Health care organizations have started wound care clinics to care for patients with non-healing wounds and frequently use wound care debridement codes to report the services. The care of a post-op wound is done by the surgeon in the global period, and is not separately paid, unless it is on-going and the care for the […]
Archives for December 2016
Quick Coding Reference Sheet – E/M Services
This quick reference coding guide to E/M services covers consults, initial and subsequent hospital visits, and observation. This essential resource from CodingIntel includes: CPT® E&M codes for each of the above categories, documentation requirements, MDM examples, and more.
Quick Coding Reference Sheet – Psychiatry
These quick reference sheets for evaluation and management services cover inpatient and outpatient consults, and inpatient and subsequent hospital services. Specifically for psychiatry, this essential resource includes: CPT® codes for each of the above categories, documentation requirements, MDM examples, and more…
This Practice Paid Medicare $4.48 Million
Do you sign up for email lists and then wonder why you did it? We all do, don’t we? But, one email I always read is from the Department of Justice that links to a description of actions, settlements and indictments related to health care billing and coding A few years ago, an Orthopedic practice […]
Modifier 57
Decision for Surgery. An evaluation and management service that resulted in the initial decision to perform the surgery may be identified by adding modifier 57 to the appropriate level of E/M service. The payment for major surgery includes E/M services provided on the day of and the day before a major surgical procedure, unless it […]
Psychotherapy Coding Changes
Words removed from one set of codes, time added to another code. There are two changes in the psychiatry section of CPT® for 2017 behavioral health billing. The first is the description of psychotherapy CPT® codes were revised to remove the words “and/or family.” In 2016, CPT® code 90832 was defined as “Psychotherapy, 30 minutes […]