Although there is a single payment for surgical procedures that have 0, 10 and 90 global days, there are frequent instances in which the surgeon … [Read more...]
Search Results for: diagnosis coding
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...]
Meatloaf Says, “2 Out of 3 Ain’t Bad” | E/M Documentation Guidelines
Question: When selecting an E/M service for an established patient, does medical decision making need to be one of the determining … [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...]
Modifier 95, 93: Telemedicine
CPT has two modifiers for telemedicine. Modifier 95 was an existing modifier from before the public health emergency. They added modifier 93 for … [Read more...]
Modifier 57
Decision for Surgery. An evaluation and management service that resulted in the initial decision to perform surgery may be identified by adding … [Read more...]
Medical Decision Making | Documentation Guidelines for E/M Services
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...]
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...]
Not all Unspecified Codes are Created Equal
What kind of unspecified codes can a practice still use? Which ones need to be avoided? Quick, five minute guidance in this video about unspecified … [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...]
How Physician Services are Paid – Infographic
CPT® Codes for Medical Reimbursement CPT® codes, HCPCS, modifiers, global surgical packages, CMS formulas, diagnosis codes, location, and more...how … [Read more...]
Sequela, Aftercare or Personal History
When should a practice use an aftercare diagnosis code, a personal history of a condition diagnosis code, or a post-trauma sequela code? This video … [Read more...]
Surgical Modifiers
This article includes: Surgical modifiers with definitions Guidelines for billing multiple surgical procedures Modifiers in the post-op … [Read more...]
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