When CPT eliminated observation care designations from its coding lineup in 2023, some coders were puzzled about how to report same day admit and discharge situations, and the rules have only become more confusing as the calendar turned to 2024. After all, there are always going to be situations when patients are admitted to observation […]
Sometimes it may feel like you’re navigating the G2211 coding and payment rules without much guidance, since CMS updates about how to report this E/M add-on have been sparse. Fortunately, one Part B MAC has come out with nearly a dozen FAQs that untangle several issues that coders have encountered since this code became payable […]
With every near year comes new coding guidelines, and CPT definitely delivered a lot of E/M changes over the past few years. Most recently, the AMA provided new clarifications on how to report two E/M visits on the same date of service. If you see a patient twice in the same day — whether it’s […]
Nearly 2 million Americans identify as transgender, meaning their gender identity is different from what they were assigned at birth. If your practice sees a transgender patient — even if the visit isn’t related to gender transition services — you may need to know which diagnosis codes apply to the visit, and that’s not always […]
Coding for evaluation and management (E/M) services has gotten a lot more complicated over the past few years. From descriptor changes to code deletions, you may take longer than usual to code a hospital encounter. Your best bet in these situations is to consult the inpatient coding guidance straight from payers. Check out three common […]
If you’ve ever coded a patient chart, you know about the LT (Left side) and RT (Right side) modifiers. Together, the RT and LT modifiers are used to show laterality — in other words, they describe which side of the body was addressed during a procedure or surgery, or if supplies are being prescribed. Check […]
Every coder knows that although most providers perform evaluation and management (E/M) services nearly every day, coding these visits aren’t necessarily straightforward. That fact is backed up by data in the latest CMS report, which notes that established patient E/M codes 99211-99215 were riddled with errors, most of which were due to upcoding. The facts: CMS published […]
It’s not often that CMS presents coders with a way to collect more for E/M visits, but in 2024, you’re about to benefit from a relatively new add-on code that allows you to do just that with the implementation of G2211 effective January 1. Discover the facts you must know if you want to collect […]
Providers perform diagnostic radiology services not only to evaluate a patient’s condition, but also to follow up on progress or determine whether a treatment is working. Coding these services sometimes seems straightforward, but it’s easy — and dangerous — to get complacent about radiology coding. Check out three tips that can help you ensure that […]
Every minor procedure your providers perform includes an inherent evaluation and management (E/M) portion factored into the reimbursement for it. But when you go beyond that cursory E/M work, you should be able to collect for the extra time your provider spends — and that’s where modifier 25 comes in. Although modifier 25 represents a […]
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