This session will address when a practice should bill for a problem oriented visit on the day of a preventive service or wellness visit, and how … [Read more...]
Search Results for: preventive
Welcome to Medicare
Traditional Medicare considers the CPT® preventive codes routine, but does pay for wellness visits and other preventive services. This session … [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...]
Prevention and Screening
Keeping patients healthy, providing advice about health risks and recommending screening tests and immunizations are the heart of primary care … [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...]
Medicare “Audio-Only” Telehealth Services
CMS issued multiple waivers and two interim final rules to support health care organizations and patients during the public health emergency in spring … [Read more...]
Non-physician practitioners in nursing facilities
Find additional information about nursing facility services in Betsy's signature resource Everyday Coding. Question: Can a physician assistant … [Read more...]
Coding Guide – E/M Services
This coding guide will describe the 2023 guideline changes for evaluation and management (E/M) services reported in the office or outpatient … [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
When physicians enroll in Medicare, they self-elect their specialty designation. In the enrollment process, there are fields to indicate primary and … [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...]
Chronic care management services (CCM), CPT® 99491: new code in 2019
CPT® has added 99491 to the section of chronic care management codes. The other code in this section is 99490 and there are two codes in the complex … [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...]
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 … [Read more...]
Using Modifier 33 | Quick Reference
Modifier 33 is a CPT® modifier used to identify medical care whose primary purpose is delivery of an evidence based service, based on recommendations … [Read more...]
Using Modifier 25 | Quick Reference
Use of Modifier 25 may be applicable when an E/M service is provided on the same day as a procedure, a preventive medicine service, or other medical … [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...]