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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

Billing Preventive Medicine Services and Problem Visit | Quick Reference Sheet

This quick reference sheet provides guidance for billing preventive medicine services and split visits. When can you bill for both an office visit AND … [Read more...]

Intensive behavioral counseling for cardiovascular disease, HCPCS code G0446

Medicare pays a primary care physician or other primary care practitioner in a primary care setting to annually provide one face-to-face behavioral … [Read more...]

Behavioral counseling for obesity, HCPCS code G0447

Medicare pays for ongoing face-to-face behavioral counseling for patients with a BMI  of ≥ 30, who are alert and able to participate in … [Read more...]

Preventive Medicine Services – Medicare

Medicare has very specific requirements for preventive services. What can you bill, what must you document? This article covers all the bases … [Read more...]

Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse | HCPCS Code G0442

The  US Preventive Services Task Force (USPSTF) recommends screening for alcohol misuse and behavioral interventions for individuals whose screening … [Read more...]

Are you missing the initial annual wellness visit? | G0438

After I gave a presentation at a family medicine conference a physician said to me, “What you just told me will pay for the entire cost of my coming … [Read more...]

Age and wellness visits | Eligibility for Welcome to Medicare

Question: Does the patient need to be 65 years old in order to bill the Welcome to Medicare Visit? Answer: This is almost a trick question. … [Read more...]

Billing for pap smear

Billing for pap smears in a physician practice can be confusing for clinicians. Pap smears can be screening services or diagnostic services … [Read more...]

Prolonged services codes for Medicare preventive medicine services: G0513, G0514

There are HCPCS prolonged services codes to be used with Medicare preventive services reported based on time.  CMS allows these prolonged care codes … [Read more...]

Reporting a problem-oriented visit on the same day as Welcome to Medicare (G0402) or Initial and Subsequent Wellness Visit (G0438, G0439)

When can you report a problem oriented visit with the Welcome to Medicare (G0402), or Initial or Subsequent (G0438, G0439) Medicare Wellness … [Read more...]

G0101 Pelvic and Breast Exam

Medicare developed two HCPCS codes for screening services for women, without certain frequency time limits G0101(screening breast and pelvic exam) … [Read more...]

Screening for Other Sexually Transmitted Illnesses (STI)

This article covers CPT® and diagnosis codes used for screening for other sexually transmitted illnesses. It includes descriptions and screening … [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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