency these had a status indicator of … [Read more...]
Telemedicine and COVID-19 FAQ
It is a full time job in medical practices to keep current on each payer's telehealth rules, which change frequently. CMS continues to pay for … [Read more...]
CMS update on medical record documentation for E/M services
The world as we knew it Both the 1995 and 1997 evaluation and management (E/M) documentation guidelines stated that ancillary staff could record a … [Read more...]
CPT® codes (99421-99423) – and payment for – online digital evaluation and management (E/M) services
Be sure to read the telemedicine COVID-19 article for the latest information. There are CPT codes for online digital E/M services. CPT® … [Read more...]
E/M Changes in 2021 for 99202-99215 | Overview
It's here! New definitions for codes 99202--99215 Clinicians can select new and established patient visit based on time or medical decision making … [Read more...]
Medicare National Coverage Determination (NCD) for Ambulatory Blood Pressure Monitoring (ABPM): CPT® and ICD-10 Coding
CMS released an NCD for ABPM on July 2, 2019. CMS has expanded the coverage for ABPM by allowing it for a greater range of BP measurements. Of course, … [Read more...]