Critical Care Services Coding Update Recorded January 2023 CMS made significant changes to critical care coding effective in 2022. Not only did … [Read more...]
Search Results for: modifiers
Modifier Update
Modifier update: 2022 Recorded February 17, 2022 CMS released four new modifiers at the end of 2021, and CPT released one. These include … [Read more...]
Should We Begin Using the New CPT Modifier -93
Question: Should we begin using the new CPT® modifier -93? Answer: I recommend a wait and see approach. Here’s the definition from the AMA, … [Read more...]
Coding Guide – Teaching Physician Rules
The teaching physician rules are Medicare rules that allow for payment for services that are performed jointly between a resident and a licensed … [Read more...]
Physician Fee Schedule Final Rule for Calendar Year 2023
2024 conversion factor $32.7442 (updated 1/3/2024) 2023 conversion factor $33.8872 (updated 1/5/2023) CMS continues to state it doesn't have … [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...]
Specialty resources
Coding for every specialty is different. For some specialties, you'll find the in-depth knowledge and specific coding information you need to … [Read more...]
Table of Contents
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...]
Behavioral Health and Telemedicine During the PHE
In this post Overview of behavioral health services via telemedicine during the PHE Overview of behavioral health services after the PHE … [Read more...]
Coding Guide – How Physician Services are Paid
Have a new staff member or practitioner? Looking for a resource that provides an overview of how physician. services are paid? Download our guide. … [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...]
Coding Skin Procedures in Dermatology, Family Practice and Urgent Care | Webinar
Recorded February 21, 2019 Many practitioners would rather do a skin procedure than code for the service. Skin procedures aren’t just a staple of … [Read more...]
Repair (closure) CPT® 12001–13160–2020 update
Laceration or wound repair codes are reported based on the type of repair (simple, intermediate, complex), the anatomic location, and the length … [Read more...]
Coding for Mohs Micrographic Surgery
Mohs surgery is performed to remove complex or ill-defined skin cancer, and the procedure includes both the surgery and histopathologic examination. … [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...]
Quick Coding Reference Sheet – Dermatology
This is the quick reference sheet that includes the 1997 single specialty skin exam. As of Jan 1, 2023 it will no longer be in use. Why have we kept … [Read more...]
Skin Biopsies
Correctly selecting and reporting skin biopsies requires an understanding of CPT codes for skin biopsies There are codes for excision of benign and … [Read more...]
The CodingIntel Guide to HCC Coding
Hierarchical Condition Categories (HCC) is a coding system developed by Medicare to pay Medicare Advantage insurance companies, based on demographics … [Read more...]
Diagnosis Coding for Screening Colonoscopy
Some of you have read my article on coding for screening colonoscopy. The questions I get about that article are all related to diagnosis coding. The … [Read more...]
Coding Guide – Minor Surgical Procedures
This guide is taken from our webinar “Coding for Minor Surgical Procedures”. Medical practitioners often find it easier to do a minor procedure than … [Read more...]
Diagnosis Coding | Not Just for Claims Anymore
Physician claims are paid based on the fee schedule associated with the CPT® or HCPCS code that is submitted. Diagnosis coding can be a reason for a … [Read more...]