CPT Coding

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    CMS sets RVUs for 99497, 99498.
    If your physician treats a lot of elderly patients, you probably have experience with advance care planning (ACP): treatments options, life expectancy, etc. In 2015, CPT® introduced ACP codes 99497 (Advance care planning including the explanation and discussion of advance directives such as standard forms [with   Read more..
    Posted on 27 Nov, 2015
    Want to Get Paid for ACP? Medicare Ruling Means You Could in 2016
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    Here’s when you’ll use 80081 for panels.
    If you are coding for an OB-GYN office, you should know about a couple of changes coming your way in CPT® 2016. The skinny: there will be a new OB panel code, and several changes to fetal magnetic resonance imaging (MRI) coding. Read on for a   Read more..
    Posted on 24 Nov, 2015
    Check Out Changes to OB Panel, Fetal MRI Coding
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    Get more specific with new versions of these standard E/M codes.
    When the 2016 CPT® coding books come out, you’ll have a revised set of E/M codes that should make coding for prolonged services that include psychotherapy a lot easier. “It’s good to see that CPT® is including psychotherapy in the prolonged services code set,” says Suzan (Berman)   Read more..
    Posted on 6 Nov, 2015
    Use Updated Prolonged Services E/Ms to Capture Psychotherapy
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    Here’s the key to coding prolonged services by nonphysicians.
    When CPT® 2016 takes effect on Jan. 1, coders will have a new arrow in their E/M coding quiver. The latest iteration of the coding manual will include two new E/M codes that could be beneficial to your practice, especially when nonphysicians provide portions of an   Read more..
    Posted on 3 Nov, 2015
    Learn New Prolonged Services Codes to Master ‘Team’ Coding
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    Keep an eye on Medicare, other payers for reimbursement news.
    If your cardiology practice has been hoping for a better chance at payment for a couple of currently “experimental” procedures, CPT® has good news. The skinny: The 2016 CPT® manual deletes 0262T (Implantation of catheter-delivered prosthetic pulmonary valve, endovascular approach) and 0311T (Non-invasive calculation and analysis   Read more..
    Posted on 30 Oct, 2015
    Use These Cardiology Category I Codes in Place of ‘T’ Codes in 2016
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    Also, a pair of sinus implant procedures get category III codes.
    Otolaryngology practices won’t want to sniff and turn up their noses at the changes that CPT® 2016 will bring. Why? There are several changes that will affect your coding starting January 1. The bright side, however, is that these changes seem to favor the provider when   Read more..
    Posted on 29 Oct, 2015
    Check CPT® 2016 for Vestibular Test Coding Changes
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    CPT gives lavage/irrigation its own code.
    Coding for cerumen (earwax) removal is going to get a whole lot easier in 2016. Reason: CPT® is introducing 69209 (Removal impacted cerumen using irrigation/lavage, unilateral). This code will allow you to code for encounters when your provider removes impacted cerumen using irrigation or lavage. Previous   Read more..
    Posted on 27 Oct, 2015
    Use 69209 for Less Invasive Cerumen Removal
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    These services don’t have a one-size-fits-all code.
    Late summer is prime time for patients reporting to medical practices for physicals, either for school, sports, or some other reason. When these patients report for physicals, your coding will depend on the type of encounter, the patient’s status and some payer peculiarities. Check out these   Read more..
    Posted on 16 Sep, 2015
    Review All Options Before Choosing Physical Code
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    Patients who have been to your practice might qualify as ‘new.’
    If you haven’t brushed up on the new vs. established patient rules for office E/M services lately, here’s a quick FAQ on when to select each. Who is a new patient? Quite obviously, if your practice sees a patient for the first time ever, you should choose   Read more..
    Posted on 15 Sep, 2015
    Observe 3-Year Rule When Deciding New vs. Established
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    Physician must treat a ‘critical’ patient to code critical care.
    If you’re thinking that your physician provided critical care service to a patient, make sure you line the encounter notes up with the definition of critical care before reporting 99291 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74   Read more..
    Posted on 13 Sep, 2015
    Check Patient’s Condition, Length of Service Before Choosing 99291

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