Question: Can we charge an E/M service when we do a scheduled endoscopy to account for the cost of nursing staff, supplies, pre- and post- care of … [Read more...]
CPT® codes (99421–99423) – and payment for – online digital evaluation and management (E/M) services
New for 2020! Be sure to read the telemedicine COVID-19 article for the latest information. CPT® developed three new CPT® codes for use by … [Read more...]
New E/M rules effective date and payer policies
Question: Can we start using the new E/M rules for new and established patient visits in January? And, are all payers going to follow … [Read more...]
New versus established patient visits
There are other articles on CodingIntel about the difference between new and established patients, and the rules haven’t changed, but that doesn’t … [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...]
Coding Hospitalist Services | Webinar
Recorded March 21, 2019 CMS recognized hospitalists as their specialty in 2017, long after they were a mainstay of providing care to hospitalized … [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...]
Anticoagulation management | Can we bill for RN services?
Question: My question is regarding Anticoagulation Management Code 93793. Guidelines state that this code can be performed by a physician, NP, or … [Read more...]
Coding Critical Care Services
Recorded January 17, 2019 In the 2018 Comprehensive Error Rate Testing report, critical care services had a 19.7% error rate, and within those … [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? If so, use this checklist to make sure you … [Read more...]
Coding for Hospitalists
Coding for services done by hospitalists and other specialty physicians in the hospital can be confusing. After watching these videos and downloading … [Read more...]
Billing inpatient consultation for Medicare patients | Initial visit or subsequent
Question: What should a consulting physician bill when seeing a hospitalized Medicare patient? An initial hospital service or a subsequent hospital … [Read more...]
NGS changing processing of same day NP/PA claims
Is NGS your MAC? Did you see their announcement that for claims processed on or after Sept 15, 2018, they will no longer deny claims for a second … [Read more...]
Critical Care Services Rule | Two physicians billing for same time period
Question: Where does it say in CPT® that two physicians can’t bill for the same period of time when performing critical care? Answer: It … [Read more...]
Are subsequent hospital or office visits prior to surgery billable?
Question: Are the surgeon’s subsequent hospital visits or office visits between their original consult and the final visit prior to surgery … [Read more...]
Transitional Care Management
An Overview of TCM Services | CPT® 99495 & 99496 This article provides details about billing for TCM services, and includes the comparative RVUs … [Read more...]
Emergency Department Visits
Definition Emergency department (ED) services are E/M services provided to patients in the Emergency Department. Explanation These services … [Read more...]
Critical Care Services
Critical care has high relative value units and payments so it's important to know the coding rules. This article describes what can be included in … [Read more...]
Time based rules | Behavioral health services
Psychiatrists, psychiatric NPs and psychiatric PAs provide medication management using E/M codes and psychotherapy services. There are specific rules … [Read more...]
Prolonged services and nursing home visits
Question: Prolonged Services and nursing home visits. I'm getting a "Code 99358 is a column 2 code for 99309, these codes cannot be billed … [Read more...]