Tag Archives | Cpt Codes

How to Code for ‘Problem’ Discovered During Preventive Medicine Visit

The Current Procedural Terminology (CPT) manual offers guidelines on how to code for a “problem” that is addressed during a preventive medicine service. The guidelines cover “insignificant or trivial” problems as well as those that are “significant.” “An insignificant or trivial problem/abnormality that is encountered in the process of performing the preventive medicine evaluation and […]

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Release of New Codes Coming Down to Wire

Why is it important to take these new code changes seriously? It is extremely important to for coders, but we have to think of opportunities for documentation improvement and physician documentation. For simplicity, we want to minimize errors and maximize output. For many of this year’s code changes, we already see the documentation in record, […]

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ICD-10 Codes Aren’t Oppressive After All

Alexander Miller, M.D., a dermatologist in Yorba Linda, Calif., has a simple message for colleagues grappling with the new ICD-10 codes: Don’t panic! “It’s just a matter of restructuring one’s thinking,” Dr. Miller tells Dermatology Times. “It was no problem for us to handle these codes,” he says, even in his office that continues to […]

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How to Take Advantage of New Coding Opportunities in 2017

A new year means new codes and new revenue opportunities for medical practices—but also new challenges to ensure the codes are used correctly. Below is a brief summary of new current procedural terminology (CPT) codes, modifiers and place of service codes that went into effect January 1, 2017. Add-on prolonged E/M services You’ll find a […]

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Are Practices More Ready for ICD-10 Than They Realize?

Recent survey results from the Workgroup for Electronic Data Interchange (WEDI) seem dire for physician practices, but the numbers may not tell the whole story.

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Medicare Coding Errors to Avoid: Add-on, Place of Service, and Modifiers

Medicare audits have revealed recurring errors in billing with add-on and place-of-service codes. In addition, Medicare continues to receive claims that appear to be duplicate because they lack an appropriate modifier. Here are some guidelines for correct billing.

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How and Where to Look Up CPT Codes for Free

As patients, we don’t have the thousands of dollars it costs to tap into the extensive database information required for the entire body of CPT codes. But the AMA does offer us an easy way to look up one code at a time, for free.

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CMS Advises Delay in ICD-10 Front-End Testing Until October

Providers, suppliers, billing companies and clearinghouses can submit ICD-10 acknowledgement test claims anytime up to the new planned October 1, 2015 ICD-10 implementation date.

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CMS Extends Partial Code Freeze for ICD-9-CM, ICD-10

Information regarding the ICD-10 delay continues to trickle out of the Centers for Medicare and Medicaid Services. CMS has announced that the partial code freeze for ICD-9-CM and ICD-10 will continue through October 1, 2015–the new planned implementation date.

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ICD-10: Stay the Course

It has been a very bumpy ride since early April, when ICD-10 was delayed once again. Ironically, I was in the U.S. Virgin Islands when I received the news, training physician groups in St. Croix and St. Thomas.

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HRAA Responds to ICD-10 Delay

Health Revenue Assurance Holdings Inc. (otcqb:HRAA) (“HRAA”) a leading provider of revenue integrity solutions for healthcare provider organizations, announced its response to the one year compliance deadline delay for converting to ICD-10 coding.

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Revised CPT Codes Delayed Until 2016 for Additional Testing

The American Physical Therapy Association (APTA) reports that due to the magnitude of proposed changes to an entire family of physical medicine and rehabilitation codes, the editorial panel of the American Medical Association’s (AMA) Current Procedural Terminology (CPT) document has opted to postpone the finalization of the revisions.

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Acupuncture ICD-10 Insurance Billing Codes Made Easy

The new ICD-10 acupuncture insurance billing diagnosis codes are mandatory beginning October 2014. Here is a list of easy ICD-10 codes for insurance billing and reimbursement. This system is very different from the old ICD-9 diagnosis codes. Today, let’s go over some simple ways to convert to the new acupuncture insurance billing diagnosis codes.

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Big Changes Coming To The Wound Care Market In 2014

The Center for Medicare and Medicaid Services (CMS) has proposed switching wound care reimbursement from the current pay-for-service model, in which the treating physician bills the government based on the number and type of procedures performed, to a pay-for-performance model in which reimbursement is fixed for a given diagnosis.

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Expect 329 Total CPT® Code Changes in 2014

The numbers are in! According to the American Medical Association (AMA), there will be 329 total code changes in 2014, to include 175 new codes, 107 revised codes, and 47 deleted codes.

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Data Shows Rise in Use of Some CPT Codes

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