Reasonable coders and practitioners can and do disagree about when a separate E/M service is warranted on the day of a minor procedure. This audit … [Read more...]
Quick reference sheets
Smooth sailing with these handy desk references
Teaching Physician Rules | Quick Reference Guide
The rules for documenting services provided jointly between an attending or teaching physician and a resident in a GME program vary based on the … [Read more...]
Billing for joint injections | Reference Sheet
When doing a joint injection, sometimes a separate E/M service is billed on the same day, and sometimes, it's not. This grid will help you determine … [Read more...]
Lesion Destruction Tip Sheet
CPT® does not make it easy to locate codes for destruction of lesion(s). These codes are found in multiple chapters throughout the CPT® book, and are … [Read more...]
Billing Preventive Medicine Services and Problem Visit | Quick Reference Sheet
This quick reference sheet provides guidance for billing preventive medicine services and split visits. When can you bill for both an office visit AND … [Read more...]
Remote Monitoring Management 99091, 99457 | Reference Sheet
This quick reference sheet includes descriptions and examples for CPT ® codes 99091 and 99457-99458 for reporting remote physiologic monitoring … [Read more...]
Blood pressure self-measurement 99473, 99474 | Reference Sheet
CPT ® codes 99473 and 99474 are used to report specific clinical staff and/or physician, NP or PA work related to blood pressure self-measurement by … [Read more...]
Remote Monitoring 99453, 99454 | Reference Sheet
CPT codes 99453 99454 are used to report remote monitoring device set up, supply and recording. This resource answers the questions: Who does the … [Read more...]
Psychiatry Exam Reference Sheet 1997 Guidelines
This is the single specialty psychiatry exam from the 1997 guidelines. As of Jan 1, 2023 it will no longer be in use. Why have we kept it on the site? … [Read more...]
Medication management and psychotherapy reference sheet
This quick reference sheet illustrates the coding and documentation requirements for medication management services with, or without psychotherapy. … [Read more...]
Quick Coding Reference Sheet – Hospitalists
This is the reference sheet for hospital services using the 1995/1997 guidelines. As of Jan 1, 2023 it will no longer be in use. Why have we kept it … [Read more...]
Quick Coding Reference Sheet – Dermatology
This is the quick reference sheet that includes the 1997 single specialty skin exam. As of Jan 1, 2023 it will no longer be in use. Why have we kept … [Read more...]
Checklist for CPT® code 99483 | cognitive assessment code for dementia
Is your practice performing cognitive assessments for patients with dementia, using CPT® code 99483? Primary care and neurology practices are likely … [Read more...]
Coding for diabetes in the HCC system | Reference Sheet
For medical practices who are part of an ACO, MSSP, or other Alternative Payment Model, understanding how to code accurately is critical to reporting … [Read more...]
Coding for hypertension in the HCC system | Reference Sheet
The code for hypertension was the first ICD-10-CM code I memorized, the year we all switched gears and learned the new system. This table lists the … [Read more...]
Using Modifier 59 | Quick Reference
Modifier 59 is referred to by CMS as the modifier of last resort. It is often used when modifier 51 is the more accurate modifier. This quick … [Read more...]
Using Modifier 33 | Quick Reference
Modifier 33 is a CPT modifier used to identify medical care whose primary purpose is delivery of an evidence based service, based on recommendations … [Read more...]
Using Modifier 25 | Quick Reference
Use of Modifier 25 may be applicable when an E/M service is provided on the same day as a procedure, a preventive medicine service, or other medical … [Read more...]
Minor Procedures
These reference sheets for minor procedures include common CPT® codes, descriptions, current work and non-facility RVUs, and global days for quick … [Read more...]
Quick Coding Reference Sheet – Home visits
This is the quick reference sheet for home visits using the 1995 1997 guidelines. As of Jan 1, 2023 these guidelines will no longer be in use. Why … [Read more...]