There are two HCPCS codes that physician, nurse practitioners, clinical nurse specialists and physician assistants can use to report developing a plan for a Medicare patient who requires home health services. The CARES Act passed in March 2020 permanently allows nurse practitioners, clinical nurse specialists and physician assistants to certify and re-certify Medicare covered home […]
Quick Coding Reference Sheet – General Surgery
This quick reference sheet is packed with useful information. It covers consults, initial and subsequent hospital visits, and observation. Specifically for general surgery, it includes: CPT® codes for each of the above categories, documentation requirements, MDM examples, and more…
Excision of Soft Tissue, Lipoma Removal
This chart is a quick reference for soft tissue excision. It includes anatomic location and size for subcutaneous and subfacial excisions.
How Physician Services are Paid – Infographic
CPT® codes, HCPCS, modifiers, global surgical packages, CMS formulas, diagnosis codes, location, and more…how do all these pieces come together for medical reimbursement? This helpful infographic from CodingIntel shows how physician services are paid with proper medical billing and coding.
Surgical Modifiers
This article includes: Surgical modifiers with definitions Guidelines for billing multiple surgical procedures Modifiers in the post-op period Avoiding CPT® modifier mishaps Citations Members can also download the Global Surgery Coding Guide. Some of the information in this article and in the billing guide is the same. Billing for Surgical Services Before submitting a claim […]
Definitive Guide to Documenting Time
Office visits, inpatient care, prolonged services, critical care…properly documenting time can help ensure that you receive the maximum allowable payment for the time you spent with the patient. Use this handy reference guide to make sure your documentation includes all the necessary components.
Critical Care for General Surgery and Trauma Surgeons
Critical care provided as a stand alone service is based on the seriousness of the patient, the types of interventions, and time. Critical care provided by a surgeon to a patient in a global period for procedures with a 10 or 90 day global period, must also follow the rules for critical care, with the […]
Non Face-to-Face Prolonged Service – 99358
There are two time-based CPT codes for non-face-to-face prolonged care services. These codes may not be used on the day of an Evaluation and Management (E/M) service, such as an office visit or hospital service. Physicians and other qualified health care professionals who have E/M in their scope of practice may use these codes. CMS […]
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