In Billing
May 1st, 2017
Without a thorough understanding of the guidelines, calculating time may land you in hot water. When time is the controlling factor in a patient’s visit, be sure to capture the appropriate time-based service code. Per CPT®, unless there are code or code-range-specific guidelines, parenthetical instructions, or code descriptors to the contrary, the following standards apply ...
There are many 2017 CPT® code changes pertaining to spine procedures. Here’s a rundown of the most significant changes. Removal of Moderate Sedation Inclusion The moderate sedation symbol (¤) was removed from the vertebroplasty (22510-22512) and vertebral augmentation (22513-22515) codes. These codes no longer include moderate sedation, which can now be reported separately, as appropriate, ...
Following guidelines and asking questions are key to solving the T3cDM coding mystery. One guideline in ICD-10-CM consistently overlooked is I.C.4.a.6.b.i., which is specific to secondary diabetes mellitus due to a pancreatectomy. I.C.4.a.6.b.i. Secondary diabetes mellitus due to a pancreatectomy For postpancreatectomy diabetes mellitus (lack of insulin due to the surgical removal of all or ...
Help overcome risks by understanding what protected health information is and how (not) to use it. Federal law limits how patients’ personal information may be used and disclosed. Here are the basics you should know to protect your practice when handling patients’ protected health information (PHI). Know What’s Protected  The HIPAA Privacy Rule protects patients’ ...
NGS is making certain exam requirements clearer. Under the current 1995 Documentation Guidelines for Evaluation and Management (E/M) Services, 2-7 body parts and/or organ systems are examined for both the expanded problem-focused visit and detailed physical exam visit. This contradictory guidance for determining level of service has frustrated many a provider and coder from day ...