Coding Definitions: Heed These 'Critical' Patient Care Parameters

Peds patients must still meet critical illness, injury standards. When you’re reporting critical care services for your pediatric patients, some of the claims will require pediatric critical [...]

Posted on: 24 May 2017 | 1:05 am

You Be the Coder: Reporting Z Code for Screenings

Question: A patient presented to our practice after he failed a school hearing test, but our physician determined that the child’s hearing was actually perfect. Which diagnosis code should we assign [...]

Posted on: 24 May 2017 | 1:05 am

Modifiers: Grab Deserved Dollars on Multiple Excisions

You’ll use modifiers 59, 51—depending on payer preference. If a patient reports for removal of multiple lesions, you need to check if the removals are of the [...]

Posted on: 24 May 2017 | 1:05 am

E/M Coding: Use Different Codes for Some Peds Critical Care Patients

Hint: Observe the 71-month threshold for 99291, 99292. When a pediatrician has to provide critical care for one of her patients, you cannot just report 99291/99292 and [...]

Posted on: 24 May 2017 | 1:05 am

E/M Coding: Help PFSH Accuracy with Top-Notch Templates

Technology can help you track patients’ PFSH. Coders know that it’s vital to understand the ins and outs of past, family, and social history (PFSH) to calculate [...]

Posted on: 24 May 2017 | 1:05 am

Reader Question: Educate Physicians on 'Automatic' Coding Dangers

Question: I am having an issue with one of our physicians who wants to report almost all of his hospital inpatient subsequent visit services as 99233. His rationale is that [...]

Posted on: 24 May 2017 | 1:05 am

Reader Question: Tread Carefully on Mixed CP Dx

Question: Our physician treated a patient in the observation unit of the local hospital for complications related to mixed cerebral palsy (CP). Notes indicate that the physician performed a second-day observation [...]

Posted on: 24 May 2017 | 1:05 am

Reader Question: Mind Open, Closed Wound Definitions

Question: What is the difference between an open and closed wound, and does open wound treatment automatically mean you can choose a procedure code? New York Subscriber [...]

Posted on: 20 April 2017 | 4:04 am

Reader Question: Be Thorough with Neck Sprain Dx

Question: Our provider recently provided an evaluation and management (E/M) service to an established patient complaining of neck pain. Encounter notes indicate that the final diagnosis is “neck sprain.” What is [...]

Posted on: 20 April 2017 | 4:04 am

Reader Question: Opt for R Code when Fall Cause Unknown

Question: When our practice treats patients with a history of falling, what ICD-10 code(s) should we include on the claim? Minnesota Subscriber Answer: When a patient [...]

Posted on: 20 April 2017 | 4:04 am