Pediatric Coding Alert
Is Allergy Part of ROS or History?
Question: Michigan Subscriber Answer: The correct place to document allergy status depends on the patient's situation. Consider an active allergy as part of the review of systems (ROS); classify the allergy as part of the patient's past/personal history if the allergy is not currently present but might be related to the chief complaint. Caveat:
Pediatric Coding Alert
- Category III Codes:
Shift 90650 HPV Vaccine From 'Pending' to 'Approved' List of Choices
Hint: Watch updated status for several flu vaccines. If July came and went without you [...] - CCI 16.2:
Forget Reporting Telehealth Services With E/M Care
If your payer follows CCI, remember face-to-face outweighs other options.If any of your payers follow [...] - ICD-9:
Follow These 4 Steps to Become an ICD-9 Coding Pro
Tip: Skip presenting complaints in outpatient setting if diagnosis is clear.Your CPT codes should always [...] - You Be the Coder:
Is Allergy Part of ROS or History?
Question: The provider documented NKDA (no known drug allergies) as part of a patient's evaluation. [...] - Reader Questions:
Count Extra Minutes Before Increasing E/M for Counseling
Question: We've found increased BMI during well visits for several children lately. The pediatrician spends [...] - Reader Questions:
Single Code Covers Multiple Wart Removals
Question: When we code for removal of warts, do we use the code for each [...] - Reader Questions:
Multiple 96110's Are OK With Modifiers
Question: Our local Medicare carrier's rule has been that you could not bill 96110 multiple [...] - Reader Questions:
Examine Manifestations for Self Esteem Diagnosis
Question: A mother brought her child in because of self esteem concerns. Is there a [...] - Reader Questions:
Watch Joint Movement for Correct Finger Splint
Question: What CPT and supply codes should we report for finger splinting? Pennsylvania Subscriber Answer: [...] - Reader Questions:
No Modifier 25 Needed for Vaccine With Well Check
Question: We often administer vaccines when we see patients for well baby visits. Do we [...] - Reader Questions:
Follow Signature Rules or Risk Payments
Question: One of our physicians likes to sign everything with just his initials, or sometimes [...] - Reader Questions:
Clarify 'New' Versus 'Established' Patient
Question: Our practice performed a test on a patient another doctor referred to us. Our [...] - Reader Questions:
Clarify Temp Services Using Modifier Q6
Question: One of our physicians is taking some time off, and a temporary physician will [...]
