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Specialty Pages

Coding for every specialty is different. For some specialties, you’ll find the in-depth knowledge and specific coding information you need to accurately and compliantly submit claims. Whether you prefer reading articles, downloading reference sheets and coding guides or watching a webinar, CodingIntel has what you need.

Coding Guide – Fracture Care Coding Fundamentals

This guide provides rules for reporting fracture care services using CPT® and Medicare guidelines. It details 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. The […]

CDI and Coding for Myocardial Injury and Infarction | Webinar

Recorded February 9th, 2026
1 CEU Expires 2-28-2027

Guest presenter Dr. Robert Oubre

Dr. Oubre will provide a practical, clinically grounded review of myocardial injury and myocardial infarction through the lens of accurate documentation and compliant coding

Using Modifier 59 | Quick Reference

Modifier 59 is referred to by CMS as the modifier of last resort. It is often used when modifier 51 is the more accurate modifier. This quick reference sheet explains when, why and how to use it.

Coding Guide – Advanced Primary Care Management

Care management services have played an increasing role patient care management. CMS and other payers no longer pay only for face-to-face services, a concept that would have been unthinkable 15 years ago. CMS began paying for Transitional Care Management Services in 2013, for chronic care management services in 2014. In the 2016 Final Rule, CMS […]

In Focus: CPT® Coding for Percutaneous Coronary Interventions (PCIs) | Webinar

Recorded January 22nd, 2026
1 CEU Expires 1-30-2027

Guest presenter Shannon McCall of HCPro

In the 2026 revisions to CPT® codes, there are revised guidelines for the section Coronary Therapeutic Services and Procedures. Six existing add-on codes that reported additional interventions in the coronary branches are deleted, and base codes are revised to include the branches of the same coronary artery within the descriptions of the codes themselves.

Incident To Services – Medicare

Medicare has specific rules for billing for nurse practitioners and physician assistants and other office staff incident to a physician services in an office.  This article includes: Description, explanation and codes for incident-to services Billing and coding rules Brief video overview Enrollment of non-physician practitioners (NPPs) for incident-to billing Pharmacists and Part B Medicare reimbursements […]

HCPCS Codes for Behavioral Health

Post-discharge Telephonic Follow-up Contacts Intervention | G0544 Digital Mental Health Treatment | G0552, G0553, G0554 Safety Planning Interventions | G0560 Post-discharge Telephonic Follow-up Contacts Intervention HCPCS code: G0544 Descriptor: “Post discharge telephonic follow-up contacts performed in conjunction with a discharge from the emergency department for behavioral health or other crisis encounter, 4 calls per calendar […]

Interactive Complexity | CPT® 90785

Code 90785 is an add-on code for interactive complexity and may be added on to the diagnostic psychiatric evaluation (90791, 90792), psychotherapy services (90833—90838), and group psychotherapy (90853).  It may not be reported with an E/M service, if no psychotherapy is performed on that day, or with psychotherapy for crisis, (90839, 90840). +90785   Interactive complexity […]

Cognitive and Behavioral Health Screening and Testing

This article will review the codes and guidelines for the following behavioral health screening and testing services: Assessment of Aphasia and Cognitive Performance Testing Developmental And Behavioral Screening and Testing Neurobehavioral status examination Assessment of Aphasia and Cognitive Performance Testing CPT® codes for the assessment of aphasia and cognitive performance testing include: 96105 – Assessment […]

Performing Services that Increase Primary Care Revenue

Wellness Visits and Problem Visits at the Same Encounter Transitional Care Management Chronic Care Management Advance Care Planning HCPCS codes with low RVUs Advanced Primary Care Management Services | G0556, G0557, G0558 Post-operative Care Services Add-on Code | +G0559  

Behavioral Health Coding Compliance

Once again, with feeling: coding for behavioral health There are two videos on this page that describe OIG audits of behavioral health services. They are evergreen. If you’re new to the field of behavioral health coding, they are cautionary tales of what not to do. Coding for Behavioral Health Compliance lessons from the OIG It’s […]

Screening for Other Sexually Transmitted Illnesses (STI)

This article covers CPT® and diagnosis codes used for screening for other sexually transmitted illnesses. It includes descriptions and screening criteria. To tell whether or not you can collect a co-pay for the testing or not can be found on the U.S. Preventive Services Task Force (USPTF) website [1]. The Affordable Care Act mandated that […]

Anticoagulation Management

There are a few remarkable things about coding for anticoagulation management services. First, payment for these services bolsters Medicare’s support for primary care. This monitoring is typically done by either primary care or cardiology and before these codes were developed, the work was considered part of the pre-and post-work for an office visit. Although there […]

Billing Medical Practice Services for Patients on Hospice

Overview of Hospice Care Additional Services (non-Hospice Organization) Medicare beneficiaries who have a terminal illness with a life expectancy of six months or less can elect to have their end-of-life care provided by a hospice organization (the “hospice”). Medicare then pays hospice to provide all the care that the patient needs that is related to […]

Behavioral Health and Telemedicine

Behavioral health via telehealth is allowed permanently, thanks to the Consolidated Appropriations Act signed in Dec. 2020 and effective January 2021. The Consolidated Appropriations Act of 2021 permanently removed geographic and originating site restrictions for behavioral health services in Medicare, allowing beneficiaries to receive mental health services from any location, including their homes, without rural-only […]

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.

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