Neurology & Pain Management Coding Alert

Condition Spotlight:
Move Quickly to Diagnose Patients With Movement/ Mobility Issues
Do you know what fasciculation is? There's a diagnosis code for it. Patients who report t... Read more
E/M Coding:
Find Clarity Amidst MDM Coding Confusion
Hint: Look to MACs for guideline help. The gray areas inherent to medical decision makin... Read more
Cybersecurity:
Stay on Top of Cyber Threats As You Introduce New Tech and Services
Bookmark the HC3 webpage for quick access to federal guidance. With the rise of telehea... Read more
You Be the Coder:
Testing for Ocular Torticollis
Question: A new patient reports to the neurologist with head tilt to the left and eye... Read more
Reader Questions:
Medicare Ups Conversion Factor … Slightly
Question: Has there been any change to the Medicare Physician Fee Schedule (MPFS) con... Read more
Reader Questions:
Get Up to Speed on Conversion Disorder Types
Question: Encounter notes indicate that a patient suffers from “psychogenic aphonia... Read more
Reader Questions:
Determine Whether to Code Dementia With Alzheimer’s Diagnosis
Question: Dementia is a symptom of Alzheimer's, so does that mean I can't code them t... Read more
Reader Questions:
Respond to Record Requests With These Tips
Question: What's the best way to respond to a documentation request from another phys... Read more
Condition Spotlight:
Use These Tips to Code TBI Treatments
Your practice's treatment will start patient's road to recovery. When a patient reports t... Read more
News You Can Use:
CPT® Unveils New Unlisted Procedure Rules
Now, you can code for each unlisted procedure. A recent article in CPT® Assistant saw th... Read more
Compliance:
Use These Tips to Increase Appeal Acceptance
Noting current patterns could head off future denials. Appealing denials is time-consumi... Read more
Reader Questions:
Get Anatomy Right for Chemodenervation
Question: When a patient reports for chemodenervation, what code should I report for ... Read more
Reader Questions:
Know How Physician Tests for Rebound Tenderness
Question: Encounter notes indicate that a patient suffered from “ab rebound tender... Read more
Reader Questions:
Remember This Tip for Modifier 25 Claims
Question: Should I always append modifier 25 for a minor procedure with an evaluation... Read more
You Be the Coder:
Depend on CSF Leak Location to Code Dx
Question: If a patient suffers from a “CSF lead, skull base,” how should I choose... Read more
ICD-10 Coding:
Support Spondylopathy Dx With Encounter Info
This ‘general' code set contains several very particular codes. You would be forgiven ... Read more
Compliance:
Use These Tips to Navigate NCCI Edits
Remember to use modifier 59 sparingly. You might not know it, but the software you use at... Read more
E/M Coding:
Use This Refresher to Check Out Updated Hospital Coding Rules
Report the same codes for observation and initial hospital care. Within the past few year... Read more
Reader Questions:
Details Needed for Ataxia Dx
Question: Encounter notes indicate that the physician treated a patient with “hered... Read more
Reader Questions:
Check if QHP Performed Pump Refill
Question: If a patient has an implantable pump in their spine that the provider refil... Read more
Reader Questions:
Complication Type Vital to ICD-10 Choice
Question: If a patient suffers from an intra- or postoperative complication involving... Read more
You Be the Coder:
Mind Alternate Terms on Dystonia Dx
Question: Encounter notes indicate that a patient suffers from “familial dystonia, ... Read more
2024 MPFS:
Split Visit Rules now Shared by CMS, CPT®
MDM scoring will be affected by ruling. It's 2024, and it's finally happened. CPT® and... Read more
ICD-10 Coding:
Use This Advice to Code Demyelinating CNS Diseases With Confidence
Code to 5th character for a pair of diagnoses. Patients with demyelinating diseases of ... Read more
E/M Coding:
Follow This FAQ to Answer New/Established Px Question
Do you know how to code a patient that follows a physician? Knowing whether a patient i... Read more
You Be the Coder:
Testing for Embolic Cerebellar Abscess
Question: Notes indicate that the physician performed a level four office evaluation and m... Read more
Reader Questions:
Know Role of Independent Historian
Question: I am working as a coder for the first time and one of my providers wrote th... Read more
Reader Questions:
Remember, All Fatigue Syndromes Aren’t the Same
Question: Are all fatigue syndromes the same, for diagnosis purposes? For example, if... Read more
Reader Questions:
Use Unlisted Codes for These Facet Joint Destructions
Question: Encounter notes indicate that the physician performed destruction of a sin... Read more
Reader Questions:
I.D. all 5 Levels of Medicare Denial Appeals
Question: I filed a claim for a Part B patient with my Medicare Administrative Contra... Read more
2024 MPFS:
CMS Cuts CF Again
Final decrease actually larger than proposed. Medical practices will have to tighten thei... Read more
ICD-10 Coding:
Use This Guide to Assigning Top Neurology Diagnoses
Do you know how to code headache syndromes? In a neurology practice, there are going to ... Read more
2024 MPFS:
Check Out These Fee Schedule Highlights
Telehealth services continue to evolve. As the healthcare industry tries to move on from ... Read more
You Be the Coder:
Remember Synonyms for This Syndrome
Question: Encounter notes indicate that the provider treated a patient whose final diagnos... Read more
Reader Question:
Base E/M Code Choice on Px Status
Question: Encounter notes indicate that the PM physician provided an office evaluatio... Read more
Reader Question:
Confer With Physicians on Popliteal Block Coding
Question: Some of our physicians are telling us that popliteal blocks are technically... Read more
Reader Question:
Rely on ‘Other’ Dx for Spinal Cord Edema
Question: If a patient has spinal cord edema, should I report the condition with G95.... Read more
Reader Question:
Extend E/M Beyond Face Time
Question: One of our providers wants to bill an evaluation and management (E/M) visit... Read more
Reader Question:
Take MDM Decision Seriously
Question: Do inherent risks, such as perforation, make all surgeries “high risk” ... Read more
Reader Question:
Know Who’s Responsible for Final Dx
Question: Who is responsible for the final diagnosis used for an office/ outpatient e... Read more
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