Medicare developed two HCPCS codes for screening services for women, without certain frequency time limits G0101(screening breast and pelvic exam) … [Read more...]
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Co-Surgery, Team Surgery, Assistant at Surgery
Modifiers for co-surgery, team surgery and assistant at surgery CPT® has specific modifiers for co-surgery, team surgery and assistant at surgery. … [Read more...]
Every Claim Line Tells a Story | CPT® Modifiers
Some people read mystery novels, some people can read body language but medical coders can read claims. Some claim lines are simple to read. The … [Read more...]
Collaboration of Care Model for Behavioral Health Integration (CoCM.BHI)
Definition HCPCS codes that describe collaboration of care services in primary care practices for patients with behavioral health … [Read more...]
Newsletter Archives
2024 April - Who is using G2211? March - Updated wellness visit guidelines February - MACs not processing new HCPCS codes January - New CPT code … [Read more...]
Care Management for Behavioral Health Conditions
Care Management for Behavioral Health Conditions Overview CMS developed HCPCS G0507 code for care management performed by clinical staff for … [Read more...]
Global Post-Op Reporting
Coding. Why does is keep changing? This post was out of date and has been removed. For information about the global surgical package and … [Read more...]
Wound Care | CPT® Codes for Debridement
Health care organizations have started wound care clinics to care for patients with non-healing wounds and frequently use wound care debridement codes … [Read more...]
Quick Coding Reference Sheet – E/M Services
E/M Quick Reference for Evaluation and Management Codes This is an E/M reference using the 1995/1997 guidelines. As of Jan 1, 2023 it will no longer … [Read more...]
Quick Coding Reference Sheet – Psychiatry
This is an E/M reference using the 1995/1997 guidelines. As of Jan 1, 2023 it will no longer be in use. Why have we kept it on the site? In case you … [Read more...]
This Practice Paid Medicare $4.48 Million
Do you sign up for email lists and then wonder why you did it? We all do, don’t we? But, one email I always read is from the Department of Justice … [Read more...]
Psychotherapy Coding Changes
Words removed from one set of codes, time added to another code. There are two changes in the psychiatry section of CPT® for 2017 behavioral health … [Read more...]
Global Surgical Package: An Overview
Need a quick summary of the global surgical package and frequently used modifiers? This article from CodingIntel will ensure that your medical … [Read more...]
Modifier 24 and 25
This summary of the rules regarding modifier 24 and 25 is a must read; it includes specific examples of when to report both an E/M and a procedure and … [Read more...]
Moderate or High MDM – General Surgery
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...]
Coding Guide – Newborn and Pediatrics
Neonatologists, pediatricians and family physicians who care for newborns and sick children in the hospital need to select the category of code that … [Read more...]
Teaching Physician Rules and Surgical Procedures
The teaching physician rules describe a payment method by which Medicare pays an attending physician or teaching physician for services performed … [Read more...]
Laceration Repair
Wound repair is classified as Simple, Intermediate or … [Read more...]
Three Key Components of E/M Services
There are three key components to evaluation and management services. History, Exam and Medical decision making. Each component has specific rules and … [Read more...]
Quick Coding Reference Sheet – General Surgery
This is an E/M reference using the 1995/1997 guidelines. As of Jan 1, 2023 it will no longer be in use. Why have we kept it on the site? In case you … [Read more...]
Excision of Benign or Malignant Lesions
This article reviews codes and guidelines for excision of skin lesions. For more information about minor procedures, see additional resources at the … [Read more...]