Table of Contents E/M services Articles in this section are up-to-date with CPT rules for 2023, including category of code and … [Read more...]
Search Results for: medicare preventive
Non-Physician Practitioners in Nursing Facilities
Find additional information about nursing facility services  Everyday Coding. Question: Can a physician assistant see patients in a nursing … [Read more...]
Coding Guide – E/M Services
This coding guide will describe the guidelines for evaluation and management (E/M) services reported in the office or outpatient department, … [Read more...]
Procedure Coding for Colonoscopies
“A colonoscopy is the examination of the entire colon, from the rectum to the cecum, and may include the examination of the terminal ileum or small … [Read more...]
Physician Specialty Codes and Claims Processing
Specialty designation is determines how claims are processed for physician and non-physician practitioners in groups It is also important in … [Read more...]
Screening for Skin Cancer
Dermatologists frequently see patients for skin checks, to examine their skin for signs of pre-malignant or malignant lesions. Some of these patients … [Read more...]
Modifier 51 or 59? How to Know Which to Bill?
Modifier 51 and 59 are both used on second and subsequent surgical procedures, when performed on the day of a primary procedure See also Modifier … [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...]
Intensive Behavioral Counseling for Cardiovascular Disease, HCPCS Code G0446
Medicare pays a primary care physician or other primary care practitioner in a primary care setting to annually provide one face-to-face behavioral … [Read more...]
Screening for Depression | HCPCS Code G0444
G0444 Annual depression screening , 5—15 minutes Medicare pays primary care practices to screen all Medicare patients annually for depression. The … [Read more...]
Smoking Cessation Coding, 99406 and 99407
Medicare and most private insurers pay for physicians, NPs and PAs to counsel patients regarding smoking cessation. Medicare waives the … [Read more...]
Behavioral Counseling for Obesity, HCPCS Code G0447
G0447 face-to-face behavioral counseling for obesity, 15 minutes G0473 Face-to-face hehavioral counseling for obesity, group (2-10) 30 … [Read more...]
Reimbursement for Shingrix, the New Zoster Vaccine | 90750
At the end of 2017, there was news that a new vaccine for shingles, Shingrix, was significantly more effective than the older vaccine, Zostavax. The … [Read more...]
Billing for Pap Smear
Billing for pap smears in a physician practice can be confusing for clinicians. Pap smears can be screening services or diagnostic services … [Read more...]
Can you Screen for an Existing Condition? | Diagnosis Coding for Lab Services
Sometimes, the hardest thing about coding for preventive services isn't the visit at all. It's the labs. Patients come in for an annual physical and … [Read more...]
Everything You Want (And Need) to Know About E/M Services
Evaluation and Management (E/M) services account for 30% of the revenue paid by Medicare for all physician services. For many specialties, E/M codes … [Read more...]
Screening Pelvic/Breast Exam and Pap Smear Denials | G0101 and Q0091
HCPCS codes and Q0091 We received this question from one of our members: "We have a Medicare patient for whom we provided a pelvic and a breast … [Read more...]
G0101 Pelvic and Breast Exam
Medicare developed two HCPCS codes for screening services for women, without certain frequency time limits G0101(screening breast and pelvic exam) … [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...]
Why You Shouldn’t Automatically Bill an E/M with Every Procedure
Should you bill just a procedure? Or an E/M service with it? Medicare provides a breakdown by CPT® code of the pre-evaluation, pre-operative, … [Read more...]
Can I Get Paid for…a Problem Oriented Visit and Wellness Visit on the Same Day
Patients who come into the office for a physical or wellness visit often have a problem they want to discuss, or chronic conditions that need to be … [Read more...]