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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

Does a practitioner need to document time for a telehealth visit?

Question:  Does a practitioner need to document time for a telehealth visit? What if it is audio only? Answer: First: For a telehealth visit, … [Read more...]

Should we begin using the new CPT modifier -93

Question: Should we begin using the new CPT® modifier -93? Answer: I recommend a wait and see approach.  Here’s the definition from the AMA, … [Read more...]

Medicare “Audio-Only” Telehealth Services

CMS issued multiple waivers and two interim final rules to support health care organizations and patients during the public health emergency in spring … [Read more...]

Coding Telehealth Visits

Coding telehealth visits changes faster than the weather here in New England. The resources on the site relate to Medicare policy and CPT codes and … [Read more...]

Is it or isn’t it a telehealth service?

Many payers and practices use the broad term telehealth to describe services that are not done face-to-face with a patient CMs describes telehealth … [Read more...]

Specimen Collection For COVID-19

CMS’s 4/30/2020 rule states that practices could bill 99211 for new or established patients during the public health emergency for COVID-19 specimen … [Read more...]

Medicare changes telehealth rules, again

Medicare changes telehealth rules, again: April 30, 2020 interim final rule with comment period … [Read more...]

Telemedicine in RHCs and FQHCs

In April, 2020  CMS released guidance about paying for telehealth services in Rural Health Centers (RHCs) and Federally Qualified Health Centers … [Read more...]

Modifier CS: cost sharing for COVID-19 testing and visits related to testing

Effective retroactively to 3/18/20, there is no cost sharing allowed for COVID-19 testing or for the evaluation visits related to the testing … [Read more...]

Payment for telephone calls during the PHE: CMS rules for phone calls

CMS rules for phone calls has changed during the course of the pandemic.  Prior to the public health emergency these had a status indicator of … [Read more...]

Telemedicine and COVID-19 FAQ

CMS continues to pay for office visits via audio/visual communications (99202--99215) and office visits via audio ony communication (99441--99443) … [Read more...]

CPT® codes (99421-99423) – and payment for – online digital evaluation and management (E/M) services

Be sure to read the telemedicine COVID-19 article for the latest information. There are CPT codes for online digital E/M services. CPT® … [Read more...]

Overview of Medicare telehealth services

Please see the Telemedicine article for the rules and guidelines for use during the COVID-19 public health emergency. Medicare covers some … [Read more...]

Virtual communication: HCPCS codes G2010, G2012, G2250, G2251, G2252

Virtual communications are not considered telehealth These HCPCS codes were developed by CMS for virtual communication Do not use POS 02 or … [Read more...]

Interprofessional Internet Consultations

CMS recognizes and pays for six codes for interprofessional consults codes 99446–99449, 99451, 99452 These are not considered telehealth services. … [Read more...]

Modifier 95, 93: telemedicine

CPT has two modifiers for telemedicine. Modifier 95 was an existing modifier from before the public health emergency. They added modifier 93 for … [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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