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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

Audit tool for Modifier 25 | Reference Sheet

Reasonable coders and practitioners can and do disagree about when a separate E/M service is warranted on the day of a minor procedure. This audit … [Read more...]

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...]

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...]

Explaining E/M Modifiers: 24, 25, 57

These evaluation and management modifiers indicate to a payer that the service provided was not part of the global surgical package. What are the … [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...]

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.

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Latest Intel

Removal of sutures or staples

There are three codes for removal of sutures or … Read More...

Coding for Hernia Repair

CPT® revised the codes and concepts used for … Read More...

Coding Guide – Critical Care Services

Critical care is a complex service provided to a … Read More...

CMS Teaching Physician Rules Update | Webinar

Let's review the teaching physician … 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. For more about Betsy visit www.betsynicoletti.com.

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