e&m coding

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    Question Chiropractic NP E&M coding

    I have been having denials on claims with both 99203 or 99202 and 98941. This is not always the case. When I get it sent for review as both procedures being separate and distinct procedures, I am 50% on my success rate at getting it paid. I often get referred back to NCCI. This is all I can...
    • AMYDAWN90
    • Thread
    • 98941 99202 99203 chiropractic e&m coding new patient e&m spinal manipulation
    • Replies: 0
    • Forum: Chiropractic
  2. E

    Wiki What is the MDM Table C (Risk of Complications and/or Morbidity or Mortality of Patient Management) Level for Omeprazole 40 MG?

    What is the MDM Table C (Risk of Complications and/or Morbidity or Mortality of Patient Management) Level for Omeprazole 40 MG?
  3. L

    Wiki E/M Observation Status question

    A physician was asked to consult on a MEDICARE patient that is in observation status. what category of E&M code would you use? **I am so confused on this one.??
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    Wiki E&M billing under an ASC setting

    Can an E/M be performed & billed under an ASC setting if provided the fact that there was no other procedures performed on a same day ? Any advise to this is highly appreciated.
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    Wiki Evaluation and Management - data count

    Will it be right to say this plan has moderate data for 3 tests not ordered but may have been suggested or possible considered for this type of problem addressed? Impression: Cough (primary encounter diagnosis) Plan: Mother declined any testing (strep/flu/covid) for pt Mother just restarted...
  6. S

    Wiki telephone evaluation (new patient) from Nurse Practitioner from cardiovascular / office visit from Surgeon on the same date

    I am wondering if I can have some insight on this question. The patient was seen in Cath Lab 2 days prior: Heart Cath A Nurse Practitioner does a telephone call for a New patient (reviewing history, checking all the labs, diagnostic imaging, provider notes and risk and benefits for...
    • SSweetland
    • Thread
    • cardiovascular e&m coding
    • Replies: 0
    • Forum: E/M
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    Wiki E&M Coding??

    E&M level decision making? I believe it is the Provider's responsibility to choose the level of E&M services he/she provided. Then it is the Coder who should review. We have some Providers that are saying it is the Coders who should choose the level. I am looking for supporting documentation to...
  8. K

    Wiki E&M level decision making?

    E&M level decision making? I believe it is the Provider's responsibility to choose the level of E&M services he/she provided. Then it is the Coder who should review. We have some Providers that are saying it is the Coders who should choose the level. I am looking for supporting documentation to...
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    Wiki 2021 MDM: Procedure Risk Factors

    What would you identify as a procedure risk factor? Is it the documented inherent risks of the procedure? Please provide supporting references if possible.
  10. R

    Wiki 2021 E&M Changes

    Does anyone have any good resources for physicians in order to educate them on the 2021 changes?
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    Wiki Multiple Nurse Providers

    Can someone please help me code this scenario: PHN sees a patient for a quick office visit (i.e. pregnancy test visit) worthy of a 99211. Patient's pregnancy test come back positive and requests for further guidance. NP comes in for a visit worthy of a 99213. Can I bill both 99211 and 99213...
  12. A

    Wiki Physician E&M service same day Facility Infusion

    I hope I can get someone to shed some light on this issue. physician E&M service and facility infusion on the same day- So in peds, often times, the physician ends up seeing the patient on the same day as infusion therapy that is billed by the facility. Since the clinic and infusion suite...
  13. T

    Wiki Nurse visits and UAs

    Our coding dept is being requested to bill out a UA with a 99211. I know as it is an E&M I can add a 25 modifier. I am having trouble with this because of the UA having its own CPT code and by my understanding of E&Ms you can only bill both if there is a separate reason for the E&M service. Is...
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    Wiki Surgical/E&M codes

    Is it ok to send both E/M and surgical service together if no separate identifiable non-surgical service is given at the time of service? Is it per payer contract, which can allows both together(E/M and Surgical codes) or E/M code can supersede Surgical code even though it is truly surgical...
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    Wiki E&M productivity benchmark

    Hello All, My employer is looking for a way to gauge our heatlhcare providers as it relates to how well thier doing or not doing in thier E&M coding. Dose anyone know of any industry standard or some type of E&M productivity benchmark?
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    Wiki E/M Dermatology 99212, 99213

    We have had some difference of opinon on how to bill out the E&M lately with new drs on staff vs drs that have been here for years. Generally patient comes in here for a Full Skin exam which may or may not result in some biopsies but mostly the only other things notes are SK's and maybe Acne or...
    • LBernat7
    • Thread
    • dermatology e&m e&m coding
    • Replies: 2
    • Forum: E/M
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    Wiki Can a Physician charge an E&M with an EMG?

    Any help with this question would be greatly appreciated. Reference materials are welcomed also, thank you!
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    Wiki E&M Coding for non coders presentation

    Does anyone have a basic 101 E&M coding for non coders presentation that you are willing to share?
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