Dear John, Q: When reporting radiology services, are transcription services considered to be included in the technical component (TC) or the professional component (PC)? A: When defining professional and technical components for radiology services, the Centers for Medicare & Medicaid Services (CMS) stipulates: The PC of a service is for physician work interpreting a diagnostic test or ...
ICD-10-CM Sequela Q: I have a question regarding the seventh character extensions in ICD-10. Are there specific rules to follow when classifying a visit as active treatment? As I understand it, if the patient is still receiving medication refills, activity restrictions, physical therapy without significant improvement, etc., the patient is receiving active treatment.  We billed S33.5XXA ...
Sep 1st, 2015
Q: When we report 93016 Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; supervision only, without interpretation and report and 93018 Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological s...
Aug 1st, 2015
Have a Coding Quandary? Ask John Q: Which evaluation and management (E/M) codes should be billed for patients seen in either a free-standing post-acute brain injury rehabilitation facility or a free-standing residential brain injury rehabilitation facility? The physician would be visiting the patient for psychiatric medication management.  —California Physician A: In years past, CPT® included a ...
Have a Coding Quandary? Ask John   Q: We recently (2014 charges) reported for a Medicare patient: 29827-LT Arthroscopy, shoulder, surgical; with rotator cuff repair-Left side 29823-59-LT Arthroscopy, shoulder, surgical; debridement, extensive-Distinct procedural service 29819-59-LT Arthroscopy, shoulder, surgical; with removal of loose body or foreign body +29826-LT Arthroscopy, shoulder, surg...