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.

Can I get paid for…removing stitches done in the ED

The patient had a laceration repair in the ED and now wants your office to remove the stitches. What can you bill for removing stitches? Download … [Read more...]

Can I get paid for…evaluation prior to surgery

The surgeon evaluates a patient, and determines that surgery is needed. Can the surgeon get paid for this initial service? Watch this short video … [Read more...]

End Confusion About Modifier 57 (and get paid for initial evaluations)

Use modifier -57 at the visit for the decision for surgery, when surgery is scheduled for that day or the next calendar day A surgeon should always … [Read more...]

Coding for Screening Colonoscopy

An Overview of Colonoscopy Coding Guidelines Screening colonoscopy is a service with first dollar coverage. A screening test with an A or B rating … [Read more...]

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.