These reference sheets for minor procedures include common CPT® codes, descriptions, current work and non-facility RVUs, and global days for quick … [Read more...]
Surgical procedures, modifiers, and the global package
CMS and CPT both define the components of the global surgical package to include certain pre-op, intra-op, and post-op services. Learn what is included in the single payment, what may be reported separately and how to do it.
Modifier 25
Use modifier 25 when an E/M service is performed on the same day as a procedure, a preventive medicine service, or other medical service or procedure. … [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...]
Reporting the Global Surgical Package | Webinar
Your Guide to Accurately Reporting the Global Surgical Package Recorded June 15, 2023 The global surgical package provides a single payment … [Read more...]
Can I Get Paid For…Removal of Sutures or Staples
There are three codes for removal of sutures or staples. How to bill for suture removal is a question that comes up frequently. And the answer to the … [Read more...]
Lesion Destruction Tip Sheet
CPT® does not make it easy to locate codes for destruction of lesion(s). These codes are found in multiple chapters throughout the CPT® book, and are … [Read more...]
Coding for Mohs Micrographic Surgery
Mohs surgery is performed to remove complex or ill-defined skin cancer, and the procedure includes both the surgery and histopathologic examination. … [Read more...]
Shaving of Epidermal or Dermal Lesions
The chart below includes CPT® codes, and descriptions for shaving epidermal and dermal lesions. After the chart, there are important key points to … [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 See also Modifier … [Read more...]
Coding for Destruction of Malignant Lesions
The primary factors in selecting a code for destruction of malignant lesions are: Size of lesion (not defect) Location Method is not a … [Read more...]
CPT® Codes for Fine Needle Aspiration
Fine needle aspiration biopsy Material is aspirated with a fine needle and the cells are examined cytologically Core needle biopsy is … [Read more...]
Skin Biopsies
Correctly selecting and reporting skin biopsies requires an understanding of CPT® codes for skin biopsies There are codes for excision of benign … [Read more...]
Coding Guide – Minor Surgical Procedures
This guide is taken from our webinar “Coding for Minor Surgical Procedures”. Medical practitioners often find it easier to do a minor procedure than … [Read more...]
Can Two Practices Split the Post-Op Office Care of a Patient?
Question: Can two practices split the post-op office care of a patient? Answer: No. Although the operative and post-operative portions of the … [Read more...]
What Does the Decision to Perform a Minor Procedure Really Mean?
This article is updated with CPT's March 2023 document, "Reporting CPT Modifier 25." (citation at the end of the article) The CPT article adds … [Read more...]
Selecting CPT® Rules for Excision of Skin Lesions
Many medical practices perform skin procedures. A patient may see a dermatologist, a family physician or a surgeon when the time comes to find out, … [Read more...]
Destruction of Benign or Pre-Malignant Lesions
Finding the right code for lesion destruction is not easy. The codes are distributed in the CPT® book in the integumentary, digestive, male genital … [Read more...]
Avoid These 4 Costly Errors When Coding Minor Surgical Procedures
Does your practice perform any minor or major procedures? If so, this post is for you! Primary care practices and urgent care centers should pay … [Read more...]
Billing for Multiple Surgical Procedures
When billing for multiple procedures on the same day, use this step by step procedure to determine if you should bill for more than one procedure, and … [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...]
Global Surgical Package: An Overview
Need a quick summary of the global surgical package and frequently used modifiers? This article from CodingIntel will ensure that your medical … [Read more...]