Everyday Coding Q&A

When meeting with coders and clinicians, the same issues and concerns arise year after year. We've translated those into a searchable Everyday Coding Q&A.

Diagnosis Coding for Biopsy Sent for Pathology

Question: What diagnosis code should you use when sending a skin biopsy to pathology? a) D48.5 Neoplasm of uncertain behavior of skin, … [Read more...]

Are Start and Stop Times Required for Non Face-to-Face Prolonged Care Services?

Question: Regarding non face-to-face prolonged care, does Medicare require start and stop times, they way they do for prolonged face-to-face care? … [Read more...]

Teaching Physician Rules | Bedside Procedures

Question: Can an attending bill for a bedside procedure that a resident did without the attending being present? If so, is this billed at 85% like … [Read more...]

Can Two Practices Split the Post-Op Office Care of a Patient?

Question: Can two practices split the post-op office care of a patient? Answer: No. Although the operative and post-operative portions of the … [Read more...]

Scoring MDM in an E/M Note

ARCHIVE The 1995/1997 Documentation Guidelines are gone beginning 1-1-2023. (Ding dong....) However, we will still need to use them when auditing … [Read more...]

Can We Bill for IUD Removal and Insertion on the Same Day?

Question: Can I bill 58301 for IUD removal and bill 58300 for IUD insertion on the same day, if the provider removes and then inserts another IUD? … [Read more...]

Diagnosis Coding for Tick Bites

Question: Why is it so hard to have correct diagnosis coding for tick bites? And, how is it coded? Answer: The search function in electronic health … [Read more...]

Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

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.

Everyday Coding Q&A

Diagnosis Coding for Biopsy Sent for Pathology

Are Start and Stop Times Required for Non Face-to-Face Prolonged Care Services?

Teaching Physician Rules | Bedside Procedures

Can Two Practices Split the Post-Op Office Care of a Patient?

Scoring MDM in an E/M Note

Can We Bill for IUD Removal and Insertion on the Same Day?

Diagnosis Coding for Tick Bites

CPT® Coding Changes

What’s New in the Proposed Physician Fee Schedule Rule

What’s New in the Proposed Rule

Coding for Prolonged Services

Coding for Prolonged Services