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November 2024 Articles

Nov 28, 2024
Pediatric Coding:
Don’t Let Coding Stomach Troubles Make You Sick
Find out what you need to know about coding symptoms versus specific diagnoses. In ICD-10... Read more
Nov 28, 2024
Neurology Coding:
Get a Leg up With MEG Coding Smarts
Question: When the neurologist performs a magnetoencephalography (MEG) with recording and ... Read more
Nov 27, 2024
Ob-Gyn Coding:
Learn the New Ob-Gyn Codes, Deletions, and Guideline Updates by Jan. 1
Removal of endometria guideline's rationale remains to be seen. With January 1 comes a va... Read more
Nov 27, 2024
Neurology Coding:
Keep up With all Sleep Apnea Codes
Question: Encounter notes indicate that the patient suffered from “altitude-related slee... Read more
Nov 27, 2024
Gastroenterology Coding:
Learn How to Avoid Mistakes When Coding Diverticular Disease
Knowing your way around the K57.- codes is key. Diverticulosis and diverticulitis have th... Read more
Nov 27, 2024
General Coding:
Prepare for These New HCPCS Level II Patient Care Codes
It's time to update your coding arsenal for 2025! G codes are utilized for the purpose of... Read more
Nov 27, 2024
Neurology Coding:
Be Alert to Code Sleep Medicine Properly
Physician will recommend routine changes, OTC meds as initial treatments. Managing one's ... Read more
Nov 27, 2024
Optometry/Ophthalmology Coding:
Get Ready for MIPS and MVP Changes in the 2025 MPFS Final Rule
Plus — another rate cut is on the horizon. The Centers for Medicare & Medicaid Serv... Read more
Nov 26, 2024
Path/Lab Coding:
Apply the Latest PLA Updates for Cutting Edge Services
One specialty makes up almost half of the October codes. The October update to Proprietar... Read more
Nov 26, 2024
ICD-10-CM Coding:
Which ICD-10-CM Categories Should Never Be Used As Primary Diagnoses?
Nail down which codes qualify only as secondary diagnoses. Every coder knows that assigni... Read more
Nov 26, 2024
Otolaryngology Coding:
Refresh Your Memory of Basic ENT Procedure Coding
Don't forget to justify separate and significant E/Ms. You see notes documenting cerumen ... Read more
Nov 26, 2024
Optometry/Ophthalmology Coding:
Figure out This Ocular FBR Case
Question: A patient presented to the emergency department (ED) with complaints of right ey... Read more
Nov 26, 2024
Optometry/Ophthalmology Coding:
Know How to Report Progressive Lens Claims
Question: One of our patients has a plan that covers progressive bifocal lenses. I see the... Read more
Nov 25, 2024
E/M Coding:
Try These Three Questions to Determine Modifier 24 Usage
Question: What are the proper situations to use modifier 24? My colleague says that y... Read more
Nov 25, 2024
ICD-10-CM Coding:
Don’t Assume Anxiety and Depression Link
Question: How do you code a scenario where the patient has depression and anxiety? Do you ... Read more
Nov 25, 2024
E/M Coding:
Follow This Guidance for Flawless E/M Coding (Part 2)
Get down to the nitty gritty of the MDM elements. Last month, we looked at advice Angela ... Read more
Nov 25, 2024
Neurosurgery Coding:
Know the Steps to Code Hydrocephalus Treatment With Confidence
Provider will likely use E/M, imaging to diagnose condition.   Patients sufferi... Read more
Nov 25, 2024
Pediatric Coding:
Get CLIA Waiver Before Billing for This Test
Question: Can I bill a dip stick urinalysis conducted in-house, within our practice? New ... Read more
Nov 22, 2024
Podiatry Coding:
Review 3 Achilles Tendon Repair Scenarios to Tighten Your Skills
Preparing for a range of possibilities is crucial for smart Achilles repair coding. When ... Read more
Nov 22, 2024
Medicare Regulations:
View the Highlights and Lowlights of the 2025 MPFS
Stay ahead of numerous telehealth revisions. On Nov. 5, 2024, the Centers for Medicare &a... Read more
Nov 22, 2024
Anesthesia Coding:
Rely on Highest Level for Labor Services
Question: My doctor inserted a labor epidural (01967) at 8 in the morning and then in the ... Read more
Nov 22, 2024
Anesthesia Coding:
Look to 00790 for This Umbilical Hernia Surgery
Question: Can you give me some assistance with the following procedure? The patient had an... Read more
Nov 22, 2024
Primary Care Coding:
Rely on This Modifier for Gender Mismatch
Question: A provider prescribed a patient a retinoid, which requires a urine pregnancy tes... Read more
Nov 22, 2024
Primary Care Coding:
Complete All Blank Fields for Valid ABN
Question: I'm looking at an advanced beneficiary notice (ABN) form and see seven separate ... Read more
Nov 21, 2024
General Coding:
Consider Consulting MAC With Your NCCI Inquiries
Question: Who should I reach out to if I have inquiries regarding an appeal for a Nat... Read more
Nov 21, 2024
General Coding:
Adding Modifier 51 Unnecessarily Could Cost You
Question: We have a coder who frequently applies the 51 modifier to nearly all proced... Read more
Nov 21, 2024
Pediatric Coding:
Check With Payer to See When Age Matters
Question: I work at a pediatrician's office that sees some older children whose encou... Read more
Nov 21, 2024
Medicare Regulations:
Find Clarity on Medicare Telehealth POS Codes
Question: My provider sometimes uses technology to see Medicare beneficiaries in their hom... Read more
Nov 21, 2024
E/M Coding:
Separate Diagnoses Can Support MDM Leveling
Question: A provider sees a patient and documents these diagnoses after the encounter: sho... Read more
Nov 21, 2024
Compliance:
Lean on Provider Education, for Individuals or for Everyone
Question: How do I respectfully keep on top of a provider whose documentation about the ti... Read more
Nov 20, 2024
Podiatry Coding:
Correctly Capture This Bunionectomy Code
Question: My podiatrist performed a surgical cut over the patient's metatarsophalange... Read more
Nov 20, 2024
Compliance:
Contact These Officers if an Auditor Appears
Question: I've heard of some federal or state agencies sending inspectors for unannounced ... Read more
Nov 20, 2024
Anesthesia Coding:
Take These Steps for Accurate Anesthesia Service Formulation (Part 2)
Use this handy checklist to get your documentation ducks in a row. Last month, we outline... Read more
Nov 20, 2024
General Surgery Coding:
Check Your Splenectomy Coding Knowledge With These FAQs
Understanding the different procedure types is key to successful claim payment. The splee... Read more
Nov 20, 2024
Gastroenterology Coding:
Familiarize Yourself With Reflux-Related Procedures
Question: What is esophageal manometry and how do we code it? RCI Subscriber Answer: A g... Read more
Nov 20, 2024
Ob-Gyn Coding:
Understand What to Do When a Second Provider Delivers the Placenta
Question: I have a provider who was present for a vaginal vacuum-assisted delivery, a... Read more
Nov 19, 2024
General Surgery Coding:
Remove the Confusion From This Occlusion
Question: Our surgeon accessed the occluded femoral vein through a tiny incision at t... Read more
Nov 19, 2024
Ob-Gyn Coding:
Use These Codes for High-Risk Meds During Pregnancy
Question: I need help locating the ICD-10-CM codes for use of high-risk medication du... Read more
Nov 19, 2024
Urology Coding:
Get the Truth on 4 Interstitial Cystitis Coding Myths
Review descriptors to know which CPT® codes are needed. Interstitial cystitis is a condi... Read more
Nov 19, 2024
Podiatry Coding:
Code This Fasciotomy Case Correctly
Question: The podiatrist performed a surgical cut on the sole of a patient's foot, re... Read more
Nov 19, 2024
General Surgery Coding:
Solve This Cancer Scar Revision
Question: A year after undergoing a mastectomy, the patient returns for a scar revisi... Read more
Nov 19, 2024
Gastroenterology Coding:
Use Documentation to Identify Anoscopy Codes
Question: A patient presented to their gastroenterologist with complaints of intermittent ... Read more
Nov 18, 2024
Orthopedic Coding:
Make Sense of Arthroscopic Hip Labrum Surgery Coding
Note conservative Tx attempts before surgery option. The hip joint is a ball-and-socket j... Read more
Nov 18, 2024
Orthopedic Coding:
Get Dx to the Proper Character for Reiter’s Block
Question: What is Reiter's disease, and how do I choose an ICD-10 code for the condition? ... Read more
Nov 18, 2024
Compliance:
Incorporate These 7 Elements Into Your Compliance Program, Part 1
Find out which innovative approaches can boost compliance across your organization. CJ Wo... Read more
Nov 18, 2024
Oncology Coding:
Prepare to Be Puzzled by This Polycythemia Phlebotomy Problem
Question: Our oncology surgeon did a therapeutic phlebotomy in a patient with polycyt... Read more
Nov 18, 2024
Otolaryngology Coding:
Use These 3 Codes in This Azithromycin Allergic Reaction Encounter
Question: What's the diagnosis coding for a patient experiencing an allergic reaction (vom... Read more
Nov 14, 2024
Orthopedic Coding:
Hip Dysplasia and OA? There Are Codes for That
Question: If a patient suffers from osteoarthritis (OA) of the hip caused by hip dysplasia... Read more
Nov 14, 2024
Oncology Coding:
Don’t Rise to Definitive Dx in This Elevated PSA Scenario
Question: We have a patient that had prostatectomy, and their prostate-specific antig... Read more
Nov 14, 2024
Otolaryngology Coding:
Look to E/M for This Lip and Tongue Repair
Question: Our practice saw a patient who had badly bitten their tongue and lip follow... Read more
Nov 14, 2024
Neurosurgery Coding:
Abscess and Granuloma? There’s a Code for That
Question: If a patient suffers from an intracranial abscess and granuloma, should I report... Read more
Nov 14, 2024
Neurosurgery Coding:
Sweat the Details on These Meningitis Diagnoses
Question: Encounter notes indicate that a patient suffers from “meningitis due to hemo f... Read more
Nov 13, 2024
Emergency Department Coding:
Get Your Head Right on These Diagnoses
Question: We're having trouble getting our headache and migraine ICD-10 coding straight. B... Read more
Nov 13, 2024
Diagnostic Radiology Coding:
Receive a Breakdown of the Technical Component
Question: Could you explain what the technical component is in relation to radiology servi... Read more
Nov 13, 2024
Cardiology Coding:
Follow Expert Guidance to Improve Your Swan-Ganz Coding
Hint: Never report 93503 with other diagnostic cardiac catheterization codes. If your phy... Read more
Nov 12, 2024
Path/Lab Coding:
Let Z Codes Pave the Way for Some Lab Tests
Question: As a lab coder, we use the diagnosis assigned by the ordering physician when sub... Read more
Nov 12, 2024
Pulmonology Coding:
Bolster Your Spirometry Claims With Lung Disease Dx Codes
Hint: Try to specify unspecified codes. One of the most common pulmonary function tests (... Read more
Nov 11, 2024
Emergency Department Coding:
Take Your Time to Nail FAST Exam Coding
Remember, a high-level ED E/M will likely occur during these encounters. When a patient p... Read more
Nov 11, 2024
Emergency Department Coding:
2 ED E/Ms in 1 Day? Not So Fast
Question: A patient reported to the emergency department (ED) at 7 a.m. for fever, nausea,... Read more
Nov 08, 2024
Practice Management:
Use The Correct Tax Forms for Each Worker Category
Question: When hiring part-time or full-time staff, which tax documents do I need to use? ... Read more
Nov 08, 2024
Pulmonology Coding:
Analyze Acute Asthma Exacerbation Codes for Status Asthmaticus
Question: A patient presented to the emergency department (ED) with a flare up of their mo... Read more
Nov 07, 2024
Diagnostic Radiology Coding:
Do You Report Sternum X-rays With 71046? Find out
Question: A patient presented to our radiology clinic with complaints of shortness of brea... Read more
Nov 07, 2024
Pulmonology Coding:
Learn How to Count Rx Management Toward MDM
Question: I have a report from a recent evaluation and management (E/M) visit with an esta... Read more
Nov 06, 2024
Primary Care Coding:
Check Out This Primer for Risk Adjustment in Primary Care
Get the foundation you need in risk adjustment to optimize your documentation workflow. W... Read more
Nov 06, 2024
Cardiology Coding:
Dial Into Heart Failure Codes
Question: If coding heart failure and the provider states that the patient has systolic he... Read more
Nov 05, 2024
Cardiology Coding:
Mind Catheter Placement
Question: Once the patient was prepped and anesthetized, my cardiologist made a small inci... Read more
Nov 05, 2024
Diagnostic Radiology Coding:
Get Ready for CPT® 2025 With Radiology Guideline Changes
Find out who can administer and bill for fMRI tests. While the 2025 CPT® code set won't ... Read more
Nov 05, 2024
Urology Coding:
Language is Everything When it Comes to Catheter Coding
Question: I'm confused about the types of urinary catheters and how they are coded in... Read more
Nov 04, 2024
Urology Coding:
Check Out This Calculus Coding Conundrum
Question: Can you use N13.2 if a patient has both renal and ureteral stones? Florida Subs... Read more
Nov 04, 2024
Oncology Coding:
Use These Keys to Unlock Breast Cancer Coding (Part 1)
Understand these core codes and how to apply them. Breast cancer coding may seem simple o... Read more
Nov 04, 2024
ICD-10-CM:
Coding Rely on Definitions for T36-T65 Codes
Question: What's the difference between adverse effect and toxic effect? The ICD-10-CM cod... Read more
Nov 01, 2024
Technology & Innovation:
Stay on Top of Your Practice’s Technical Debt
Question: Our IT team mentioned technical debt in a town hall recently. What is techn... Read more
Nov 01, 2024
Path/Lab Coding:
Look for Coverage Guidance in NCDs, LCDs
Question: How can I find information about Medicare coverage for lab and pathology procedu... Read more
Nov 01, 2024
Practice Management:
Protect Your Practice From Potential Fraud
Training your office staff and correctly billing patients is key to avoiding fraudulent cl... Read more
Nov 01, 2024
Medicare Regulations:
Respond to CERT Requests Appropriately
Question: Our practice is currently in the middle of a Comprehensive Error Rate Testi... Read more
Nov 01, 2024
Practice Management:
Avoid These Common Documentation Shortcuts
Question: I know illegibility has historically been an obstacle to good documentation. My ... Read more
Nov 01, 2024
Technology & Innovation:
Trying to Get a Handle on Costs? AI May Be the Answer
Balancing top-notch patient care while managing care costs has been a struggle. An import... Read more
Nov 01, 2024
Technology & Innovation:
Use ‘Nutrition Labels’ to Find Your Ideal AI Solution
Question: We are interested in deploying artificial intelligence (AI) in our practice... Read more
Available Years:  2024