Lunch and Learn Exam is the second key component of evaluation and management services. This short video discusses the requirements for documenting exam, including a review of the 1995 and 1997 Exam guidelines, and what you must document for high level visits. The printable companion resource will be a helpful reference sheet for providers, coders […]
Archives for April 2017
More Modifier Mishaps | CPT® Modifiers
Some modifier errors are easily avoided by experienced coders or practice management software with an editing function to stop incorrect claims before they are submitted. But, not all software has all of the edits. Sometimes, we rely on our clinicians to enter charges and add common modifiers. And, sometimes, we coders are overwhelmed by volume. […]
Pessary Cleaning and Re-Insertion
Question: Can we bill code 57160 when a patient comes in for a pessary cleaning? Answer: No, report an E/M service based on the key components. Â 57160 is for the initial fitting and insertion of the pessary. Read this post for more information about pessary billing and coding. See more Everyday Coding Q & A’s […]
Co-Surgery, Team Surgery, Assistant at Surgery
Modifiers for co-surgery, team surgery and assistant at surgery CPT® has specific modifiers for co-surgery, team surgery and assistant at surgery. There are specific rules for each situation. CMS has a fact sheet that is helpful, and that reference is at the end of the article. The Medicare Fee Schedule is published annually, and coders can […]