CMS policy update: E/M services performed under the teaching physician rules Did you see that CMS updated its teaching physician rules? In the 2019 … [Read more...]
Anticoagulation Management
I continue to get questions about billing for anticoagulation management, and I’m hoping this blog post can put some (all?) of them to rest. First, … [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...]
Modifier 51 or 59? How to know which to bill?
There are two modifiers commonly used in dermatology when billing two or more procedures at the same encounter. Appending the correct modifier … [Read more...]
Coding multiple procedures | Examples with modifiers
Biopsies and lesion destruction codes are often performed at the same patient visit. This leads to questions about bundling and modifiers. There are … [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...]
What does CMS’s modifier 25 proposal mean to you? (I wish I knew)
Coding. Why does it keep changing? The article you are looking for was out of date, and we removed it. May we suggest... Using Modifier 25 | … [Read more...]
CMS Physician Fee Final Rule for 2019 | Webinar
Recorded November 20, 2018 The wait is over! Hear what coding and payment policies CMS is implementing for January 1, 2019 and how they will affect … [Read more...]
Using Modifier 59 | Cheat Sheet
Modifier 59 is referred to by CMS as the modifier of last resort. It is often used when modifier 51 is the more accurate modifier. This quick … [Read more...]
Using Modifier 33 | Cheat Sheet
Modifier 33 is used to identify certain screening and preventive services. This quick reference sheet addresses: When to use modifier 33 Why … [Read more...]
Using Modifier 25 | Cheat Sheet
Use of Modifier 25 may be applicable when an E/M service is provided on the same day as a procedure, a preventive medicine service, or other medical … [Read more...]
Coding Guide – CPT® and HCPCS Code Modifiers
Table of Contents Modifier introduction Initial evaluation – minor procedure E/M service same day Initial evaluation – major procedure … [Read more...]
Smoking cessation coding, 99406 and 99407
Medicare and most private insurers pay for physicians, NPs and PAs to counsel patients about stopping tobacco use. The Medicare national payment rate … [Read more...]
Two visits for the price of one? | Multiple medical visits on the same day
Patients often schedule two medical appointments on the same day with physicians of different specialties. It’s convenient for them. It saves travel … [Read more...]
Advance Care Planning | CPT® 99497, 99498
Advance Care Planning (ACP) and the Use of ACP CPT® Codes Starting January 1, 2016, CMS began to recognize and reimburse physicians and Non-Physician … [Read more...]
Who is responsible for coding physician services? The medical provider or the coder?
Legally, when a physician, physician assistant (PA) or nurse practitioner (NP) enroll in a Medicare, Medicaid or commercial insurance, the … [Read more...]
Code Prolonged Services with Confidence | Webinar
Recorded- April 10, 2018 Few services are as confusing or as rewarding as prolonged care codes. In 2018, CMS added two new HCPCS prolonged … [Read more...]
CPT® coding changes for 2018
If you need detailed information about CPT® coding changes, there are two good sources. One costs a lot of money...attending the AMA’s … [Read more...]
New CPT® codes for 2018 | Anticoagulation management and education for home INR monitoring
In 2018, CPT® deleted codes 99363 and 99364 and replaced them with codes 93792 and 93793. There are two important things to know about this. First, … [Read more...]
Do I need Modifier 52 for this repair?
Question: Can you please give me your opinion on a coding case? We have a surgical oncologist that performed an excision of malignant skin … [Read more...]