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October 2024 Articles

Oct 30, 2024
Oncology Coding:
See How These 2025 CPT® Code Changes Will Impact Your Oncology Practice
Get a handle on these sweeping changes before the New Year arrives. Oncology practices ac... Read more
Oct 30, 2024
Gastroenterology Coding:
Correctly Code Blood Clot Removal During an EGD
Question: I have a report that states the gastroenterologist performed an upper gastrointe... Read more
Oct 30, 2024
Gastroenterology Coding:
Check New Colonoscopy Category III Codes, Updated Telemedicine Options
Plus: CPT® 2025 will roll out a new virtual check-in code. New gastroenterology-rel... Read more
Oct 30, 2024
Gastroenterology Coding:
Can You Correctly Code This Discontinued Colonoscopy?
Question: A patient came in for a screening colonoscopy. The scope passed per anus, approx... Read more
Oct 30, 2024
Pediatric Coding:
Nail Down Strep Pharyngitis Coding
Prepare now for a possible uptick in visits for streptococcal pharyngitis and tonsillitis.... Read more
Oct 30, 2024
General Surgery Coding:
Interpret These Op Notes for ‘Wide Excision’
Question: In the operation report I'm currently coding, the surgeon has characterized... Read more
Oct 30, 2024
General Surgery Coding:
Determine the Correct Outcome of This Debridement Procedure
Highlight the differences between the wound and procedure to select the right code. When ... Read more
Oct 30, 2024
General Surgery Coding:
Attempt This Adjacent Tissue Transfer Case
Question: The surgeon carried out a removal of a basal cell carcinoma, measuring 0.5 ... Read more
Oct 30, 2024
Path/Lab Coding:
Get The Answers to Your Frequently Asked PSA Test Questions
Understand medical necessity to arrive at the correct test code. Your lab probably gets f... Read more
Oct 30, 2024
ICD-10 Coding:
Take Your ICD-10 Coding to the Next Level With These Pointers
Remember the quirkiness of the Index. You probably know that a fear of confined spaces is... Read more
Oct 30, 2024
Oncology Coding:
Assign Signs and Symptoms Dx for This Free Light Chains Test Result
Question: A patient had a lab come back showing elevated light chains. The oncologist indi... Read more
Oct 30, 2024
Oncology Coding:
Know Your Options in Pump Disconnect Scenarios
Question: I need some help on the issue of pump disconnects. Specifically, what if you hav... Read more
Oct 29, 2024
Otolaryngology Coding:
Get the Answers to All Your External Cause Code Questions
Use them to paint the patient's complete picture … most of the time. You're probably fa... Read more
Oct 29, 2024
Path/Lab Coding:
Avoid Breast FNA Coding Pitfalls
Question: The pathologist extracted fluid during two fine needle aspiration (FNA) passes f... Read more
Oct 29, 2024
ICD-10-CM Coding:
Explore Details for Migraine Dx
Question: I read “migraine” in a patient's encounter notes, and I'm trying to und... Read more
Oct 29, 2024
Ophthalmology Coding:
Ask These 6 Questions, Correctly Determine Diabetic Ophthalmic Complications
Test yourself with these two sticky situations. With almost 250 different diagnosis codes... Read more
Oct 29, 2024
Pediatric Coding:
Differentiate Between Child and Adult BMI Calculations
Question: Can I use the equation for calculating adult body mass index (BMI) — (weight i... Read more
Oct 29, 2024
Ob-Gyn Coding:
Solve This Separation of Labia Scenario
Question: I'm looking for some assistance on the below procedure note. I'm leaning to... Read more
Oct 29, 2024
General Coding:
Find Answers to 8 Basic NCCI Questions
Test yourself: Do you know which category of services aren't covered by NCCI? 1. Que... Read more
Oct 29, 2024
Otolaryngology Coding:
Understand Repair or Correction for Correct Septoplasty Coding
Question: A patient had surgery on a septal deviation with a perforation of 1 cm. The surg... Read more
Oct 29, 2024
Path/Lab Coding:
Focus Panel Test Coding for UTI Scenario
Question: During a second course of antibiotics for a urinary tract infection (UTI), the c... Read more
Oct 29, 2024
Otolaryngology Coding:
Don’t Deny This NCCI Bundle
Question: Is it possible to get paid for 92504 and 69210 when the two services are pe... Read more
Oct 29, 2024
E/M Coding:
Follow This Guidance for Flawless E/M Coding (Part 1)
Don't get caught out watching the clock. You may think you have a handle on office/outpat... Read more
Oct 29, 2024
Ob-Gyn Coding:
Learn What to Do When Induction Takes Days
Question: Do most insurances cover evaluation and management (E/M) codes for patients... Read more
Oct 29, 2024
Ob-Gyn Coding:
Here’s What to Ask Your Payers About IUD Coding
Understand why some payers won't pay for removals. Many coders confess they're tearing th... Read more
Oct 29, 2024
Medicare Regulations:
Remember SDOH Assessment Responsibilities
Question: When exactly do we need to perform and report social determinants of health (SDO... Read more
Oct 29, 2024
E/M Coding:
Don’t Round Up Encounter Time
Question: One of my colleagues has a habit of rounding up the time our provider spends wit... Read more
Oct 28, 2024
Pediatric Coding:
To Bill E/M, Exam Must Go Above and Beyond
Question: I work at a pediatrician's office and had an encounter where a patient came in f... Read more
Oct 28, 2024
Primary Care Coding:
Take This Advice, Keep Your 2024-25 Winter Vaccine Coding Healthy
Keep your respiratory virus vaccine administration reporting on point. Each year, respira... Read more
Oct 28, 2024
Pain Management Coding:
Know Synonyms for Shingles to Improve Dx Selection
Question: Encounter notes indicate a patient suffered from “herpes zoster myelitis,... Read more
Oct 28, 2024
Podiatry Coding:
Master Routine Foot Care Coding
Patient and practitioner education are key to successful claim payment. When it comes to ... Read more
Oct 28, 2024
General Coding:
Count Caregiver Counseling As Distinct Time
Question: Can I report a physician's discussion with an elderly patient's caregiver about ... Read more
Oct 28, 2024
Compliance:
Understand ‘CIA’ As it Pertains to Healthcare
Question: I'm new to the front desk of a medical practice and heard a colleague mention th... Read more
Oct 28, 2024
Podiatry Coding:
Code These Diabetic Ulcers and Complications in the Correct Order
Question:  My podiatrist is treating a patient with diabetes who is also sufferi... Read more
Oct 28, 2024
Primary Care Coding:
Consider Patient Exigencies in Light of No-Shows
Question: Are there any specific guidelines for billing no-show appointments for Medi... Read more
Oct 28, 2024
Cardiology Coding:
Conquer Electrophysiologic Evaluation Conundrum With Ease
Question: My provider tested the electrical activity of a single-chamber cardioverter... Read more
Oct 28, 2024
Pain Management Coding:
Only Report Add-Ons for Guidance When Appropriate
Question: A patient with alcohol-related chronic pancreatic cirrhosis reports to the ... Read more
Oct 28, 2024
Compliance:
Know What Counts as PHI
Question: I want to be able to explain protected health information (PHI) to onboarding co... Read more
Oct 28, 2024
Ophthalmology Coding:
Beware Coding for Blepharoptosis Repair
Question: Our ophthalmologist performed a technique to repair blepharoptosis by suspending... Read more
Oct 28, 2024
General Coding:
Know Limitations of Coder Privileges
Question: One of the patient records I'm reviewing shows a pretty big discrepancy between ... Read more
Oct 28, 2024
Primary Care Coding:
Try These Tips for Smoking Cessation Without Tobacco-Related Disease Symptoms
Question: Smoking and tobacco use cessation counseling services require an appropriat... Read more
Oct 28, 2024
Ophthalmology Coding:
Know When, and When not, to Bundle Goniotomy, Cataract Removal
Question: When our ophthalmic surgeon performs goniotomy in connection with the inser... Read more
Oct 25, 2024
Practice Management:
Read the Fine Print on Payer Policies for Medical Necessity
Question: Isn't preventive care implicitly medically necessary? Massachusetts Subscriber ... Read more
Oct 25, 2024
Practice Management:
Remember Copays are Contractual
Question: Can front desk staff waive copays at their discretion? For example, if a patient... Read more
Oct 25, 2024
Pain Management Coding:
New Block Code Set for CPT® 2025
Thoracic block? There's a code for that next year. CPT® has released its list of new, re... Read more
Oct 25, 2024
ICD-10-CM Coding:
Know There’s No Specific ICD-10-CM Option for Documenting ‘Gummies’
Question: Which code would I use for documenting the accidental ingestion of a cannab... Read more
Oct 25, 2024
Diagnostic Radiology Coding:
Avoid Coding Unnecessary Spine Regions
Question: I have a radiology report following a computed tomography (CT) scan with co... Read more
Oct 25, 2024
Neurosurgery Coding:
Assessing Patient for TBI
Question: Encounter notes indicate that the neurosurgeon treated a new patient who ha... Read more
Oct 25, 2024
Cardiology Coding:
Rely on This Code for Sinus Bradycardia
Question: Which ICD-10-CM code should I report for sinus bradycardia? Louisiana Subscribe... Read more
Oct 25, 2024
Podiatry Coding:
Distinguish the Differences Between Walking Boot HCPCS Codes
Question: I'm curious about the distinction between codes L4360 and L4361. My vendor ... Read more
Oct 25, 2024
Medicare Regulations:
Pay Attention to Medicare POS Intricacies
Question: My provider sees Medicare beneficiaries in other facilities outside our off... Read more
Oct 25, 2024
Cardiology Coding:
Elevate Your CPT® 2025 Expertise With These Quick Questions
Remember: You won't be able to report 99441 next year. With January 1 comes a variety of ... Read more
Oct 24, 2024
Diagnostic Radiology Coding:
Determine the Correct Dx Codes for AV Hemodialysis Access
Question: I have a coding question on bilateral upper extremity vein mapping. My faci... Read more
Oct 24, 2024
Anesthesia Coding:
Take These Steps for Accurate Anesthesia Service Formulation (Part 1)
Billing for base units is just the beginning. Are you new to anesthesia coding? Or are yo... Read more
Oct 24, 2024
Emergency Department Coding:
Check 5th Character Requirements on Liver Disease Dx
Question: When a patient suffers from alcoholic liver disease, what is the best way t... Read more
Oct 24, 2024
Neurosurgery Coding:
Get Your Claim to Flower With POTS Dx
Question: Encounter notes indicate that a patient suffers from “POTS.” I'm not re... Read more
Oct 24, 2024
Urology:
Look For New CPT® Codes in 2025
Question: Could you please inform me of any upcoming changes or updates to the CPT® codes... Read more
Oct 24, 2024
Compliance:
Pocket This OIG-Centric Compliance Guidance
Build a solid compliance foundation so you're not caught unawares. People who have spent ... Read more
Oct 24, 2024
Emergency Department:
Repeat Rabies Vax Presents E/M Coding Challenges
Question: Our office is currently engaged in a debate regarding the appropriate codin... Read more
Oct 24, 2024
Medicare Regulations:
Pocket These Tips for Documenting Mental Health Services for Medicare Beneficiaries
Explore how Medicare is expanding and reimbursing behavioral health services. On January ... Read more
Oct 24, 2024
Urology:
Brush Up on Your Coding of This Bladder Instillation
Question: My urologist successfully inserted a 16-French foley catheter into the pati... Read more
Oct 24, 2024
Anesthesia:
Code Minus Modifier in this Discontinued Surgery Scenario
Question: We are billing for a certified registered nurse anesthetist (CRNA) provider... Read more
Oct 23, 2024
Neurosurgery Coding:
CPT® 2025 Puts New Ablation, Thoracic Block Codes on Tap
Code represents MRI/US combo. CPT® has released its list of new, revised, and deleted co... Read more
Oct 22, 2024
Diagnostic Radiology Coding:
Get Answers to Your CT Scan Coding FAQs
Find out which CT scans require 3D rendering. Whether you're newly credentialed or have b... Read more
Oct 21, 2024
Emergency Department:
Consider Complexities of Encounter on Nosebleed, Earwax Encounters
Remember the rules for procedure coding on these common services. Sometimes, how you code... Read more
Oct 18, 2024
Urology:
Employ Tried-and-True Methods to Convert This Endoscopy Report Into Coder-Speak
Trust your knowledge of anatomy so nothing gets lost in translation. Interpreting and acc... Read more
Oct 17, 2024
Anesthesia:
Crosswalk This Spinal Code for C-section Scenarios
Question: A patient came in for a scheduled cesarean section and was given a spinal. ... Read more
Oct 16, 2024
Evaluation and Management:
Document These Aspects of Drug Management for E/M Service
Question: When is an evaluation and management service of medication justified? RCI Subsc... Read more
Oct 11, 2024
Orthopedic Coding:
Know Wrist Pain, CTS Dx Differences
Question: What is the difference between carpal tunnel syndrome (CTS) and wrist pain?... Read more
Oct 11, 2024
Orthopedic Coding:
Radial and Ulnar Fracture Fix
Question: The orthopedic surgeon treats a patient with a right-sided radial and ulnar... Read more
Oct 10, 2024
Pulmonology Coding:
Prepare for the New Year’s Telemedicine Coding Options
Brief check-ins also receive a code. While the Pulmonary section of the CPT® code set wi... Read more
Oct 09, 2024
Practice Management:
Maintain or Even Boost Practice Margins With These Tips
Rely on evaluations and engagement to bolster your healthcare business. “One of the thi... Read more
Oct 08, 2024
Orthopedic Coding:
Look to New Plane Block Code for 2025
Technique could improve post-op outcomes. CPT® has released its list of new, revised, an... Read more
Oct 08, 2024
Pulmonology Coding:
Ask These Questions When Searching for an AI Coding System – Part 2
Will the price point deter future adopters? In the first part of this article, Pulmonolog... Read more
Oct 08, 2024
Pulmonology Coding:
Seek Out The Correct Asthma Diagnosis Code
Question: A patient presented with an acute asthma exacerbation and the pulmonologist... Read more
Oct 08, 2024
Pulmonology Coding:
Documentation is Key to Reporting Modifier 22
Question: When is it correct to append modifier 22 to procedures or services? Wiscon... Read more
Oct 08, 2024
Technology & Innovation:
How Can AI Affect Your Practice? Get Answers to Your AI-Coding FAQs
Find out if auditing could be a new career option. Artificial intelligence (AI), natural ... Read more
Oct 08, 2024
Technology & Innovation:
CMS Notifies Beneficiaries of a Security Vulnerability
Question: Why does it seem that only private payers are victims of data breaches? Do ... Read more
Oct 08, 2024
Technology & Innovation:
Deliver Insulin for 3 Days With a Wearable Patch
Question: We see several patients with type 2 diabetes who require regular insulin in... Read more
Available Years:  2024