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.…
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…
By: Sheila Haynes, CPC Coding and Compliance Manager Take notice and prepare for changes to the guidelines for billing split/shared services if your practice’s physicians and qualified health care professionals (QHP) regularly team up for hospital visits. The new guidelines go into effect on Jan. 1, 2022. What is a Split/Shared Visit? Definition of split…
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…
The report below describes the 6 easy steps to code Mohs Surgeries accurately, while acknowledging separate procedures, 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. Remember to remove…
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:…
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…
By: Sheila Haynes, CPC – Coding and Compliance Manager As of January 1, 2021, codes for office/outpatient medical evaluation and management (E/M) care can be selected on the basis of the complexity of the medical decision making (MDM) or on the basis of the total time on the date of the encounter. For psychiatrists who…
The report below describes a patient undergoing a guided drain for abscess. The entire procedure has been documented in detail, describing the step-by-step process used by doctors to carry out the surgery. Keep reading for more on how this procedure was performed. Do you have a complicated surgery case that needs help with coding? RT…
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…