CodingIntel

Medical coding resources for physicians and their staff. CodingIntel was founded by consultant and coding expert Betsy Nicoletti.

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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.

 

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...]

Can we bill an E/M service with a scheduled endoscopy?

Question: Can we charge an E/M service when we do a scheduled endoscopy to account for the cost of nursing staff, supplies, pre- and post- care of … [Read more...]

In-office GYN Procedures | Webinar

Recorded September 26, 2019 Clinicians in gynecology practices and family practices frequently perform in-office gynecological procedures. This … [Read more...]

Surgical Coding for Hernia Repair

An abdominal hernia is a protrusion of part of the intestines through a weakened section of the abdominal cavity; herniations can occur in other parts … [Read more...]

Procedure Coding for Colonoscopies

“A colonoscopy is the examination of the entire colon, from the rectum to the cecum, and may include the examination of the terminal ileum or small … [Read more...]

Everyday Dermatology Coding

Everyday Dermatology Coding is a 52 page guide to coding dermatology services. Members can download the guide using the link at the bottom of this … [Read more...]

Coding for breast procedures: biopsy, localization devices, and surgery

From biopsy to localization device to mastectomy, coding for breast procedures can be challenging. This article summarizes the rules related to these … [Read more...]

Coding Skin Procedures in Dermatology, Family Practice and Urgent Care | Webinar

Recorded February 21, 2019 Many practitioners would rather do a skin procedure than code for the service. Skin procedures aren’t just a staple of … [Read more...]

Repair (closure) CPT® 12001–13160–2020 update

Laceration or wound repair codes are reported based on the type of repair (simple, intermediate, complex), the anatomic location, and the length … [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...]

Using Time to Select a Code | Dermatology

Some Evaluation and Management codes, and some other codes are defined by the amount of time of the service. This article reflects the rules for using … [Read more...]

Excisions of benign and malignant lesions | Dermatology

Skin lesion excisions are reported using codes from the integumentary section: Excision of benign lesions: 11400—11471 Neoplasms … [Read more...]

Other dermatologic procedures

This aricle reviews the codes and guidelines for these dermatologic procedures; Intralesional injections, photodynamic therapy, phototherapy, and … [Read more...]

Use of Modifier 58 for Dermatology

The most common use of modifier 58 in dermatology is for re-excision of a lesion because the margins weren’t clear. Benign and malignant excisional … [Read more...]

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

There are two modifiers commonly used in surgical specialties when billing two or more procedures at the same encounter.  Appending the correct … [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...]

Shaving of epidermal or dermal lesions

The chart below includes CPT® codes, descriptions and RVUs for shaving epidermal and dermal lesions. After the chart, there are important key points … [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

In 2019, CPT® changed the definition of code 10021 and deleted 10022. Fine needle aspiration biopsy Material is aspirated with a fine needle and … [Read more...]

Codes for skin biopsies

CPT updated certain skin biopsy codes in 2019 The codes for excision of benign and malignant lesions did not change, and codes for shave biopsies … [Read more...]

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Looking for training on the new E/M Guidelines for 2021?

"Documentation Essentials for Codes 99202-99215 in 2021" is now available!

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How medical practice services are paid | Webinar

How medical practice services are paid May 20, … Read More...

Office Visit Fees in 2021

CMS released the updated conversion factor for … Read More...

CMS’s 2021 Physician Fee Schedule Final Rule | Webinar

2021 Medicare Physician Fee Schedule Final … Read More...

Physician Fee Schedule Final Rule for Calendar Year 2021

If you haven't signed up already, register for the … 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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