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...]
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Teaching Physician Rules – Evaluation and Management Services
CMS policy update: E/M services performed under the teaching physician rules Download this teaching physician rules quick reference sheet for a … [Read more...]
What is an Interval History?
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...]
Analysis of 2018 CERT Report: Use These Findings to Educate and Audit High Risk Codes
Recorded April 25, 2019 CMS releases a Comprehensive Error Rate Testing (CERT) report annually. This report, prepared by an independent … [Read more...]
Anticoagulation Management
Currently, there are two sets of codes, three HCPCS codes and two CPT® codes. They aren’t defined exactly the same, and so take careful reading. The … [Read more...]
Initial Hospital Service Codes and Established Patients
Question: We are having a disagreement in our coding department. Our cardiologist sees an inpatient at the hospital, but it’s a patient she knows … [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...]
Coding for Breast Procedures: Biopsy, Localization Devices, and Surgery
From biopsy to localization device to mastectomy, coding for breast procedures can be challenging. This article summarizes the rules related to these … [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...]
Pre-operative Clearance in Primary Care
Primary care practices are frequently asked to do preoperative evaluations or clearances on their own patients by a surgeon. Although a routine … [Read more...]
ROS Requirements for Preventive Services OB/GYN
Question: What are the review of system requirements when an annual physical (99381-99387, 99391-99397) is performed/billed by an OBGYN … [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...]
Destruction of Benign and Pre-Malignant Lesions
There are several factors to consider when coding for destruction of benign and pre-malignant lesions. Let's begin with a definition. From the CPT® … [Read more...]
E/M in 2019: A Look Ahead
Now that the dust has settled from the release of the Physician Fee Schedule Final Rule, maybe it’s time for a re-cap. This article will also discuss … [Read more...]
Quick Coding Reference Sheet – Hospitalists
This is the reference sheet for hospital services using the 1995/1997 guidelines. As of Jan 1, 2023 it will no longer be in use. Why have we kept it … [Read more...]
Modifier 25 for Dermatology
Modifier 25 Significant, separately identifiable E /M service by the same physician on the same day of the procedure or other service Use to … [Read more...]
Incident to and Change to Medications
Question: A CodingIntel member writes: "I am getting mixed information about incident-to and I was wondering if you could weigh in? If a NPP … [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...]
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...]
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