It’s all in how you dissect the operative report. Many coders struggle with coding operative reports because there are so many guidelines and policies that affect code selection. The process is easier when you break it into seven steps: Review the header of the report. Review the CPT® codebook (start in the Index). Review the ...
Maximize revenue cycle profits by watching bundling. Becoming knowledgeable about National Correct Coding Initiative (NCCI) policies and edits may be the difference between having a profitable revenue cycle or placing your facility at risk for denials. In recent years, NCCI policies and edits have become key factors in outpatient facility and professional claims denials. You ...
Proper reporting of modifier 99 and modifier sequencing will get your physician paid. Modifier 99 Multiple modifiers doesn’t get a lot of attention — maybe because it’s rarely needed — but knowing when to apply it can make the difference in getting a claim paid. Refer to CPT® Guidance Appendix A — Modifiers tells us: ...
Coding these preventive procedures depends on the payer. For 2017, the American Medical Association (AMA) deleted CPT® 77051, 77052, 77055, 77056, and 77057, and introduced three replacement codes to report mammography: 77065 Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral 77066 … bilateral 77067 Screening mammography, bilateral (2-view study of each brea...
Awareness plays a role in recent and forthcoming code changes. Over the past four years, major changes have occurred in mental health coding and drug screen services. These originated partly due to CPT® codebook changes, as well as political pressure, high profile deaths, and changes in the Centers for Disease Control and Prevention (CDC) guidelines. ...