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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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Modifier update 2022

Modifier update: 2022 Recorded February 17, 2022  CMS released four new modifiers at the end of 2021, and CPT released one. These include … [Read more...]

Modifier 51 or 59? How to know which to bill?

Modifier 51 and 59 are both used on second and subsequent surgical procedures, when performed on the day of a primary procedure There are two … [Read more...]

Using Modifier 59 | Quick Reference

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 25 | Quick Reference

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...]

Co-surgery, Team surgery, Assistant at surgery

Modifiers for co-surgery, team surgery and assistant at surgery CPT® has specific modifiers for co-surgery, team surgery and assistant at surgery. … [Read more...]

Modifier 57

Decision for Surgery.  An evaluation and management service that resulted in the initial decision to perform surgery may be identified by adding … [Read more...]

Modifier 24 and 25

This summary of the rules regarding modifier 24 and 25 is a must read; it includes specific examples of when to report both an E/M and a procedure and … [Read more...]

Coding Guide – Global Surgery

An Overview of Global Surgery & Surgery Coding Guidelines Physicians, nurse practitioners and physician assistants in many specialties perform … [Read more...]

Surgical Modifiers

This article includes: Surgical modifiers with definitions Guidelines for billing multiple surgical procedures Modifiers in the post-op … [Read more...]

Can I get paid for…an office visit the same day as a minor procedure

Can you bill an E/M service on the same day as a minor procedure?  Sometimes yes, sometimes no.  The decision to perform a minor procedure is included … [Read more...]

Wondering about the rules for HCC coding?

Wondering what the rules are for HCC coding, and where you can find them? This video answers your questions. The topic is important to medical practices because risk-adjusted diagnosis coding is part of Medicare Advantage contracts, many commercial contracts and Accountable Care Organizations (ACOs). Sign up for our monthly newsletter to download the whitepaper and watch the video.

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Recommended Resource

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Latest Intel

Coding Principles for Practice Administrators | Webinar

Coding Principles for Practice … Read More...

CPT Coding for Obstetrical and Gynecological Procedures | Webinar

Who Runs the World? GIRLS!!: CPT Coding for … Read More...

Payment denials for unspecified codes

From the day coders got their first glimpse at … Read More...

Behavioral health coding compliance

Compliance Lessons from the OIG In March 2022, … Read More...

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Our mission is to provide accurate, comprehensive, up-to-date coding information, allowing medical practices to increase revenue, decrease coding denials and reduce compliance risk. That's what coding knowledge can do.

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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