Spinal Injection Procedures

Spinal Injection Procedures

The report below describes spinal injection procedures in detail, noting how many of these procedures are bundled into one code. Continue reading below to learn more! Do you have a complicated surgery case that needs help with coding? RT Welter would love to help! Please upload the operative note by clicking on the link below.…

Behavioral Health – Interactive Complexity Guidelines

Behavioral Health – Interactive Complexity Guidelines

By: Sheila Haynes, Manager Coding & Compliance Defining Interactive Complexity +90785: Interactive Complexity (+90785) is an add-on code utilized for office visits with a psychologist or other mental health professional that are complicated by language, behavior, emotions, mandated reporting requirements or trauma. +90785 is utilized in addition to one of the following primary service codes…

OIG Spotlight – Modifier 25

Modifier 25 is an important Evaluation and Management service medical professionals need to understand. It is used for same-day procedures when services beyond usual pre and post-operation are necessary. Continue reading below for a breakdown and examples of modifier 25! By: Sheila Haynes, CPC Coding and Compliance Manager Pay close attention to billing E/M (office…

Critical Care Services

By: Sheila Haynes, CPC Coding and Compliance Manager Guidelines for Use of Critical Care Codes (CPT codes 99291 and 99292) To reliably and consistently determine that critical care services, rather than other evaluation and management (E/M) services, are medically necessary the following review criteria must be met in addition to the Current CPT Manual definitions:…

Evaluation & Management Updates and CPT Code Changes Effective for 2022

After a year of getting accustomed to the new Evaluation and Management guidelines that went into effect on January 1, 2021, the AMA has provided some much-needed clarification around the Medical Decision Making elements as well as what activities are “not” counted when reporting time as the key criterion for code selection Medical Decision Making…

Medicare Guidelines for Screening Pap Tests and Pelvic Exams

Medicare Guidelines for Screening Pap Tests and Pelvic Exams

Overview Important female preventive health care includes screening pap tests and pelvic exams. Medicare covers Pap smears, pelvic exams, STI and HPV screenings. A screening Pap test is the laboratory test used to detect early cervical cancer. A screening pelvic exam helps detect precancers, genital cancers, infections, STI’s, reproductive system abnormalities, and other genital/vaginal problems…