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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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    • Diagnosis Coding
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September 30, 2023

Specialty resources

Specialist

Coding for every specialty is different. For some specialties, you’ll find the in-depth knowledge and specific coding information you need to accurately and compliantly submit claims. Whether you prefer reading articles, downloading reference sheets and coding guides or watching a webinar, CodingIntel has what you need.

Primary Care Expand

E/M Services

  • E/M frequency data for family medicine and internal medicine
  • Category of code
  • Pre-operative clearance in primary care

Modifiers

  • Using modifier 25 | Reference Sheet
  • Modifier 24 and 25
  • Using modifier 33 | Reference Sheet
  • Modifier 51 or 59? How to know which to bill
  • Using modifier 59 | Reference Sheet
  • Modifier 95 for telemedicine

Procedures

  • Minor procedures
  • Can I get paid for…my nurse doing ear lavage
  • Lesion destruction tip sheet
  • Destruction of benign or pre-malignant lesions
  • Coding for destruction of malignant lesions
  • Selecting CPT® codes for excision of skin lesions
  • Coding for excision of lesions
  • Codes for skin biopsies
  • CPT® codes for fine needle aspiration
  • Coding for ultrasound guidance
  • Pessary billing and coding
  • Can we bill for IUD removal and insertion on the same day?
  • CPT Coding for Obstetrical and Gynecological Procedures | Webinar

Preventive services

  • Preventive medicine services, Medicare
  • Billing Preventive Medicine Services and Problem Visit | Quick reference sheet
  • Billing for pap smear
  • Reporting a problem-oriented visit on the same day as a wellness visit
  • Wellness visits and prolonged care, G0513/G0514
  • G0101 pelvic and breast exam
  • Screening for STI
  • Screening and BCI in primary care, G0442
  • Intensive behavioral counseling for cardiovascular disease, G0446
  • Behavioral counseling for obesity, G0447
  • Age and wellness visits | Eligibility for Welcome to Medicare

Diagnosis Coding

  • Screening for an existing condition
  • Diabetes coding in hierarchical condition coding (HCC)
  • Depression coding in hierarchical condition coding (HCC)
  • Diagnosis coding for biopsy sent for pathology
  • Coding for hypertension in the HCC system | Reference Sheet

Other E/M services

  • Performing services that increase primary care revenue
  • Billing medical practice services for hospice patients
  • Billing physician services for hospice patients | Reference Sheet
  • Nursing Facility Visits
  • Coding home visits | Reference Sheet
  • Shared Visits, Medicare
  • Incident To Services, Medicare
  • 99483, cognitive assessment and care plan services
  • Checklist for 99483, cognitive assessment for dementia
  • Anticoagulation Management

Essential Resources

  • Everyday Coding
  • Care management guide
  • Risk adjusted diagnosis coding for medical practices
  • Screening codes guide
  • Preventive medicine services coding guide
  • Coding Guide – Federally Qualified Health Centers
  • Minor surgery coding guide

E/M Services Archived (for services prior to January 1, 2021)

  • History, Exam, MDM
  • E/M quick coding reference sheet
  • Using time to select a code
  • Definitive guide to documenting time
Dermatology Expand

E/M Services

  • See E/M services page
  • E/M frequency data for dermatology
  • E/M archive (for services prior to 1/1/23)

Procedures

  • Codes for skin biopsies
  • Coding for Excision of Benign or Malignant Lesions
  • Selecting CPT rules for excision of skin lesions
  • Destruction of lesions, benign and pre-malignant
  • Destruction of lesions, malignant
  • Mohs Surgery
  • Shaving of epidermal or dermal lesions
  • Repair (closure) CPT 12001-13160
  • Other dermatologic procedures

Modifiers

  • Modifier 25
  • Modifier 51/59
  • Multiple procedure examples with modifiers

Diagnosis coding

  • Skin screening
  • Diagnosis coding for dermatology

Prevention and screening

  • Skin cancer screeninng

Essential resources

  • Everyday Dermatology Coding
  • Destruction of lesion reference sheet
  • Coding Skin Procedures in Dermatology, Family Practice and Urgent Care| Webinar
Behavioral Health Expand

CPT codes for behavioral health

  • Behavioral health coding compliance
  • Coding for Behavioral Health Services by Psychologists, Social Workers and Therapists
  • Medicare coverage for Marriage and Family Therapists and Mental Health Counselors
  • Psychiatric diagnostic evaluation
  • Psychotherapy codes
  • Psychotherapy for patients in crisis
  • Interactive complexity | CPT 90785

Medication management

  • Office visit code selection for medication management
  • Medication management and psychotherapy | Reference Sheet

Diagnosis coding

  • Overview of diagnosis coding for behavioral health services

E/M Services Archives (for service prior to January 1, 2021)

  • Psychiatry E/M quick coding reference
  • History, Exam and MDM
  • Using time to select a code
  • Psychiatry exam quick reference sheet
  • E/M frequency data for behavioral health services

Essential resources

  • Coding Guide | Behavioral Health Services
  • Behavioral health and telemedicine during the PHE
  • Coding for Behavioral Health Services | Webinar
General Surgery Expand

Basics of E/M

  • E/M frequency data for surgical specialties
  • Billing Admission and Subsequent Visits for Patient Having Surgery
  • Critical Care for General Surgery and Trauma Surgeons
  • Can I get paid for evaluation prior to surgery?

Modifiers

  • Surgical modifiers
  • Using modifier 25 quick reference sheet
  • Using modifier 33 quick reference sheet
  • Using modifier 59 quick reference sheet
  • Modifier 57
  • Modifier 51 or 59? How to know which to bill
  • Billing for multiple surgical procedures
  • Coding multiple procedures | Examples with modifiers

Procedures

  • Surgical coding for hernia repair
  • Coding for breast procedures
  • Procedure coding for colonoscopies
  • Excision of soft tissue, lipoma removal
  • Fine needle aspiration
  • Codes for skin biopsies
  • Repair (closure) CPT® 12000-13160
  • Destruction of benign and pre-malignant lesions
  • Coding for destruction of malignant lesions
  • Selecting CPT® codes for excision of skin lesions
  • Lesion Destruction Tip Sheet
  • Wound Care | CPT® Codes for Debridement
  • CPT Coding for Bronchoscopy Procedures

Preventive screening

  • Coding for screening colonoscopy

Diagnosis coding

  • Diagnosis coding for biopsy sent for pathology
  • Coding for biopsy | Should we wait for a pathology report?
  • ICD-10 coding for suspected cancer
  • Aftercare and follow-up: ICD-10 coding

Essential resources

  • Global Surgery Coding Guide
  • Minor Surgical Procedures Coding Guide

E/M Services Archive (for services prior to January 1, 2021)

  • General surgery E/M quick coding reference sheet
  • Definitive guide to documenting time
  • Moderate or high MDM
FQHCs Expand

Essential Resources

  • Coding Guide - Coding for FQHC
  • Overview of FQHC Coding | Webinar

Articles

  • RHC and FQHC Update
  • Why not bill all 99213 visits in an FQHC?
  • Telemedicine in RHCs and FQHCs
  • Wellness visits and care management in Rural Health Centers and Federally Qualified Health Centers (RHCs and FQHCs)

Course

  • Coding for Federally qualified health centers (four modules)

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Including updates on CPT® and CMS coding changes for 2023

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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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A Conversation with Two Auditors: Lessons learned about MDM | Webinar

A Conversation with Two Auditors: Lessons Learned … Read More...

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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.

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