This quick reference sheet is packed with useful information. It covers consults, initial and subsequent hospital visits, and observation. Specifically for general surgery, it includes: CPT® codes for each of the above categories, documentation requirements, MDM examples, and more…
Critical Care
Critical care has high relative value units and payments so it’s important to know the coding rules. This video describes when and how to bill for critical care services including: the components of critical care, what can be included in the time of critical care and what can’t be included, and the time thresholds for […]
Excision of Soft Tissue, Lipoma Removal
This chart is a quick reference for soft tissue excision. It includes anatomic location and size for subcutaneous and subfacial excisions.
Excision of Benign or Malignant Lesions
This article reviews codes and guidelines for excision of skin lesions. For more information about minor procedures, see additional resources at the bottom of this page. This article includes: CPT® Codes for Excision Excision of Benign Lesions Excision of Malignant Lesions Excision of Soft Tumors Reporting Excision of Multiple Lesions of the Same Size Coding […]
Secrets of the Medicare Fee Schedule
The Medicare Fee Schedule is much more than Relative Value Units! It is the source of global days and status indicators. It tells if a service can be paid bilaterally, if an assistant at surgery is allowed and the break down of the professional and technical component for tests. What you need to know about […]
Explaining E/M Modifiers: 24, 25, 57
These evaluation and management modifiers indicate to a payer that the service provided was not part of the global surgical package. What are the criteria for using these modifiers? This video covers what you need to know about modifiers 24, 25 and 57 in about 15 minutes… Members can also download the modifier 25 audit […]
Billing for New Patients, Established Patients and Consults
Select the correct category of code: should it be a new patient, an established patient or a consult? This video includes CPT® and Medicare definitions, insurance considerations and documentation guidelines for each…
Billing a problem oriented visit with a preventive service
Two for the price of one, or report both a problem oriented visit and a preventive service? This video includes CPT® and Medicare guidelines for deciding if you can bill both the E/M service and the preventive service, or if you must select only one. After watching, check out this article for some additional resources.
ICD-10 Coding for Chronic Diseases – Part 1
This is the first part of a two part series regarding coding for chronic diseases. Includes coding for current conditions and some “status” conditions. This 10 minute video covers chronic conditions common to primary care and other specialties. Relevant Search Terms: diabetes, hypertension, obesity, heart disease, high blood pressure
ICD-10 Coding for Chronic Diseases – Part 2
This is part two of our series regarding coding for chronic diseases. Includes coding for current conditions and some “status” conditions. This 10 minute video covers some additional chronic conditions common to primary care and other specialties. Relevant Search Terms: smoking, angina, CAD, heart disease, MI, acute MI, diabetes, varicose veins
ICD-10-CM Coding for Depression and Anxiety
ICD-10 chapter 5 includes diagnosis codes for depression and anxiety. These codes require specificity. This video addresses how to select diagnosis codes for patients with depression or anxiety. Relevant Search Terms: mental health, mental health services, counseling, anxiety, depression
ICD-10-CM Coding for Personal and Family History and Abuse
Learn the correct coding for personal history of abuse and neglect, and family history of abuse and neglect. Includes discussion of “history of” vs. current abuse, and information on important key changes in ICD-10… Relevant Search Terms: physical abuse, psychological abuse, child abuse, neglect, adult abuse, mental health disorders, alcohol abuse, dependence, drug abuse, sexual […]
ICD-10-CM Coding for Use, Dependence and Abuse
Correctly select the most accurate code for substance use, abuse and dependence in ICD-10. This short video includes discussion of key changes including increased specificity… Relevant Search Terms: mental health disorders, alcohol abuse, dependence, drug abuse, addiction
How Physician Services are Paid – Infographic
CPT® codes, HCPCS, modifiers, global surgical packages, CMS formulas, diagnosis codes, location, and more…how do all these pieces come together for medical reimbursement? This helpful infographic from CodingIntel shows how physician services are paid with proper medical billing and coding.
Sequela, Aftercare or Personal History
When should a practice use an aftercare diagnosis code, a personal history of a condition diagnosis code, or a post-trauma sequela code? This video answers common questions about billing sequel, aftercare and personal history. Relevant Search Terms: coding, orthopedics, surgery, trauma, accidents, diagnosis codes, aftercare
Examination Codes in ICD-10
In ICD-10-CM, diagnosis coding for preventive medicine services are divided as with or without abnormal findings. Learn about ‘Z’ codes in this 5 minute video on examination codes in ICD-10… Relevant Search Terms: Z codes, preventive medicine, diagnosis codes, examination codes, immunization
Diagnosis Coding: It’s Not Just for Claims Anymore
What to Know About HCC Codes, Medicare Risk Adjustment and HCC Coding Guidelines Getting ready for risk-adjusted diagnosis and alternate payment systems requires paying greater attention to diagnosis coding. This video from CodingIntel describes why medical practices need to step up their game in diagnosis coding, as well as the importance of proper HCC codes, […]
Nursing Facility Services
This video summarizes the rules related to billing for nursing facility visits in about 5 minutes. Covers CPT® codes 99304-99310 including discussion about these services relative to hospital discharge.
Coding for Signs and Symptoms in ICD-10
Say good bye to “rule out” for physician claims. This review of coding for signs and symptoms for physician services will bring you up-to-date in about 5 minutes…
Selecting Category of Code
Some of the most common questions we receive are in regard to selecting category of code for E/M services. This 20 minute video offers step by step guidance for accurately selecting the category of code for office, inpatient, emergency, and observation services.
Medicare Rules for Incident To and Shared Services
Whose provider number is being used to bill services to the insurer, or to Medicare? This is a compliance risk area often overlooked. This 10 minute video defines incident to and shared services and explains the Medicare rules around billing for these services. Reduce your compliance risk by accurately billing these services…