Contact us

Consent for Communication Technology-Based Services (CTBS)

Both CPT® and CMS have developed codes for non-face-to-face communication-based technology services (CTBS) in recent years. In addition to care management services, these include interprofessional consults, remote physiologic and therapeutic monitoring, and on-line digital E/M services In the 2020 Physician Fee Schedule Final Rule, CMS clarified the type of patient consent that is required to […]

Commonly Performed Procedures in Primary Care | Reference Sheet

These reference sheets for minor procedures include common CPT® codes, descriptions, current work and non-facility RVUs, and global days for quick reference. The first chart includes codes 10060-11443, the second 11600-17111, and the third 20550-54056.

Fracture Care Coding Fundamentals | Webinar

Webinar Postponed.
Webinar Date TBD.

Guest presenter Sarah Wiskerchen

This webinar describes the rules for reporting fracture care services using CPT® and Medicare guidelines. It covers the coding distinctions for closed, percutaneous, and open treatment of fractures, clarifies how casting, splinting, and strapping services are treated within the global surgical package, and addresses the correct use of selected modifiers and radiology and supply codes.

Blood Pressure Self-Measurement 99473, 99474 | Reference Sheet

CPT ® codes 99473 and 99474 are used to report specific clinical staff and/or Physician, NP or PA work related to blood pressure self-measurement by patients. This quick reference sheet defines the work, the time required, and lists the criteria for reporting these services.

Critical Care for General Surgery and Trauma Surgeons

Critical care provided as a stand-alone service is based on the seriousness of the patient, the types of intervention, and time spent in direct patient care. Critical care provided by a surgeon to a patient in a global period for procedures with a 10- or 90-day global period, must also follow the rules for critical […]

Clinical Staff Time

Question: : If a nurse helps with ROS, medication reconciliation, etc., would their time (if documented) be able to be included in the time for the visit?  

Coding for Medical Nutrition Therapy Services

Medical Nutrition Therapy Services (MNT) have been a covered benefit under Medicare since the early 2000’s. This article will describe the rules related to coding for medical nutrition therapy services for Medicare patients. This article also addresses common questions about coverage under the Medicare benefit with brief answers and links to the source documents for […]

Outpatient Diabetes Self-Management Training (DSMT) Services

Medicare covers diabetes self-management training (DSMT) services are a covered benefit under Medicare when all requirements are met. This article will provide an overview of the requirements and provide answers to some commonly asked questions. It will also provide you with links to the source material for DSMT coverage in the CMS Medicare Benefit Policy […]

Consultation Codes

CMS stopped recognizing consult codes in 2010. Outpatient consultations (99242—99245) and inpatient consultations (99252—99255) are still active CPT® codes, and depending on where you are in the country, are recognized by a payer two, or many payers. In 2023, codes 99241 and 99251 were deleted. These two low level consult codes were rarely used. There […]

Drug Therapy Requiring Intensive Monitoring for Toxicity

Question: When auditing MDM, is there a list of drugs that are considered “drug therapy requiring intensive monitoring for toxicity?” Answer: Not from the AMA or CMS. Some MACs or third parties may have lists. Here’s the definition:  

The Second Element of MDM: Amount and/or Complexity of Data

There are three elements in medical decision-making and this article describes the second, arguably, the most complex of the three elements When selecting a level of service based on medical decision-making two of the three elements are required CPT® has developed definitions for many of the components in the MDM chart. This article describes the definitions […]

Diagnosis Coding for Suspected Cancer

Diagnosis coding for possible malignancy When coding for a suspected or possible condition in the outpatient setting, follow the guidelines in Section IV. Diagnostic Coding and Reporting Guidelines for Outpatient Services.   “H. Uncertain Diagnosis Do not code diagnoses documented as “probable,” “suspected,” “questionable,” “rule out,” “compatible with,” or “working diagnosis” or other similar terms indicating […]

Modifier 25

Use of Modifier 25 may be applicable when an E/M service is provided on the same day as a procedure, a  preventive medicine service, or other medical service or procedure. Use this quick reference sheet to determine when to use modifier 25, and which code to append it to.

Using Modifier 33 | Quick Reference

Modifier 33 is used to identify certain screening and preventive services. This quick reference sheet addresses: when to use modifier 33, why to use it, screening colorectal cancer test, and planned screening colorectal test that converts to a diagnostic or therapeutic service.

Top Denied High-Value Inpatient ICD-10-CM categories of 2025 | Webinar

Recorded February 19th, 2026
1 CEU Expires 2-28-2027

Guest presenter Dr. Amarin “Ty” Alexander

This presentation will cover frequently denied ICD-10-CM codes in Inpatient Hospital claims from 2025. Clinical validation considerations and relevant ICD-10-CM Guidelines will be highlighted from the payer perspective.

Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions.

Copyright © 2026, CodingIntel
A division of Medical Practice Consulting, LLC
Privacy Policy