CPT Coding

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    Calendar days pace observation service coding.
    The rules for observation coding are typically pretty straightforward. Pick 99218-99220 for the first day when the patient is in observation for multiple days; pick 99234-9236 if the observation lasts more than eight hours on a single day. Monkey wrench: Are you prepared, however, for an   Read more..
    Posted on 4 Jan, 2016
    When Clock Strikes Midnight, Switch Up Observation Coding
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    Payers require specific criteria for 10120.
    A patient steps on a splinter from a holiday tree, or some other foreign body (FB), and your physician performs a foreign body removal (FBR). You should choose an FBR code for the service, right? Well … maybe: The service might not qualify for the CPT®   Read more..
    Posted on 30 Dec, 2015
    Are You Sure About that ‘Simple’ FBR? It Could Be an E/M
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    Higher-level E/Ms possible with complete ROS.
    When your physician provides an evaluation and management (E/M) service, a vital part of the history component is the review of systems (ROS). In short: There are three levels of ROS, and your level of ROS coding will need to be spot on if you’re to   Read more..
    Posted on 17 Dec, 2015
    Key on Components for Accurate ROS Count
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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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