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Coding

Coding

G2211

CMS Adds Nearly 100 More Codes You Can Bill With G2211

If you’ve ever wondered why the add-on code G2211 can’t be billed with a wider range of CPT codes, you’re in luck. On April 29, CMS added 98 additional codes that can be reported along with G2211 as part of an update to Transmittal 13199. Even better news? The implementation date is retroactive to January […]
Published Date: May 11, 2025
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APCM codes

Check These Expert Ways to Get Paid for the New APCM Codes

When CMS debuted the new advanced primary care management (APCM) codes on Jan. 1, 2025, practices were excited about the prospect of collecting more for value-based care. By improving patient outcomes and reducing costs, you can have healthier patients and bring in more reimbursement — if you know how to report G0556-G0558. Check out three […]
Published Date: April 28, 2025
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CPT 2025

The 3 CPT 2025 Codes That Are Puzzling Coders the Most

When each new edition of the CPT code set debuts, it’s common for practices to face confusion. After all, the codes are new and it’s initially unclear how to use them. CPT 2025 was no different, with more than 400 changes. But there have been three codes that seem to be tripping up coders more […]
Published Date: March 16, 2025
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Locum tenens

How to Use a Locum Tenens Modifier Correctly Every Time

When a substitute physician fills in for your practices’ doctors, you may be able to bill the services as locum tenens, also known as fee-for-time. The catch? Adding the correct modifier to your claim. Check out a few important facts to ensure you apply the correct modifier to your locum tenens claims every time. Look […]
Published Date: March 3, 2025
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Medicare coding errors

The Top Medicare Coding Errors of 2024 & How to Avoid Them

No matter how often your practice submits claims for evaluation and management (E/​M) visits, minor procedures or lab services, coding for these encounters can be confusing. And if the latest CMS Comprehensive Error Rate Testing (CERT) results are any indication, Medicare coding errors are somewhat easy to make. CMS published its 2024 Medicare Fee-for-Service Supplemental […]
Published Date: December 31, 2024
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Virtual check-in

What Are Virtual Check-ins? Know the Ropes Before Jan. 1

CPT 2025 is debuting a new virtual check-in code effective Jan. 1, which will replace existing code G2012. It’s a good idea to prepare before the new year so you’ll be able to effectively report your physician’s virtual check-in services without an issue. Get to know the documentation and coding requirements for your virtual check-in […]
Published Date: December 24, 2024
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Telehealth documentation

5 Must-Haves in Your Telehealth Documentation for 2025

Telehealth billing and coding requirements are changing in 2025, with many of the pandemic-era flexibilities that Medicare offered lifting as of January 1. If you want to continue collecting for the services that are still billable, you must ensure that your telehealth documentation is pristine. Check these five essential features you must include in your […]
Published Date: December 9, 2024
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G0556

Master New APCM Codes G0556-G0558 for Medicare Services

Primary care providers will have new options for collecting from Medicare in 2025, thanks to the addition of three new advanced primary care management (APCM) codes (G0556-G0558). These codes will go into effect on January 1, so now is the time to pinpoint exactly what’s required before you report G0556, G0557 and G0558. You’ll Report […]
Published Date: December 8, 2024
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Medicare fee schedule

3 Takeaways From the Final 2025 Medicare Fee Schedule

The 2025 Medicare Fee Schedule Final Rule included some good news and some bad news for practices. If you want to prepare for the changes that will hit January 1, now’s the time to familiarize yourself with some of the updates that will be coming your way. Check out three of the most important takeaways […]
Published Date: November 11, 2024
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Aftercare codes

3 Examples for Using the 2025 Aftercare ICD-10-CM Codes

Assigning the right diagnosis codes can be challenging enough, and when you add aftercare encounters to the mix, things may get even more difficult. Coders who have a firm grasp of how to use the aftercare codes have a distinct advantage in collecting for follow-up visits after an acute illness has resolved. Check out three […]
Published Date: October 6, 2024
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