Diagnosis code descriptions don’t allow split billing for sick patients at your office for a preventive exam. ICD-10-CM strictly limits the circumstances under which a provider may report a same-day preventive visit and sick visit for the same patient. If the patient is symptomatic on arrival for a preventive visit, per ICD-10-CM guidelines, the visit ...
In CMS
Feb 8th, 2016
When reporting the preventive visit (well visit) and a problem-focused visit (sick visit) on the same day, you must append modifier 25 Significant, separately identifiable evaluation and management service by the same physician or other qualified healthcare provider on the same day of the procedure or other service to the problem-focused visit code. For example, ...
May 1st, 2012
Weed through the guidance to properly append this commonly confused modifier. By G.J. Verhovshek, MA, CPC, and Rita Von Holtum, CPC-H Nearly 18 months since its introduction at the American Medical Association’s (AMA’s) 2010 CPT® Symposium, modifier 33 Preventive service continues to cause confusion. Here, we review eight quick tips that teach you when and ...
In CMS
Jun 10th, 2011
Medicare’s same-day notification rule may soon undergo revisions that would ease requirements for ambulatory surgery centers (ASCs) and improve timely access to care. The Centers for Medicare & Medicaid Services’ (CMS) Same-Day Services Final Rule requires ASCs to inform patients of their rights and facility’s ownership prior to the date of surgery (with exceptions for medically-necessary...
May 1st, 2008
New internet and telephone codes for 2008 By Meera Mohanakrishnan, MSc, CPC Thanks to the internet, many patients have confidential contact with their health care providers. An online medical evaluation is an evaluation and management (E/M) service provided as a response to a patient’s online inquiry. Code Changes in 2008 The American Medical Association (AMA) ...