Primary Care Coding Alert
Condition Spotlight:
Learn to Differentiate Among Headache Codes
Also: review the latest additions to the migraine code set. Headaches come and go, and ma... Read more
Learn to Differentiate Among Headache Codes
Also: review the latest additions to the migraine code set. Headaches come and go, and ma... Read more
ICD-10 Coding:
Navigate These Scenarios, Keep Your Pharyngitis Coding on Track
Hint: Exposure to smoking may be relevant. Coding pharyngitis may seem cut-and-dried, b... Read more
Navigate These Scenarios, Keep Your Pharyngitis Coding on Track
Hint: Exposure to smoking may be relevant. Coding pharyngitis may seem cut-and-dried, b... Read more
Practice Management:
Upgrade Your Understanding of Transgender Patient Care
Pronoun mismatches can lead to denials. Patients are always looking for healthcare prov... Read more
Upgrade Your Understanding of Transgender Patient Care
Pronoun mismatches can lead to denials. Patients are always looking for healthcare prov... Read more
You Be the Coder:
Review the Coding of Pressure Ulcer Stages
Question: If a patient has a pressure ulcer on their back, what is the difference amo... Read more
Review the Coding of Pressure Ulcer Stages
Question: If a patient has a pressure ulcer on their back, what is the difference amo... Read more
Reader Questions:
See Which QPP Policies Didn’t Make the 2024 Final Rule
Question: Were there any Quality Payment Program (QPP) policies that the Centers for ... Read more
See Which QPP Policies Didn’t Make the 2024 Final Rule
Question: Were there any Quality Payment Program (QPP) policies that the Centers for ... Read more
Reader Questions:
Remember the Basics of Reporting SDoH
Question: I'm reading all about the importance of reporting social determinants of he... Read more
Remember the Basics of Reporting SDoH
Question: I'm reading all about the importance of reporting social determinants of he... Read more
ICD-10 Coding:
Put More Pep In Your Post-Menopausal Condition Coding
Remember the differences between urge and stress incontinence. Primary care practitioners... Read more
Put More Pep In Your Post-Menopausal Condition Coding
Remember the differences between urge and stress incontinence. Primary care practitioners... Read more
Condition Spotlight:
Up Your COPD Coding Know-How With This How-To
Find out what diagnoses fall under J44.-. With guidelines and Includes, Excludes1, Exclu... Read more
Up Your COPD Coding Know-How With This How-To
Find out what diagnoses fall under J44.-. With guidelines and Includes, Excludes1, Exclu... Read more
Mythbusters:
Bust These Myths to Clarify your QHP Questions
See who qualifies as a QHP. What constitutes a qualified healthcare professional (QHP), ... Read more
Bust These Myths to Clarify your QHP Questions
See who qualifies as a QHP. What constitutes a qualified healthcare professional (QHP), ... Read more
You Be the Coder:
Be Ready for Spring Sports with These Codes
Question: Our physicians are starting to see a lot of school-aged patients who need S... Read more
Be Ready for Spring Sports with These Codes
Question: Our physicians are starting to see a lot of school-aged patients who need S... Read more
Reader Questions:
Remember Combo Codes in This Atherosclerosis Case
Question: If a patient has atherosclerotic heart disease with angina pectoris, do I r... Read more
Remember Combo Codes in This Atherosclerosis Case
Question: If a patient has atherosclerotic heart disease with angina pectoris, do I r... Read more
Reader Questions:
Understand UTI Coding Post Pregnancy
Question: I've coded urinary tract infections (UTIs) several times, but my colleagues... Read more
Understand UTI Coding Post Pregnancy
Question: I've coded urinary tract infections (UTIs) several times, but my colleagues... Read more
Case Study Corner:
Clear the Way for Accurate Cerumen Removal Coding
Hint: removal method is key. Removal of ear wax, or cerumen, is one of the most common in... Read more
Clear the Way for Accurate Cerumen Removal Coding
Hint: removal method is key. Removal of ear wax, or cerumen, is one of the most common in... Read more
ICD-10 Coding:
Don’t Lose Sleep Over These Sleep Disturbance Codes
Also: refresh your memory of the sleep apnea codes. A primary care practitioner (PCP) is... Read more
Don’t Lose Sleep Over These Sleep Disturbance Codes
Also: refresh your memory of the sleep apnea codes. A primary care practitioner (PCP) is... Read more
Practice Management:
Clean Up Your Payer-Provider Relationship
Hint: it starts by understanding each side's struggles. Traditionally, the relationship b... Read more
Clean Up Your Payer-Provider Relationship
Hint: it starts by understanding each side's struggles. Traditionally, the relationship b... Read more
Reader Questions:
Report the Right Vasomotor Rhinitis Code
Question: A patient presented with a runny nose, nasal congestion, and postnasal dri... Read more
Report the Right Vasomotor Rhinitis Code
Question: A patient presented with a runny nose, nasal congestion, and postnasal dri... Read more
Reader Questions:
Add These Codes to Your Lesion-Removal Repertoire
Question: When I billed +17003 along with 99213-25, the 99213 only paid at half its a... Read more
Add These Codes to Your Lesion-Removal Repertoire
Question: When I billed +17003 along with 99213-25, the 99213 only paid at half its a... Read more
Reader Questions:
Select SDoH Codes For Financial Strain Affecting Rxs
Question: During a recent follow-up appointment with an established patient, the pati... Read more
Select SDoH Codes For Financial Strain Affecting Rxs
Question: During a recent follow-up appointment with an established patient, the pati... Read more
You Be the Coder:
See When — and When Not — to Code Congenital Conditions
Question: Should I code for corrected gastroschisis when the patient comes in complai... Read more
See When — and When Not — to Code Congenital Conditions
Question: Should I code for corrected gastroschisis when the patient comes in complai... Read more
Final Rule:
Implement +G2211 into Your 2024 Coding Strategy
Also: find CMS guidance regarding +G2211 and modifier 25 In addition to the final rule up... Read more
Implement +G2211 into Your 2024 Coding Strategy
Also: find CMS guidance regarding +G2211 and modifier 25 In addition to the final rule up... Read more
E/M Coding:
Test Your Understanding of MDM With These 3 Scenarios
Also: see what one MAC says about prescription drug management. Calculating levels of m... Read more
Test Your Understanding of MDM With These 3 Scenarios
Also: see what one MAC says about prescription drug management. Calculating levels of m... Read more
ICD-10 Coding:
Breathe New Life Into “Simple” Bronchitis Coding
Also: see which Z codes could apply to your claim. Bronchitis is a common condition, and ... Read more
Breathe New Life Into “Simple” Bronchitis Coding
Also: see which Z codes could apply to your claim. Bronchitis is a common condition, and ... Read more
You Be the Coder:
Can You Code This Abnormal Atrial Rhythm Scenario?
Question: Our primary care practitioner (PCP) recently saw a patient for a follow-up... Read more
Can You Code This Abnormal Atrial Rhythm Scenario?
Question: Our primary care practitioner (PCP) recently saw a patient for a follow-up... Read more
Reader Questions:
Read Descriptors Carefully for MZL Dx
Question: Our physician diagnosed a patient with a urinary tract infection (UTI), but... Read more
Read Descriptors Carefully for MZL Dx
Question: Our physician diagnosed a patient with a urinary tract infection (UTI), but... Read more
Reader Questions:
Serve Correct Coding in This Tennis Elbow Case
Question: Encounter notes indicate that the provider met with a new patient complaini... Read more
Serve Correct Coding in This Tennis Elbow Case
Question: Encounter notes indicate that the provider met with a new patient complaini... Read more
Final Rule:
Find Four Takeaways From the 2024 MPFS Final Rule
Also: Gain insight into the split/shared policy update. On Nov. 16, the Centers for Medi... Read more
Find Four Takeaways From the 2024 MPFS Final Rule
Also: Gain insight into the split/shared policy update. On Nov. 16, the Centers for Medi... Read more
Quiz:
Has Mental Health Coding Got You Down? Take This Quiz to Find Out
Answer these questions to help you increase your coding confidence. When the blues are a ... Read more
Has Mental Health Coding Got You Down? Take This Quiz to Find Out
Answer these questions to help you increase your coding confidence. When the blues are a ... Read more
Lesions:
Ensure Your Skincare Coding Skills are More Than Surface-Level
Also: understand Medicare frequency rules for routine care. Patients often think of the... Read more
Ensure Your Skincare Coding Skills are More Than Surface-Level
Also: understand Medicare frequency rules for routine care. Patients often think of the... Read more
Quiz Answers:
Check Your Answers to Our Mental Healthcare Quiz
Find out if your coding comprehension is correct. Once you've answered the quiz questions... Read more
Check Your Answers to Our Mental Healthcare Quiz
Find out if your coding comprehension is correct. Once you've answered the quiz questions... Read more
You Be the Coder:
See if You Can Correctly Code This HIV Encounter
Question: One of our physicians diagnosed a patient who is four weeks pregnant with H... Read more
See if You Can Correctly Code This HIV Encounter
Question: One of our physicians diagnosed a patient who is four weeks pregnant with H... Read more
Reader Question:
Avoid Double-Billing by Dissecting This Same-Office Scenario
Question: My office has primary care physicians (PCPs) and ob-gyn doctors. We have a ... Read more
Avoid Double-Billing by Dissecting This Same-Office Scenario
Question: My office has primary care physicians (PCPs) and ob-gyn doctors. We have a ... Read more
Reader Question:
Remember ICD-10 Update When Reporting Resistant Hypertension
Question: My physician documented resistant hypertension. How should I report this? ... Read more
Remember ICD-10 Update When Reporting Resistant Hypertension
Question: My physician documented resistant hypertension. How should I report this? ... Read more