Internal Medicine Coding Alert
Stay Current on Tetanus Codes
Question: For tetanus shots, weve been charging 90471 and 90703. What are the current rules on tetanus injection codes? South Dakota Subscriber Answer: Medicare covers a tetanus injection (90703,Tetanus toxoid adsorbed, for intramuscular use; 90714,Tetanus and diphtheria toxoids [Td] adsorbed, preservative free, when administered to individuals 7 years or older, for intramuscular use; 90718, Tetanus and diphtheria toxoids [Td] adsorbed when administered to individuals 7 years or older, for intramuscular use) when given for an acute injury to a person who is incompletely immunized. When a tetanus booster is given to a patient without an injury, the injection does not meet the coverage criteria for Medicare, although it may be appropriate preventive treatment. When a vaccination is excluded from coverage, related charges are also not covered.
Internal Medicine Coding Alert
- Boot 250.00 for Charcot Foot, Embrace Dual Dxs
In your next education session, encourage internists to specify underlying cause. Stop equating 250.00 with [...] - 3 Do's End FOBT Miscodes, Rejections
This simple switch halts deleted code denials. If denials for G0394 plague you, plug this [...] - Auto-Bundle Procedures to Save Money in the Long Run
Beware: Absent CCI edit doesnt make separately codeable a shoo-in. Even if CCI doesnt publish [...] - Asthma Attack:
Does Prolonged or High-Level E/M RepresentYour Work?
This checklist deters payback requests for insufficient +99354 time. After spending almost an hour stabilizing [...] - READER QUESTIONS:
Check Strength for Depo-Medrol J Code
Question: Our doctors frequently give 60 mg Depo-Medrol. HCPCS level-II offers codes for three sizes: [...] - READER QUESTIONS:
Modifier 50: Medicare Wants Single Line Entry
Question: I need some information on billing bilateral procedures. For Medicare, should I report the [...] - READER QUESTIONS:
Is 25 Necessary With X-Ray?
Question: An internist circled 99213 and 71020. Do I need a modifier to report this [...] - READER QUESTIONS:
Patients Are Not New to Practice With New Doc
Question: We hired a new physician for our practice after another physician left. The new [...] - READER QUESTIONS:
Stay Current on Tetanus Codes
Question: For tetanus shots, weve been charging 90471 and 90703. What are the current rules [...] - READER QUESTIONS:
Count Minutes on 'Counseling Exception' Claims
Question: A new patient with diabetes meets with the internist for management of her condition. [...] - READER QUESTIONS:
Is 99211 + 95117 OK?
Question: When a patient comes in for allergy injections -- and thats all the nurse sees [...] - YOU Be the Coder! Does 96116 = MMSE?
Question: I have a physician who wants to bill for a Mini Mental Status Exam [...]
