In Billing
Aug 10th, 2022
When ICD-10-CM is updated Oct. 1, so are these National Coverage Determinations. Are you wondering which National Coverage Determinations (NCDs) will be affected by the thousands of diagnosis code changes going into effect Oct. 1? A Centers for Medicare & Medicaid Services (CMS) transmittal tells all. CMS Transmittal 11546, issued Aug. 4, is a one-time ...
In Coding
Aug 1st, 2022
Code selection depends on your understanding of simple, intermediate, and complex closures. Lesion excisions, as with any open wound, often require a level of repair or closure. Simple repairs are included in the excision codes (CPT® 11400-11646), but intermediate and complex closures are separately billable when medically necessary. Per CPT® guidelines, “The excision of benign ...
In Billing
Aug 1st, 2022
Learn how pharmacist patient care is evolving. If you’re not sure what pharmacists do in clinical practice or how to report the services they provide, you are not alone. Although pharmacists have provided information in conjunction with the dispensing of prescriptions for decades, providing services separate and distinct from dispensing medications is a much newer ...
In Billing
Aug 1st, 2022
What to do when the pathology doesn’t correlate to the service provided. The rules for cutaneous (skin) excision coding are straightforward: When the pathology for a lesion is benign, code for excision of benign lesion, 11400-11446; and when the pathology for a lesion is malignant, code for excision of malignant lesion, 11600-11646. But in the ...
In Coding
Aug 1st, 2022
Three tips are all you need to correctly bill allergen immunotherapy, single or multiple antigens. Allergy services, such as those reported with CPT® 95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single or multiple antigens (specify number of doses), remain on the radar of third-party payer investigation units ...