Question: Can you please give me your opinion on a coding case? We have a surgical oncologist that performed an excision of malignant skin lesions on the face, using code 11621. A plastic surgeon (in the OR at the same time) performs immediate reconstructive closure. It was an intermediate repair using 12051. It is my […]
Archives for October 2017
Prolonged Services and Nursing Home Visits
Question: Prolonged Services and nursing home visits. I’m getting a “Code 99358 is a column 2 code for 99309, these codes cannot be billed together in any circumstance” error from our scrubber when we try to bill CPT® 99358 and 99309 on the same date of service. I thought these were billable with other E/M’s […]
Denial Management Strategies
Recorded October, 2017
Medical practices can decrease denials and accelerate payments by setting up work processes that use advance functions in their software systems to identify, quantify and categorize denials. The purpose is to identify patterns related to coding, enrollment, prior authorization and specific payer performance. This presentation will focus on using these systems related specifically to ICD-10, but the underlying strategy to understand the causes of denials, and reduce or prevent them in the future is applicable for all denial reasons.
Can We Bill for IUD Removal and Insertion on the Same Day?
Question: Can I bill 58301 for IUD removal and bill 58300 for IUD insertion on the same day, if the provider removes and then inserts another IUD? And, can we bill an E/M with it?
HCC Diagnosis Coding: Can you Add a Code from the Past Medical History?
This post describes rules for office/outpatient coding, not facility/DRG rules. Recently a fellow coder wrote to me about risk adjusted diagnosis coding. She was responding to an article that I wrote in which I stated the conditions listed in the past medical history should not be included on the claim form by the coder. I […]
CPT® Code 99483: Cognitive Assessment and Care Plan Services
Developed in 2018, this service describes an in-depth assessment and development of care plan services for new or established patients who have signs of cognitive impairment. Notice that the use of this code requires an independent historian, stated right in the CPT description. Cognitive assessment checklist Definition of CPT® code 99483 99483: Assessment of and […]