Eli's Rehab Report
Know CMS Guidelines for Subsequent Hospital Care
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The following are CMS'documentation guidelines for the three subsequent hospital care codes: Service should be about 15 minutes long and should entail medical decision-making for limited diagnosis and management options, posing low risk. The history of present illness (HPI) should review one to three components. The examination should be limited to the affected body area or organ system. Service should be about 25 minutes long and should entail medical decision-making for multiple diagnosis and management options or a new problem, posing moderate risk. HPI should include one to three components and a review of systems (ROS) of one system. Examination is limited to the affected body area or organ system and other symptomatic or related organ system(s). Service should be about 35 minutes long and should entail medical decision-making of high complexity, meaning that it involves extensive diagnosis and treatment options, posing high risk. HPI should review four or more components with a review of symptoms in two to nine organ systems. Examination extends to the affected body area(s) and other symptomatic or related organ system(s). Note: These follow the 1995 documentation guidelines, which most physiatrists favor.
Eli's Rehab Report
- Multiple Diagnoses, High Risk May Increase Inpatient Code Level
According to CMS data, physiatrists report 99231 more than any other CPT code, which indicates [...] - You Be the Coder:
Use V67.09 for Annual Visit
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - Know CMS Guidelines for Subsequent Hospital Care
The following are CMS'documentation guidelines for the three subsequent hospital care codes:
99231 Subsequent hospital [...] - High-Risk Patients May Warrant 99233
The following scenarios illustrate typical examples of when physiatrists use subsequent hospital care codes: Scenario [...] - Bier Block Coding Can Be Painless
Although you should choose 01995 when administering Bier blocks for surgical anesthesia, some payers do [...] - Clarification:
Coding Late Effects of CVA
The February 2003 article "Use Just One Diagnosis Code for Late Effects of Stroke" advised [...] - Reader Question:
Append -51 to Block With SI Injection
Question: Our physiatrist administered a caudal epidural block and a left sacroiliac (SI) joint injection [...] - Reader Question:
Use 64622 for Nerve Destruction
Question: Our physiatrist performed a radiofrequency thermal coagulation (RFTC) to disable the nerves in a [...] - Reader Question:
Mental Assessment Differs From MME
Question: One of our physiatrists performed a mental assessment on a patient who exhibited symptoms [...] - Reader Question:
Dont Code Both Injection and Nurse Visit
Question: When our nurses administer injections, we usually report the codes for injection administration, the [...] - Reader Question:
Report New MNT Codes for Changes
Question: A dietitian comes to our rehab facility once a week to meet with some [...] - Reader Question:
Medicare Will Deny Prolotherapy
Question: We have been performing an increasing number of prolotherapy injections in our practice, but [...] - Reader Question:
Report 99271 Series for Second Opinions
Question: One of my former patients, whom I havent seen in more than a year, [...]