Modifiers: Check Global to Nail 25/57 Encounters

Reserve modifier 57 for “major” surgeries. To get the most out of every patient/provider encounter, coders need the ability to identify instances where the provider [...]

Posted on: 24 January 2017 | 12:01 pm

E/M Coding: Code Prolonged Service After Discovering the Provider

Different staff has different CPT® codes to report. If your provider performs a prolonged, in-office evaluation and management (E/M) service with direct patient contact, coding [...]

Posted on: 24 January 2017 | 12:01 pm

Procedure Coding: Listen to the Experts on Coding Cerumen Removal

Addition of 69209 adds layer of challenge to choosing code. Since 2016, coders have had two options for reporting their physician’s impacted cerumen removal services. [...]

Posted on: 24 January 2017 | 12:01 pm

You Be the Coder: Modifiers and Multiple Fracture Care Coding

Question: Encounter notes indicate that the physician performed a level-four evaluation and management (E/M) service for a patient before performing a pair of procedures: closed treatment of the phalanges [...]

Posted on: 24 January 2017 | 12:01 pm

Reader Question: Often, Only Admitting Physician Can Code 99221-99223

Question: Can you use inpatient initial care codes 99221-99223 more than once in the same day if a different physician in the same practice sees the patient?

Posted on: 24 January 2017 | 7:01 am

Reader Question: Stay Alert on Self-Audit Frequency

Question: As the lead in our coding department, the practice manager recently placed me in charge of conducting self-audits. Could you tell me a bit about how, and when, [...]

Posted on: 24 January 2017 | 7:01 am

Reader Question: Getting Zika Diagnoses Right

Question: Have there been any changes in how you should report an ICD-10 code for the Zika virus? Notes indicate that one of our physicians recently treated an established [...]

Posted on: 21 December 2016 | 1:12 am

Reader Question: Make the Right Modifier Choice on CLIA-Waived Tests

Question: Our practice recently got its Clinical Laboratory Improvement Amendments (CLIA) waiver, and I just received my first claim with a CLIA-waived test. How do I submit my CLIA-certified [...]

Posted on: 21 December 2016 | 1:12 am

Reader Question: Take These Tips, Master Rhinitis Coding

Question: Could you describe the differences between the following rhinitis types: vasomotor, allergic and chronic? Also, which ICD-10 codes would you choose to represent this trio of rhinitis conditions?

Posted on: 21 December 2016 | 1:12 am

Reader Question: Note Insurer to Keep HPI Counts on Point

Question: An established patient reports to the pediatrician with a chief complaint of abdominal pain. Notes indicate that the pediatrician asked the patient the location of the pain, how [...]

Posted on: 21 December 2016 | 1:12 am