Download Reference Sheet Split/shared services are evaluation and management services (E/M) services performed jointly between a physician and a … [Read more...]
Quick reference sheets
Smooth sailing with these handy desk references
Chronic Care Management | Reference Sheet
This quick reference sheet includes clinical staff time, care planning and billing practitioner work criteria for chronic care management services. … [Read more...]
Audit tool for Modifier 25 | Reference Sheet
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...]
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
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 … [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...]
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...]
Care Plan Oversight | Coding reference sheet
This reference chart for Care plan oversight (CPO) includes CPT® and HCPCS codes, with wRVUs, time and patient status. RVUs are updated for … [Read more...]
Billing physician services for hospice patients | Reference Sheet
Medical practices find the hospice modifiers confusing, and confusion leads to denials and payment delays. Use the decision trees below to help you … [Read more...]