Nov 1st, 2014
When choosing codes, factor in age, time, CMS, CPT®, and bundling rules. by Holly Cassano, CPC Proper documentation and coding of critical care services depend not only on the Centers for Medicare & Medicaid Services (CMS) and CPT® guidelines, but also the payer (individual payers may have unique critical care requirements). To help ensure you ...
Jan 1st, 2012
Successfully apply E/M code modifications in several service categories. With the release of CPT® 2012, evaluation and management (E/M) guidelines have been updated to clarify the meaning of “new” vs. “established” patients, and code use has been modified for several service categories. Here’s what you need to know to apply these changes successfully. Three-year Rule ...
Dec 1st, 2011
Whether it’s new modifiers, E/M, radiology, or Category II codes, we have the outlook for what’s on the horizon. By Raemarie Jimenez, CPC, CPMA, CPC-I, CANPC, CRHC CPT® 2012 arrives with over 500 code changes, plus minor additions to the Evaluation and Management Services Guidelines. The revised evaluation and management (E/M) guidelines clarify the “three-year ...
Apr 1st, 2009
CPT® 2009 codes for saving young lives consolidated By G. John Verhovshek, MA, CPC CPT® 2009 includes considerable revisions to codes and guidelines describing inpatient pediatric critical care. Codes 99293-99296 were deleted and replaced by four new, age-specific codes to identify the initial and subsequent date(s) of service. This brings all the critical care codes ...
Feb 1st, 2008
You’re Probably Familiar with Critical Care Codes 99291-99292, But Have You Experienced Coding Intricacies for Pediatric Patients 24 Months of Age or Younger? By Patricia Champion, CPC The same definition for critical care applies to all age groups—adult, child, and neonate. CPT® defines critical care as the direct delivery by a physician of medical care ...