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CodingIntel

Medical coding resources for physicians and their staff. CodingIntel was founded by consultant and coding expert Betsy Nicoletti.

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February 5, 2023

Prevention and Screening

Prevention

Keeping patients healthy, providing advice about health risks and recommending screening tests and immunizations are the heart of primary care medicine. CPT uses one set of codes and Medicare another, and you’ll find coding information on both here, along with guidance on billing for split visits.

CPT codes for preventive services Expand
  • Coding Guide | Preventive Medicine Services
  • New vaccination codes for 2022
  • ROS requirements for preventive services OB/GYN
  • Billing for pap smear
  • Reimbursement for Shingrix, the new zoster vaccine | 90750

 

Preventive services for Medicare patients Expand
  • Preventive Medicine Services | Medicare
  • Prolonged services codes for Medicare preventive medicine services: G0513, G0514
  • How to use G0513, G0514 | Quick reference sheet
  • Are you missing the initial annual wellness visit? | G0438
  • Age and wellness visits | Eligibility for Welcome to Medicare
  • G0101 Pelvic and Breast Exam
  • Wellness visits and care management in Rural Health Centers and Federally Qualified Health Centers (RHCs and FQHCs)
Screening and counseling for behavioral conditions Expand
  • Coding and reimbursement for lactation services
  • Smoking cessation coding, 99406 and 99407
  • Screening for depression | HCPCS code G0444
  • Does HCPCS code G0444 require a full 15 minutes?
  • Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse | HCPCS Code G0442
  • Screening for Other Sexually Transmitted Illnesses (STI)
  • Behavioral counseling for obesity, HCPCS code G0447
  • Intensive behavioral counseling for cardiovascular disease, HCPCS code G0446
  • High Intensity Behavioral Counseling to Prevent Sexually Transmitted Illnesses
  • Screening codes guide: G0442, G0443, G0444, G0446, G0447
Preventive and problem visits Expand
  • Billing Preventive Medicine Services and Problem Visit | Quick reference sheet
  • Reporting a problem-oriented visit on the same day as Welcome to Medicare (G0402) or Initial and Subsequent Wellness Visit (G0438, G0439)
  • Can we bill a new patient visit for preventive and E/M services on the same day?
  • Can I get paid for a problem oriented visit and wellness visit on the same day?
  • Preventive medicine and Medicare wellness visits with an E/M | Webinar

2023 E/M reference sheets

These handy quick reference sheets included at-a-glance MDM requirements for office, hospital, nursing home and home and residence services. And, a bonus sheet with typical time for those code sets. Sign up for Betsy’s monthly newsletter to download these reference sheets and share them with your practitioners.

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2023 E/M guidelines for hospital, nursing facility, home and residence services | Webinar

Effective January 1, 2023, the AMA has revised the definitions and guidelines for hospital and other E/M services, including ED visits, nursing facility services, home services, and domiciliary care codes. Also, coding for prolonged care services gets another overhaul with revised codes and guidelines. Watch this webinar about all these changes.

Watch it now

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Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions. For more about Betsy visit www.betsynicoletti.com.

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