With COVID-19 vaccinations now being administered across the United States, we have compiled this list of medical code sets to account for the treatment and vaccinations for the novel Coronavirus.…
Phone call codes during the PHE range from 99441 to 99443, and are all based on time. In response to the COVID-19 pandemic, the Centers for Medicare & Medicaid Services…
Come January 1, 2021, CMS will implement 21 new ICD-10 procedure codes for COVID-19 vaccines and therapeutics for the novel coronavirus, including baricitinib and monoclonal antibody treatments. The Food and…
Just a day after the FDA approved the emergency use of a new COVID-19 antibody drug, CMS updated Medicare payment and billing policies to ensure providers have access to the…
America’s new normal. Unemployed, uninsured, unbelievable! The U.S. Bureau of Labor Statistics indicates that 12.6 million Americans are on unemployment rosters around the country; 32.5 percent of the adult population…
New Current Procedural Terminology (CPT®) codes have been created that streamline the reporting of immunizations for the novel coronavirus (SARS-CoV-2, also known as COVID-19). Unique CPT codes approved for COVID-19…
There are false negatives; there are false positives; there are untested individuals with disease. I am in the process of developing a 90-minute COVID-19 webinar for ICDUniversity in December to…
Five New York emergency room physician groups on Monday filed a federal lawsuit alleging that UnitedHealth Group and Multiplan conspired to underpay out-of-network providers. The group of staffing firms, all…
The ICD-10 (International Classification of Diseases, 10th revision) now includes a diagnosis code for COVID-19. Although new ICD codes are implemented every year on Oct. 1, the new code—U07.1, COVID-19—was…
Now that the initial wave of Covid-19 has passed and providers have mastered the telehealth billing requirements, it is time to turn attention to the 2021 Evaluation and Management (E&M)…
Sometimes, in an audit, it comes down to the definition of “medical necessity.” While the coronavirus pandemic is horrible already, it seems to be getting worse. But COVID has forced…
The ICD-10-PCS codes can be found in the XW0 Table for the drug infusions. There were new ICD-10-PCS codes implemented on Aug. 1, involving substances associated with the treatment of…
The pandemic continues to impact Medicare reimbursement. COVID-19 continues to make news on the regulatory front with two new directives from the Centers for Medicare & Medicaid Services (CMS), centering…
In the United States, there is currently no authorized or approved vaccine to prevent coronavirus disease 2019 (COVID-19). Operation Warp Speed has been working since the pandemic started to make a…
The COVID-19 pandemic sparked rapid growth in the use of telehealth, and what’s perhaps most surprising to seasoned experts on telemedicine is how smoothly the transition has fared for so…
The term “antibody” has entered our main-stream vocabulary due to the advent of SARS-CoV-2 with manifestation of disease as COVID-19. Antibodies are also called immunoglobulins. They are protein/carbohydrate structures of…