e/m

  1. K

    Wiki New to Chrio Coding

    Hi there, I am new to chiropractic coding. I understand that if it is an established patient you can not code an E/M level and a manipulation on the same day if it is the same diagnosis as before. My question is the Chiropractor I code for almost every time has an office level visit and a...
  2. D

    Wiki History of Colonic Polyps and E/M Codes

    Hello our physician at our practice used an E/M code of 99397 for a Dx code Z89010, this is a Medicare patient is this coding correct? Will Medicare pay?
  3. C

    Wiki Coders Needed! Remote or in NJ Office

    We are looking for E/M, Cardiology and multi-specialty coders. There are 3 positions currently open. Position: Onsite Full Time Permanent or Contract Medical Coder Location: Remote or In Jersey City Office CPC or equivalent. CPC-A’s are also welcome to submit their resumes for consideration...
  4. R

    Wiki billing E/M level instead of injection

    I have a Dr. who has a question about billing just for his E/M level vist and not for the injection that he gave the patient due to it probabaly being denied. Is this kosher. I am under the impression that you cannot just do this? Any feed back would be appreciated.
  5. C

    Wiki Billing ills and wells together

    I believe there is some controversy on this. Our office is billing both for same visit and we are getting paid for it. I assume others are as well. For those that are comfortable with this my question is how do you determine the level of e/m? Do you look at the components and kind of subtract...
  6. C

    Wiki Billing an annaul & E/M at the same time.

    It is my understanding that the annual exam needs a complete past, family & social history. pt. also has a level 4 (99214) illness, how do you separate the history for the annual and the E/M code?
  7. T

    Wiki E/m level 99221 - 99223 and 99231-99223 initial and subsequent hospital care

    Please help, can we as the hospital charge a e/m level for inpatient for a doc either employed or not by the hospital, even if the doc charges a e/m level through their clinic. We are having a discussion on this issue and of course we all do not agree and need outside advice. Or do you know...
  8. A

    Wiki E/M Leveling

    When coding for outpatient physician visits do i consider the diagnosis Z23-incounter for immunization as a diagnosis for the overall leveling of the e/m code??
  9. C

    Wiki FT onsite, coder needed

    Oklahoma City - Large multi-specialty physician group. E/M experience helpful. Please contact Terri @ 405-553-0852, for more information.
  10. C

    Wiki Modifier 59 help

    IBC stopped paying my claims for 2 e/m's (an office visit and preventive visit) and a flu shot . The claims had a 25 modifier on them but now all of a sudden because of NCCI edits I am being told that I have to use a 59 modifier. Is anyone familiar with this modifier - can you tell me if...
  11. J

    Wiki E/M & Surgery Coder Needed (Remote, Contract) - Gastroenterology

    Hi Coders, Aviacode is looking for coders that can code both E/M and SURGERIES for the following specialties: Cardiology Gastroenterology General Surgery Nephorology Neurology Neurosurgery Orthopedic Pulmonology If you have experience in one or more of those specialties with BOTH E/M and Surgery...
  12. J

    Wiki E/M & Surgery Coder Needed (Remote, Contract)

    Hi Coders, Aviacode is looking for coders that can code both E/M and SURGERIES for the following specialties: Cardiology Gastroenterology General Surgery Nephorology Neurology Neurosurgery Orthopedic Pulmonology If you have experience in one or more of those specialties with BOTH E/M and Surgery...
  13. S

    Wiki Intraoperative consults

    What E/M code do you use when billing for an intraoperative consult?
  14. S

    Wiki What is your go to refrence that is not the DG's or google?

    I know there are lot of books that provide guidance for documentation and auditing of E/M services. I'm curious which one book is your go to . . . ?
  15. L

    Wiki Breastfeeding consult during Postpartum

    If a mother has a visit for breastfeeding consultation/instruction during her 6-8 week postpartum period, can you bill an E/M for the visit or is the visit considered part of the postpartum period?
  16. L

    Wiki Billing CPT 69209 - Ear Lavage

    So excited to see this new code added. Can anyone clarify if this code can still be used in conjunction with an E/M service as long as additional diagnosis' were covered to associate with the E/M?
  17. M

    Wiki Observation versus ER vist and in or outpatient E/M

    We are a private practice specializing in Orthopedic Surgery, with on call duties at the local hospitals. Recently we hired a new coder, who believes our physicians should be using the observation codes when called into ER or when the patient has been admitted by Hospital Medical Services. We...
  18. S

    Wiki What is your go to refrence that is not the DG's or google

    I know there are lot of books that provide guidance for documentation of E/M services. I'm curious which one book is your go to . . . ?
  19. J

    Wiki Multi-Specialty E/M Coder Wanted (Remote 1099 Position) - Aviacode is looking for Mul

    Aviacode is looking for Multi-Specialty E/M coders (remote 1099 position). See the job description and how to apply here: https://goo.gl/Jb6tiS
  20. O

    Wiki 36589 without guidewire

    I have a surgeon who removed a dialysis catheter by simply removing cuff and pulling out the line (that is the documentation). Put pressure on for 10 min and bandaged. Coder assigned 36589 which I think is incorrect. I hesitate to reduce with /52. My initial instinct is to use an E/M code...
  21. M

    Wiki FP performing Consults?

    I have been stirring about this and I just cannot think of any examples where a Family practice doc would be billing a consult? I have a doc (who always has to "beat the system" in some way, shape or form) who all of the sudden wants to bill consults. I would think he would be the one sending...
  22. G

    Wiki Experienced CPC- Nashville, TN Looking for Coding or Office MGMT Positon

    I have tons of experience I have been certified w/ AAPC since 1999, I have over 16 years of billing, collections, insurance and coding experience! I have about 5 years of prior supervisory experience. I am with my current employer for 5 years now and have decided to look for a new position. I...
  23. N

    Wiki I&D w/ E/M?

    So I have a provider who performed a full E/M on a lesion, concluded it was an abscess and performed an I&D and gave an antibiotic perscription. My question is would this be an E/M-25 w/ 10060 OR because the E/M was directed towards the abscess would this just be a 10060? Its the wording...
  24. N

    Wiki I&d w/ e/m?

    So I have a provider who performed a full E/M on a lesion, concluded it was an abscess and performed an I&D and gave an antibiotic perscription. My question is would this be an E/M-25 w/ 10060 OR because the E/M was directed towards the abscess would this just be a 10060? Its the wording...
  25. S

    Wiki E/M MDM Table 1: Self limiting/minor vs. New Problem

    I have been an auditor for several yrs and have never considered a self limiting or minor problem as a New Problem on the Med Dec Making Table of Risk (Table 1) # of Dx or Management Options. In my opinion and due to the fact that there is a separate box for self limiting (1 pt), it would need...
  26. S

    Wiki Physical vs New PT visit

    My husband went to the Dr. and I have questions regarding the coding because I am so close to this I wanted the opinion of others before I question the office. Pt called up and requested physical examination due to being new in the area and needed to establish a PCP. Pt received bloodwork and...
  27. L

    Wiki High level E/M?

    Established patient with four problems - all of them follow-ups. Progress notes a short assesment of each one, and a treatment plan. One is a toe nail Bx, one gets an injection, the other two are treated topically. Doc says that because there are so many, he should get a 99215. I've got no...
  28. C

    Wiki Emergency Medicine

    am wanting to do a Emergency Dept webinar, I was considering two: E/M Coding for the Emergency Dept and Emergency Medicine- How to Accurately Code They seem very similar in what they teach you. and both are rated highly.( I wish AAPC let people actually review a webinar, to let others know...
  29. C

    Wiki PSYCH E/M Coder-Auditor in SALEM OREGON

    RMC is an Oregon-based coding review and coding support services company, founded to assist healthcare facilities in obtaining correct reimbursement and minimizing lost revenue through complete and accurate coding, documentation improvement, and education. RMC has been providing comprehensive...
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