The end of the year is approaching, and for coders, that always means getting to know a whole new set of procedure codes that take effect January 1. The 2023 CPT code set debuted last week, and includes 393 changes, with most of them (225) consisting of new codes. You’ll also find 75 deletions and […]
You’ve got less than a month before you must start using the 2023 ICD-10-CM codes, but just as importantly, Oct. 1 is also the deadline for you to start following the 2023 ICD-10-CM Guidelines, and you’ll find major updates to those rules hitting next month. Here’s what they are: The ICD-10-CM Guidelines provide instructions for […]
QUESTION: We just received our first denial for a telehealth service using audio-visual. The claim was filed with office visit code 99212, place of service 02 for telehealth and modifier 95. Can you tell us what we did wrong so that we can get paid for these visits? Question from Palatine, Illinois Subscriber ANSWER: Based […]
You can now get paid more for using digital health technology with your patients. As of January 1st, new codes for Remote Therapeutic Monitoring (RTM) allow you to get reimbursed for monitoring non-physiologic data. These codes opened up more patient care options, allowing your practice to use newer technology and still get reimbursed for it. […]
You’ll soon have new ICD-10-CM Z codes to report when treating patients who are partially vaccinated or unvaccinated for COVID-19. Unvaccinated patients. This new code set, effective April 1, 2022, includes four additions under Chapter 21 (Factors influencing health status and contact with health services). The codes were added to better track those who aren’t […]
The American Medical Association (AMA) recently issued 11 new Current Procedural Terminology (CPT) codes to help make your coding for COVID-19 vaccines more accurate – and hopefully improve your reimbursement. So if your practice is administering vaccines under the Centers for Disease Control and Prevention’s (CDC) COVID-19 Vaccination Program — the only way to legally […]
Update Notice: 2021 prolonged service changes. Important: This information was updated for accuracy on April 28th, 2021. The guidelines for counting total time for CPT code 99417 were revised to bring clarity around what can be included regarding patient education during a patient visit. You’ll find this update in the “Add Direct Plus Certain Indirect […]
After a year of constant updates, the rule changes for telehealth coding have “finally” been finalized in the 2021 Physician Fee Schedule final rule. Keep reading to ensure you’re getting paid for every service—including the newly reimbursable telehealth codes. CMS Adds Services to Telehealth List. Beginning January 1, 2021, the list of services reimbursable when […]
You MUST use a totally different system to get paid and code for COVID-19 vaccine administration; unlike other vaccines that use generic administration CPT codes, coronavirus vaccine reporting requires unique codes. Get up to speed now on the available vaccines and how to report them correctly from your very first claim without over billing. There […]
You’ve got to implement the 300 plus CPT 2021 coding changes by January 1, 2021, or you’ll face emotional and financial losses. Save yourself hours of chasing denials and payments by getting up to speed now on the new, revised, and deleted codes for drugs, ortho, diabetes and more. For help on the massive E/M […]
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