Neurology & Pain Management Coding Alert
News You Can Use:
MPFS Features Deep CF Cut
The 2023 conversion factor's already causing controversy. The Centers for Medicare & ... Read more
MPFS Features Deep CF Cut
The 2023 conversion factor's already causing controversy. The Centers for Medicare & ... Read more
Injections:
Take This Advice for Sure-Shot Trigger Point Injection Coding
Here's why the number of overall shots is irrelevant to your code choice. When a patient... Read more
Take This Advice for Sure-Shot Trigger Point Injection Coding
Here's why the number of overall shots is irrelevant to your code choice. When a patient... Read more
E/M 2023:
Get Up to Speed on New Consult Rules
Remember this modifier for all consult codes. The time is nigh to start observing the 202... Read more
Get Up to Speed on New Consult Rules
Remember this modifier for all consult codes. The time is nigh to start observing the 202... Read more
Reader Questions:
2-Knee X-Ray? Use 1 Code
Question: Encounter notes indicate that the provider performed a level-three evaluati... Read more
2-Knee X-Ray? Use 1 Code
Question: Encounter notes indicate that the provider performed a level-three evaluati... Read more
Reader Questions:
Get More Details for Head/Brain CT
Question: How do I report computed tomography (CT) of the head? What about coding a C... Read more
Get More Details for Head/Brain CT
Question: How do I report computed tomography (CT) of the head? What about coding a C... Read more
Reader Questions:
Use This Guide for Referrals in MDM Table
Question: Our providers say that referrals are always considered low risk under the R... Read more
Use This Guide for Referrals in MDM Table
Question: Our providers say that referrals are always considered low risk under the R... Read more
Reader Questions:
Answer Intractable Question, Then Code This Headache
Question: The provider diagnosed post-traumatic headache. Is G44.3 the correct ICD-1... Read more
Answer Intractable Question, Then Code This Headache
Question: The provider diagnosed post-traumatic headache. Is G44.3 the correct ICD-1... Read more
Reader Questions:
Look to MAC With NCCI Queries
Question: Which agency is most appropriate to contact if I have questions about an ap... Read more
Look to MAC With NCCI Queries
Question: Which agency is most appropriate to contact if I have questions about an ap... Read more
You Be the Coder:
Be Confident With This Shy-Drager Dx
Question: During an office evaluation and management (E/M) service for an established... Read more
Be Confident With This Shy-Drager Dx
Question: During an office evaluation and management (E/M) service for an established... Read more
CPT® 2023:
Imaging Guidance Bundled Into Several Injection Codes
Here's how this could lower pay for 64415-64417, 64445-64448. If you report somatic nerve... Read more
Imaging Guidance Bundled Into Several Injection Codes
Here's how this could lower pay for 64415-64417, 64445-64448. If you report somatic nerve... Read more
Condition Spotlight:
Stenosis Diagnosis Often Result of E/M, Testing
Pain in spine or extremities? It could be spinal stenosis. Patients who have symptoms of ... Read more
Stenosis Diagnosis Often Result of E/M, Testing
Pain in spine or extremities? It could be spinal stenosis. Patients who have symptoms of ... Read more
Compliance:
Watch the Clock for Accurate Time Count, Avoid Audits
Be careful, but not afraid, when leveling E/M using time. Using total time rather than co... Read more
Watch the Clock for Accurate Time Count, Avoid Audits
Be careful, but not afraid, when leveling E/M using time. Using total time rather than co... Read more
Reader Questions:
Decipher Shorthand for Optimal CT Coding
Question: Encounter notes indicate that the provider performed ‘CT, max. facial area. w/... Read more
Decipher Shorthand for Optimal CT Coding
Question: Encounter notes indicate that the provider performed ‘CT, max. facial area. w/... Read more
Reader Questions:
Do This for Bilateral Problems During E/Ms
Question: If a patient has a bilateral problem (for example, the patient has pain in both ... Read more
Do This for Bilateral Problems During E/Ms
Question: If a patient has a bilateral problem (for example, the patient has pain in both ... Read more
Reader Questions:
Don’t Sleep on Potential Medical Record Reviews
Question: How concerned should we be about medical record reviews by the Centers for Medic... Read more
Don’t Sleep on Potential Medical Record Reviews
Question: How concerned should we be about medical record reviews by the Centers for Medic... Read more
You Be the Coder:
Before Doubling Up, Look for More Accurate Single Code
Question: Encounter notes indicate that the provider performed an office evaluation and ma... Read more
Before Doubling Up, Look for More Accurate Single Code
Question: Encounter notes indicate that the provider performed an office evaluation and ma... Read more
News You Can Use:
CPT® 2023: New US Code Highlights Changes
Also, do you know what a # represents in the code book? It's no secret that coders have b... Read more
CPT® 2023: New US Code Highlights Changes
Also, do you know what a # represents in the code book? It's no secret that coders have b... Read more
E/M 2023:
ED E/M Changes Put it all on MDM
Check out the new rules for 99281-99285. Coding for evaluation and management (E/M) servi... Read more
ED E/M Changes Put it all on MDM
Check out the new rules for 99281-99285. Coding for evaluation and management (E/M) servi... Read more
ICD-10 2023:
Use These Codes now for MD, Intracranial Injuries
Remember, the codes went into effect Oct. 1. ICD-10 has snuck up sooner than expected, a... Read more
Use These Codes now for MD, Intracranial Injuries
Remember, the codes went into effect Oct. 1. ICD-10 has snuck up sooner than expected, a... Read more
Reader Questions:
Head off Encephalocele Dx Questions With This Info
Question: What is encephalocele, and how do I choose an ICD-10 code for this conditio... Read more
Head off Encephalocele Dx Questions With This Info
Question: What is encephalocele, and how do I choose an ICD-10 code for this conditio... Read more
Reader Questions:
Look to Acquire More Data on Sparse Spina Bifida Note
Question: Encounter notes indicate that the provider treated a patient suffering from... Read more
Look to Acquire More Data on Sparse Spina Bifida Note
Question: Encounter notes indicate that the provider treated a patient suffering from... Read more
Reader Questions:
Look for Evidence of Refill on Pump Analysis
Question: Encounter notes indicate that the PM physician performed electronic analysi... Read more
Look for Evidence of Refill on Pump Analysis
Question: Encounter notes indicate that the PM physician performed electronic analysi... Read more
Reader Questions:
Get Muscle Count Right on Chemodenervations
Question: Encounter notes indicate that the provider performed chemodenervation of th... Read more
Get Muscle Count Right on Chemodenervations
Question: Encounter notes indicate that the provider performed chemodenervation of th... Read more
Reader Questions:
When Coding This Syndrome, You Might Need a Companion Code
Question: Notes indicate that the provider performed a level-three office evaluation ... Read more
When Coding This Syndrome, You Might Need a Companion Code
Question: Notes indicate that the provider performed a level-three office evaluation ... Read more
Reader Questions:
Keep Medical Record Reviews on Your Radar
Question: How concerned should we be about medical record reviews by the Centers for ... Read more
Keep Medical Record Reviews on Your Radar
Question: How concerned should we be about medical record reviews by the Centers for ... Read more
You Be the Coder:
Myelography and E/M
Question: Encounter notes indicate that after an office evaluation and management (E/... Read more
Myelography and E/M
Question: Encounter notes indicate that after an office evaluation and management (E/... Read more
E/M 2023:
Changes Coming for Hospital Codes
Here's what you'll use instead of 99217 next year. The AMA has made its changes to evalua... Read more
Changes Coming for Hospital Codes
Here's what you'll use instead of 99217 next year. The AMA has made its changes to evalua... Read more
News You Can Use:
Conversion Factor Cut in 2023 Proposed Rule
Don't expect another 3% boost for next year. With COVID still causing trouble and practi... Read more
Conversion Factor Cut in 2023 Proposed Rule
Don't expect another 3% boost for next year. With COVID still causing trouble and practi... Read more
ICD-10 2023:
New Code Sets Expand Cranial Injury Diagnoses
Blast-wave injuries get big Dx bump. Last month, we examined a bevy of new diagnosis cod... Read more
New Code Sets Expand Cranial Injury Diagnoses
Blast-wave injuries get big Dx bump. Last month, we examined a bevy of new diagnosis cod... Read more
Reader Questions:
Unknown Loss of Consciousness Status? Look to These New Codes
Question: I heard that ICD-10 2023 will include several codes new for specified/unsp... Read more
Unknown Loss of Consciousness Status? Look to These New Codes
Question: I heard that ICD-10 2023 will include several codes new for specified/unsp... Read more
Reader Questions:
Use Add-on for Multiple Intercostal Shots
Question: Encounter notes indicate that the provider performed anesthetic injections ... Read more
Use Add-on for Multiple Intercostal Shots
Question: Encounter notes indicate that the provider performed anesthetic injections ... Read more
Reader Questions:
Get More Info Before Spinal Puncture Code Choice
Question: Encounter notes indicate that the provider performed a spinal puncture. How... Read more
Get More Info Before Spinal Puncture Code Choice
Question: Encounter notes indicate that the provider performed a spinal puncture. How... Read more
Reader Questions:
Stay Vigilant — and in Line With HIPAA Rule
Question: We've been experiencing an increase in phishing and are aware of reports of rans... Read more
Stay Vigilant — and in Line With HIPAA Rule
Question: We've been experiencing an increase in phishing and are aware of reports of rans... Read more
You Be the Coder:
Mysterious Headache Dx
Question: During a level-four office evaluation and management (E/M) service for a ne... Read more
Mysterious Headache Dx
Question: During a level-four office evaluation and management (E/M) service for a ne... Read more
ICD-10 2023:
New Codes Detailing Dementia Debut
Keep learning new codes to avoid falling behind. Another issue of Neurology & Pain Ma... Read more
New Codes Detailing Dementia Debut
Keep learning new codes to avoid falling behind. Another issue of Neurology & Pain Ma... Read more
ICD-10 2023:
Substance Use, Poisoning Code Dx Groups Swell
Another well-represented group in 2023 is 2-wheeled vehicle accident diagnoses. Coders sh... Read more
Substance Use, Poisoning Code Dx Groups Swell
Another well-represented group in 2023 is 2-wheeled vehicle accident diagnoses. Coders sh... Read more
E/M Coding:
Use This Shared Knowledge to Shore Up Shared Billing Skills
Here's why you need to know how documentation helps establish the patient's medical narrat... Read more
Use This Shared Knowledge to Shore Up Shared Billing Skills
Here's why you need to know how documentation helps establish the patient's medical narrat... Read more
Reader Questions:
Dig Deep for Correct CRPS Dx
Question: Encounter notes indicate that the provider performed an office evaluation a... Read more
Dig Deep for Correct CRPS Dx
Question: Encounter notes indicate that the provider performed an office evaluation a... Read more
Reader Questions:
Consider This Guidance on Unconventional Refill
Question: The PM specialist completed a patent test and aspirated all the medication ... Read more
Consider This Guidance on Unconventional Refill
Question: The PM specialist completed a patent test and aspirated all the medication ... Read more
Reader Questions:
Keep Modifier 22 Atop Op Note Concerns
Question: I was told documentation for modifier 22 (Increased procedural services) sh... Read more
Keep Modifier 22 Atop Op Note Concerns
Question: I was told documentation for modifier 22 (Increased procedural services) sh... Read more
Reader Questions:
Use This Specific New Code for These Arrays
Question: When our provider implants a neurostimulator electrode array in the hypoglo... Read more
Use This Specific New Code for These Arrays
Question: When our provider implants a neurostimulator electrode array in the hypoglo... Read more
You Be the Coder:
Remember Add-On for Intercostal Shots
Question: Encounter notes indicate that the provider performed a steroid injection to... Read more
Remember Add-On for Intercostal Shots
Question: Encounter notes indicate that the provider performed a steroid injection to... Read more
ICD-10 2023:
Concussion, Other Brain Injuries Get Big Code Bump
Remember, these codes take effect before 2023. The World Health Organization (WHO) has r... Read more
Concussion, Other Brain Injuries Get Big Code Bump
Remember, these codes take effect before 2023. The World Health Organization (WHO) has r... Read more
Injections:
Follow the Notes to Correct Chemodenervation Code
CPT® has suggested conditions in descriptors, but they're not required. Patients repor... Read more
Follow the Notes to Correct Chemodenervation Code
CPT® has suggested conditions in descriptors, but they're not required. Patients repor... Read more
E/M Coding:
Look for Care Plan Before Coding Incident-to
Get 15 percent more for same service in certain situations. Practices often use incident... Read more
Look for Care Plan Before Coding Incident-to
Get 15 percent more for same service in certain situations. Practices often use incident... Read more
Reader Questions:
Disc Disorder Dx Depends on Spinal Region
Question: Encounter notes indicate that the provider diagnosed C2-C3 disc disorder wi... Read more
Disc Disorder Dx Depends on Spinal Region
Question: Encounter notes indicate that the provider diagnosed C2-C3 disc disorder wi... Read more
Reader Questions:
Remember Prodrome Symptoms for Accurate Migraine Dx
Question: The provider diagnosed the patient with “migraine w/ prodrome, no status... Read more
Remember Prodrome Symptoms for Accurate Migraine Dx
Question: The provider diagnosed the patient with “migraine w/ prodrome, no status... Read more
Reader Questions:
Arnold-Chiari? Look to Encephalocele Diagnoses
Question: Encounter notes indicate that a patient suffered from “arnold chiari ty... Read more
Arnold-Chiari? Look to Encephalocele Diagnoses
Question: Encounter notes indicate that a patient suffered from “arnold chiari ty... Read more
You Be the Coder:
E/Ms and Neuro Status Exams
Question: Encounter notes indicate that the provider performed an office evaluation a... Read more
E/Ms and Neuro Status Exams
Question: Encounter notes indicate that the provider performed an office evaluation a... Read more
Aspirations & Injections:
Remember Policy on Dry Needling, Size on Joint Shots
Do you know the difference between intermediate and major joints? Patients reporting to t... Read more
Remember Policy on Dry Needling, Size on Joint Shots
Do you know the difference between intermediate and major joints? Patients reporting to t... Read more
E/M Coding:
Track Non-Face-to-Face Time to Max Out Claims
Here's why it's vital to capture work that occurs beyond patient encounters. Every coder ... Read more
Track Non-Face-to-Face Time to Max Out Claims
Here's why it's vital to capture work that occurs beyond patient encounters. Every coder ... Read more
Sleep Studies:
Wake Up to Sleep Study Code Differences
Here's why you can't classify all sleep studies as polysomnography. You can increase you... Read more
Wake Up to Sleep Study Code Differences
Here's why you can't classify all sleep studies as polysomnography. You can increase you... Read more
Reader Questions:
Use Modifiers to Power ‘Partial’ Evoked Potential Study
Question: Notes indicate that the provider performed a short-latency somatosensory ev... Read more
Use Modifiers to Power ‘Partial’ Evoked Potential Study
Question: Notes indicate that the provider performed a short-latency somatosensory ev... Read more
Reader Questions:
Use Anatomy Smarts to Select Spinal Canal MRI
Question: Encounter notes indicate that the provider performed the following: “MRI ... Read more
Use Anatomy Smarts to Select Spinal Canal MRI
Question: Encounter notes indicate that the provider performed the following: “MRI ... Read more
Reader Questions:
Zero in on Most Accurate EEG Code
Question: Encounter notes indicate that the provider performed an electroencephalogr... Read more
Zero in on Most Accurate EEG Code
Question: Encounter notes indicate that the provider performed an electroencephalogr... Read more
You Be the Coder:
E/Ms and Dyskinetic CP
Question: Encounter notes indicate that the provider performed an office evaluation a... Read more
E/Ms and Dyskinetic CP
Question: Encounter notes indicate that the provider performed an office evaluation a... Read more
Injections:
Use These Tips to Get Your Courage up for Nerve Injection Claims
Do you know the difference between trigeminal and greater occipital nerves? Two common ne... Read more
Use These Tips to Get Your Courage up for Nerve Injection Claims
Do you know the difference between trigeminal and greater occipital nerves? Two common ne... Read more
ICD-10 Coding:
Make Movement Disorder Dx a Sure Thing by Knowing G20-G26
Parkinson's isn't the only disorder in the group. Coders whose knowledge of movement diso... Read more
Make Movement Disorder Dx a Sure Thing by Knowing G20-G26
Parkinson's isn't the only disorder in the group. Coders whose knowledge of movement diso... Read more
E/M Coding:
VANDALISM Helps Confirm Hospital Care Components
Mnemonic device can help you ace hospital claims. For coders of providers who don't spend... Read more
VANDALISM Helps Confirm Hospital Care Components
Mnemonic device can help you ace hospital claims. For coders of providers who don't spend... Read more
Reader Questions:
Connecting Immunosuppression and RA? Not so Fast
Question: Notes indicate a patient is suffering from immunosuppression due to the rhe... Read more
Connecting Immunosuppression and RA? Not so Fast
Question: Notes indicate a patient is suffering from immunosuppression due to the rhe... Read more
Reader Questions:
Do Some Digging to Find Muscular Dystrophy Dx
Question: What is the diagnosis code for a patient with muscular dystrophy? Alabama ... Read more
Do Some Digging to Find Muscular Dystrophy Dx
Question: What is the diagnosis code for a patient with muscular dystrophy? Alabama ... Read more
Reader Questions:
#Resequenced Is Always Trending in CPT® Manual
Question: The provider performed a spinal puncture for a patient. I was perusing this... Read more
#Resequenced Is Always Trending in CPT® Manual
Question: The provider performed a spinal puncture for a patient. I was perusing this... Read more
Reader Questions:
Throw Yourself Into ICD-10 Manual for Tough Discitis Dx
Question: The provider performed a level-four office evaluation an management (E/M) s... Read more
Throw Yourself Into ICD-10 Manual for Tough Discitis Dx
Question: The provider performed a level-four office evaluation an management (E/M) s... Read more
Reader Questions:
Look at This HIPAA Advice
Question: Can we switch to gap analysis of how we implement HIPAA compliance instead ... Read more
Look at This HIPAA Advice
Question: Can we switch to gap analysis of how we implement HIPAA compliance instead ... Read more
Reader Questions:
Multiple-Region Myelographies Mean Using These Codes
Question: How do I report myelography? And does this change if we are reporting more ... Read more
Multiple-Region Myelographies Mean Using These Codes
Question: How do I report myelography? And does this change if we are reporting more ... Read more
You Be the Coder:
Migraine With Prodrome
Question: During a level-three office evaluation and management (E/M) service for a n... Read more
Migraine With Prodrome
Question: During a level-three office evaluation and management (E/M) service for a n... Read more
ICD-10 Coding:
Take Mystery Out of Osteoarthritis Dx Coding
Remember, osteoarthritis can affect many body areas. Patients often report to the PM spec... Read more
Take Mystery Out of Osteoarthritis Dx Coding
Remember, osteoarthritis can affect many body areas. Patients often report to the PM spec... Read more
Modifier Madness:
Use Q6 on Locum Tenens/FTC Claims
Did you know Medicare no longer uses locum tenens in its literature? Physicians in busy p... Read more
Use Q6 on Locum Tenens/FTC Claims
Did you know Medicare no longer uses locum tenens in its literature? Physicians in busy p... Read more
ICD-10 Coding:
Don’t Use Gut Instincts for Abdominal Pain Dx
Here's why you should scrutinize for symptom, age, severity, and site. One of the more o... Read more
Don’t Use Gut Instincts for Abdominal Pain Dx
Here's why you should scrutinize for symptom, age, severity, and site. One of the more o... Read more
Reader Questions:
Choose Puncture Code After Injection Answer
Question: What code should I report when my provider performs a cisternal C1-C2 punct... Read more
Choose Puncture Code After Injection Answer
Question: What code should I report when my provider performs a cisternal C1-C2 punct... Read more
Reader Questions:
Use Decision Tree to Strengthen Headache Dx
Question: Some of our coders are having trouble getting the ICD-10 codes for our hea... Read more
Use Decision Tree to Strengthen Headache Dx
Question: Some of our coders are having trouble getting the ICD-10 codes for our hea... Read more
Reader Questions:
Know What Brain Mapping Code Covers
Question: What does functional brain mapping CPT® code 96020 cover? And how do I rep... Read more
Know What Brain Mapping Code Covers
Question: What does functional brain mapping CPT® code 96020 cover? And how do I rep... Read more
Reader Questions:
Use This Dx for Roussy-Levy Syndrome
Question: Encounter notes indicate that the provider performed a level-three evaluati... Read more
Use This Dx for Roussy-Levy Syndrome
Question: Encounter notes indicate that the provider performed a level-three evaluati... Read more
Reader Questions:
Monitoring Makes EEG Code Choice Clear
Question: Notes indicate that the provider performed a 10-hour electroencephalogram ... Read more
Monitoring Makes EEG Code Choice Clear
Question: Notes indicate that the provider performed a 10-hour electroencephalogram ... Read more
You Be the Coder:
Get Anatomy Right for Chest US
Question: Encounter notes indicate that the provider performed an ultrasound (US) on ... Read more
Get Anatomy Right for Chest US
Question: Encounter notes indicate that the provider performed an ultrasound (US) on ... Read more
ICD-10 Coding:
Use These Tips, Keep Pain Dx Coding From Hurting Bottom Line
Chronic means pain that lasts 12 weeks. When you have to submit ICD-10 codes for your pat... Read more
Use These Tips, Keep Pain Dx Coding From Hurting Bottom Line
Chronic means pain that lasts 12 weeks. When you have to submit ICD-10 codes for your pat... Read more
E/M Coding:
Learn Code Categories, Make Sense of Hospital Care Coding
Inpatients staying more than 1 day have different codes. Patients who require hospital ca... Read more
Learn Code Categories, Make Sense of Hospital Care Coding
Inpatients staying more than 1 day have different codes. Patients who require hospital ca... Read more
Modifier Madness:
Know Anatomical, Lab Modifiers to Strengthen Your Coding Smarts
Do you know what modifier F1 refers to? CPT® modifiers are more varied and intricate th... Read more
Know Anatomical, Lab Modifiers to Strengthen Your Coding Smarts
Do you know what modifier F1 refers to? CPT® modifiers are more varied and intricate th... Read more
Reader Questions:
CPT® Rings Up Another Telehealth Modifier
Question: I heard there was a new telehealth modifier that we're supposed to be using now.... Read more
CPT® Rings Up Another Telehealth Modifier
Question: I heard there was a new telehealth modifier that we're supposed to be using now.... Read more
Reader Questions:
Choose CT Code After You I.D. Spinal Section
Question: Encounter notes indicate that the provider performed a spinal computed tomo... Read more
Choose CT Code After You I.D. Spinal Section
Question: Encounter notes indicate that the provider performed a spinal computed tomo... Read more
Reader Questions:
Remember Permanent Recording Portion of Arthrocentesis
Question: Encounter notes indicate that the provider performed arthrocentesis on a pa... Read more
Remember Permanent Recording Portion of Arthrocentesis
Question: Encounter notes indicate that the provider performed arthrocentesis on a pa... Read more
Reader Questions:
Code Cautiously With Depression/Anxiety Combo
Question: How do you code a patient who has depression and anxiety? Do you code the t... Read more
Code Cautiously With Depression/Anxiety Combo
Question: How do you code a patient who has depression and anxiety? Do you code the t... Read more
Reader Questions:
Count by 10 for Kenalog
Question: How many units of J3301 is 4 mL of Kenalog? The descriptor references milli... Read more
Count by 10 for Kenalog
Question: How many units of J3301 is 4 mL of Kenalog? The descriptor references milli... Read more
Reader Questions:
Get Modifiers, Dosages Right on Injections
Question: Our physician performed trigger finger injections on the middle fingers of ... Read more
Get Modifiers, Dosages Right on Injections
Question: Our physician performed trigger finger injections on the middle fingers of ... Read more
You Be the Coder:
Find Thoracic Neuritis Dx
Question: Encounter notes indicate that the provider treated a patient with a diagnosis of... Read more
Find Thoracic Neuritis Dx
Question: Encounter notes indicate that the provider treated a patient with a diagnosis of... Read more
CMS Final Rule:
Welcome to 2022: Where the Conversion Rate Is Lower
No increase in pay for providers this year. As if 2021 wasn't enough of a gut punch, the... Read more
Welcome to 2022: Where the Conversion Rate Is Lower
No increase in pay for providers this year. As if 2021 wasn't enough of a gut punch, the... Read more
Diagnostic/Surgical Coding:
Get Details Right to Nail Discography/Decompression Dilemma
Remember, one is surgical, the other diagnostic. If you don't know the difference betwee... Read more
Get Details Right to Nail Discography/Decompression Dilemma
Remember, one is surgical, the other diagnostic. If you don't know the difference betwee... Read more
Clip N Save:
Payer Policy Drives ICD-10 Codes for Discography, Disc Decompression
Remember to check with each payer for approved diagnoses. When your provider performs a d... Read more
Payer Policy Drives ICD-10 Codes for Discography, Disc Decompression
Remember to check with each payer for approved diagnoses. When your provider performs a d... Read more
Modifier Madness:
Look to 26, 54 When Coding for Partial Services
Do you know how to code for postop care only? There are times when, for various reasons, ... Read more
Look to 26, 54 When Coding for Partial Services
Do you know how to code for postop care only? There are times when, for various reasons, ... Read more
Reader Questions:
Make Sure You’re Straight on Modifier 25 Rules
Question: Have the modifier 25 rules changed now that the E/M guidelines are differen... Read more
Make Sure You’re Straight on Modifier 25 Rules
Question: Have the modifier 25 rules changed now that the E/M guidelines are differen... Read more
Reader Questions:
Anatomy Crucial for Proper PET Scan Coding
Question: Notes indicate our provider performed ‘PET scan, whole body.' I reported 78811... Read more
Anatomy Crucial for Proper PET Scan Coding
Question: Notes indicate our provider performed ‘PET scan, whole body.' I reported 78811... Read more
Reader Questions:
Tab Differentials to Aid E/M Level Decision
Question: An established patient came to our office complaining of left-sided facial... Read more
Tab Differentials to Aid E/M Level Decision
Question: An established patient came to our office complaining of left-sided facial... Read more
Reader Questions:
Understand Differences Between New and Established Patients
Question: If a patient sees one physician in our practice, then one year later sees a diff... Read more
Understand Differences Between New and Established Patients
Question: If a patient sees one physician in our practice, then one year later sees a diff... Read more
You Be the Coder:
Go Deep for Full Skull Fracture Dx
Question: Encounter notes indicate that a patient suffered a fracture of the right medial ... Read more
Go Deep for Full Skull Fracture Dx
Question: Encounter notes indicate that a patient suffered a fracture of the right medial ... Read more
Imaging:
Get Specific When Choosing MRI Code
Anatomy only the beginning when looking for right MRI code. Patients that report to your ... Read more
Get Specific When Choosing MRI Code
Anatomy only the beginning when looking for right MRI code. Patients that report to your ... Read more
ICD-10 Coding:
Wake up to Sleep Apnea Coding Peculiarities
Do you know which type of sleep apnea is most common? Patients that report to your practi... Read more
Wake up to Sleep Apnea Coding Peculiarities
Do you know which type of sleep apnea is most common? Patients that report to your practi... Read more
Compliance:
Make Sure You’re Using the Right ABN
Additions to ABN changed the form last year. If you haven't filed an advance beneficiar... Read more
Make Sure You’re Using the Right ABN
Additions to ABN changed the form last year. If you haven't filed an advance beneficiar... Read more
Reader Questions:
Get all Info Before Diving Into E/M-CT Combo Encounter
Question: Notes indicate the provider performed an office evaluation and management (... Read more
Get all Info Before Diving Into E/M-CT Combo Encounter
Question: Notes indicate the provider performed an office evaluation and management (... Read more
Reader Questions:
Use G43.6 for Various Syndrome Dxs
Question: Notes indicate that a patient suffered from Wallenberg syndrome. I'm not fa... Read more
Use G43.6 for Various Syndrome Dxs
Question: Notes indicate that a patient suffered from Wallenberg syndrome. I'm not fa... Read more
Reader Questions:
Use MDM for This CTS E/M Encounter
Question: Notes indicate that the provider performed an office evaluation and managem... Read more
Use MDM for This CTS E/M Encounter
Question: Notes indicate that the provider performed an office evaluation and managem... Read more
Reader Questions:
Count Views, Then Choose Skull X-Ray Code
Question: Notes indicate that the provider performed “x-ray, skull.” What is the ... Read more
Count Views, Then Choose Skull X-Ray Code
Question: Notes indicate that the provider performed “x-ray, skull.” What is the ... Read more
Reader Questions:
Depend on Date of Service
Question: I have some patients whose diagnoses use codes that received updates on October ... Read more
Depend on Date of Service
Question: I have some patients whose diagnoses use codes that received updates on October ... Read more
You Be the Coder:
Nerve Conduction Test With Latency/Velocity Studies
Question: Notes indicate that the provider performed sensory nerve conduction test using e... Read more
Nerve Conduction Test With Latency/Velocity Studies
Question: Notes indicate that the provider performed sensory nerve conduction test using e... Read more