Archives for January 2017

This 5 minute video covers the criteria for billing Advance Care Planning services, CPT® codes 99497 and 99498. For additional information on Advance Care Planning, see this article. Also download the CMS ACP fact sheet at the end of this post.   Download CMS Fact Sheet

Care Management for Behavioral Health Conditions Overview CMS developed HCPCS G0507 code for care management performed by clinical staff for patients with behavioral health conditions. Explanation This service describes care management by clinical staff members for patients with behavioral health conditions.  It is a non-face-to-face service, and the 20-minutes of time in the calendar month […]

Lunch and Learn There are three sets of prolonged services codes. The first set describes add-on codes to E/M services, 99354—99357. The second set of newly paid prolonged services codes are for non-face-to-face prolonged care, on the same or different day as an E/M service, 99358—99359. Finally, there is a set of codes for staff […]

Coding. Why does is keep changing? This post was out of date and has been removed. For information about the global surgical package and postoperative care, see these resources: Billing Guide-Global Surgery Modifiers in the Post-op Period | Global Surgical Package Global Surgical Package Or Browse the resource library by topic, keyword, or code See CMS […]

CPT® has two modifiers for telemedicine. CMS and private payers regularly change their instructions about using these modifiers and what place of service to use. Modifier 95 is for use with real-time, audio/visual visits. Modifier 93 is for audio-only telehealth services Modifier 93: Synchronous Telemedicine Service Rendered Via Telephone or Other Real-Time Interactive Audio-only Telecommunication […]

In 2017, CMS developed a HCPCS code, G0505, for cognitive assessment of patients with a cognitive impairment. This code was replaced in 2018 with CPT® code 99483. G0505: Cognition and functional assessment using standardized instruments with development of recorded care plan for the patient with cognitive impairment, history obtained from patient and/or caregiver, by the […]