The 2023 CPT errata and technical corrections released by the American Medical Association AMA go into effect Jan. 1 2023. Make sure to mark these upcoming changes in your CPT code book to stay on top... [ Read More ]
The conversion factor is down but certain public health emergency flexibilities will continue. The 2023 Medicare Physician Fee Schedule MPFS and Quality Payment Program final rule released Nov. 1 allo... [ Read More ]
Auditors across the country learn what it will take to protect provider reimbursement from payer recoupment. Today concluded AAPCs second annual boutique conference that caters to the medical auditing... [ Read More ]
Industry experts explain the intricacies of the 2021 EM guidelines. During the Evaluation and Management EM Panel general session at AAPC8217s HEALTHCON in March an expert panel made up of a physician... [ Read More ]
Your words will carry more weight when you approach doctors in a thoughtful respectful way. In the coding and auditing world the provider is in the drivers seat. Generally the provider documents the s... [ Read More ]
Based on NCCI guidelines, modifier 25 would be appended to CPT 99497 when reported with 99223 when appropriate. For this NCCI edit pair, CPT 99223 is the column 1 code and 99497 is the column 2 code.... [ Read More ]
I would use the Eva/Mgnt CPT code for SNF (CPT 99304 till 99318) for a physician MD, PA, or NP in which he or she adds his words medication review in patient's HPI for the day s treatment. Also th... [ Read More ]
I found this under the lay terms for 90785. Hopefully this is helpful.
This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of s... [ Read More ]
Why are codes 99496 and 94150 being billed together? When/how was the decision for the need to do the test made? What DXs are you using?
For 94150, the guidelines state: "Codes 94010-94799 include la... [ Read More ]
Counseling and Coordination of Care Visits
With the reestablishment of typical/average time units, medically necessary E/M visits for counseling and coordination of care, for Nursing Facility Services... [ Read More ]
If our provider provides care to a client in a Residentrial Treatment Facility Place of service 55, what CPT codes would we use for his/her services? I am torn between two sets of codes Nursing Facili... [ Read More ]
If our provider provides care to a client in a Residentrial Treatment Facility Place of service 55, what CPT codes would we use for his/her services? I am torn between two sets of codes Nursing Facil... [ Read More ]
Report 94610 once per dosing episode.
Code... [ Read More ]