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Primary Care Coding Alert

Influenza Vaccine Update:
Beef Up Your Influenza Coding Arsenal This Flu Season With 90630
Heads up: You will begin to receive payments for the code in April 2016. Although the ... Read more
Clip and Save:
Get Proficient With Influenza Coding with These Handy Tips
Don’t let the myriad of choices vex you. As flu season drags on, you will need t... Read more
NGS Update:
Don't Panic If You're Facing Denials for Routine Foot Care and Nail Debridement
Watch out for scenarios where Medicare is denying payments for preoperative tests, too. ... Read more
ICD-10:
Benefit From These Expert Tips for Successful ICD-10 Implementation
Communication between coders and providers is vital for success. With all the drama su... Read more
Reader Question:
Know When to Choose Complicated Abscess Drainage
Question: Our physician reviewed a 56-year-old male patient with complaints of pain and ... Read more
Reader Question:
Using CMS Software Won't Help Search ICD-10 Codes Automatically
Question: I have heard that Medicare has created free billing software that will let us ... Read more
You Be the Coder:
Know if You Need an Anesthesia Modifier with Procedural Code
Question: We had a young patient who came into our office for an ingrown toenail (11750)... Read more
ICD-10 Update:
Don't Fret If You're Getting Denials for Immunization Encounters in October
Good news: You now stand better chance for winning appeals for denied claims. If you h... Read more
ICD-10:
Start Off a Fresh Phase of ICD-10 Training After Implementation Date
Coders, clinicians must come together to solidify office’s ICD-10 coding. With a... Read more
ICD-10:
Benefit From Grace Period To Aid ICD-10 Implementation in Your Practice
Be ready to use ICD-10 or claims won’t fly. Amid the ocean of information CMS ha... Read more
Reader Question:
Choose Site Specific Codes for Abscess Drainage When Available
Question: Our FP recently performed incision and drainage of a finger abscess. Shou... Read more
Reader Question:
Report Wedge Excision Only Once For One Toenail
Question: Our FP recently performed removal of the inflamed tissue adjacent to the ... Read more
You Be the Coder:
Base Debridement Reporting on Area of Wound
Question: Our FP recently treated a patient with multiple extensive wounds requirin... Read more
CPT® 2016 Update:
Get a Heads Up On What to Expect For Family Medicine in CPT® 2016
Stay tuned for reimbursement answers. September is here, and with it comes the annual ... Read more
Influenza Coding:
Ensure Flu Vaccine Coding Success with These Four Expert Tips
From immunizations to diagnoses, get the lowdown on flu patients. It’s that time... Read more
ICD-10 Update:
Watch for Simple One-to-One Transition for Sebaceous Cyst in ICD-10
Don’t report the same diagnosis code for pilar cysts and trichilemmal cysts. If ... Read more
Reader Question:
Reaching Out to E/M Always? Think Again
Question: Can I charge for a 99213 and a 17250 on the same day at the same visit if... Read more
Reader Question:
Location of Cast Guides Removal or Bivalving Code Choice
Question: I need help with this one: Presenting complaint: Patient states that he... Read more
You Be the Coder:
Reporting Reconstruction with Nail Plate Avulsion? Here's What You Need to Know
  Question: Our FP reconstructed the nail bed on a patient’s left grea... Read more
Preventive Care:
Learn The Ins and Outs of G0446 For Successful CVD Therapy Claims
Hint: Check CCI when service is performed with other same day services. If your FP per... Read more
Allergy Immunotherapy:
Get Your Allergy Coding on Track Using This Expert Advice
Hint: Use size of the vial as the guiding factor to number of units to be billed. Do y... Read more
ICD-10 Update:
Look Out For One-to-One Transition for Allergic Rhinitis in ICD-10
You can now report vasomotor rhinitis with a specific diagnosis code. When reporting a... Read more
Reader Questions:
Watch Reporting Options For Immobilization of Thumb
Question: Our FP recently saw a patient with gamekeeper’s thumb. The operativ... Read more
Reader Questions:
Reporting Multiple Paring Codes? Think Again
Question: Our FP recently removed some hyperkeratotic lesions that a patient had on... Read more
You Be the Coder:
Differentiate Between Simple and Complicated For FBR
Question: Our FP recently removed a glass splinter from a patient’s foot. Whe... Read more
Behavioral Counseling:
Know The In and Out of G0445 For HIBC Reporting Success
Hint: Don’t forget to report appropriate diagnosis codes to support medical necess... Read more
Payer Pointers:
Wash Off Some Coding Misconceptions Using This NGS Advice
Look out for guidance with MDM, X{EPSU}, PQRS, and more. If you are not knowing on how... Read more
ICD-10 Update:
Get More Specificity to Infectious Mononucleosis Reporting in ICD-10
Zip from a single code in ICD-9 to 16 highly specific ICD-10 codes. When you begin usi... Read more
Reader Questions:
Use PFSH Elements to Determine Level of E/M
Question: I have a claim in front of me that is giving me pause, because I cannot d... Read more
Reader Questions:
Selecting E/M Code Based on Time Not Dependent on Procedural Code
Question: Is it alright to use time to select an E/M code even if the other service... Read more
You Be the Coder:
Stick to Integumentary Codes For Wart Removal From Buccal Sulcus
Question: Our FP recently removed ten lesions of verucca vulgaris from the buccal s... Read more
Preventive Services:
Ace ECG With Preventive Services Reporting With These 2 Scenarios
Hint: Identify level of ECG service performed to nail the right code. When your FP per... Read more
CPT® Coding Strategies:
Understand The Bilateral Clause With 69210 For Cerumen Removal Claims
Hint: Check payer preference prior to using modifier 50. When reporting for claims for... Read more
ICD-10 Update:
Lock Into 4 Code Choices For Impacted Cerumen in ICD-10
Hint: Check documentation to know if the condition is unilateral or bilateral. If your FP... Read more
Reader Questions:
Watch Requirements For Reporting Blister Drainage With an I&D Code
Question: Our clinician recently performed drainage of fluid that was collected in ... Read more
Reader Questions:
Know if College Physicals Are a Covered Service
Question: Our FP performs school and college physicals on a regular basis. I did no... Read more
You Be the Coder:
Include Foot Care Evaluation For LOPS With Other E/M Services
Question: Recently, I tried billing G0245 with an E/M code for a diabetic patient t... Read more
CPT® Coding Strategies:
Know The Difference Between Simple vs. Complicated Pilonidal I&D or Lose $90
Check for instances when you can report an additional E/M. When your FP performs incis... Read more
Case Study:
Perfect Your Smoking Cessation Reporting Using These 3 Scenarios
Consider between using HCPCS codes and CPT® codes appropriately. You may think tha... Read more
ICD-10 Update:
Rejoice With More Specific Options for Reporting Pilonidal Cyst and Sinus in ICD-10
Hint: Watch for presence of abscess as you did in ICD-9. When your FP diagnoses a pati... Read more
Reader Questions:
Clear Confusion About Same Day Office and Hospital Visits
Question:  We have several patients that we see in the office and then they are adm... Read more
Reader Questions:
Base Laceration Repair Code Selection on Payer Preference
Question: If our FP used a tissue adhesive instead of placing a suture, can this pr... Read more
You Be the Coder:
Exploration But Foreign Body Not Found? Here's What to do
Question: Our FP recently saw a patient who came in complaining of some discomfort in hi... Read more
Preventive Medicine:
Ensure AWV Coding Success With These Useful Pointers
Hint: Use appropriate modifiers when reporting other same day services. When your FP p... Read more
CPT® Coding Strategies:
Discern Between Biopsy and Excision For Apt Skin Lesion Removal Reporting
Hint: Watch for site-specific biopsy codes to report in lieu of skin biopsy. When your... Read more
ICD-10 Update:
Click on B35.1 For Onychomycosis Reporting in ICD-10
Hint: Watch for other conditions of the nail for which you can use the same code. If y... Read more
Reader Questions:
E/M Code With Vaccine Codes For New Patients? Not Always
Question:  Our FP recently administered varicella vaccine to a new 23-year-old pati... Read more
Reader Questions:
Billing Incident-to Patients as New Patients? Think Again
Question: If one of our FPs referred a patient to one of our NPs for primary care, ... Read more
You Be the Coder:
Provide Documentation Supporting Medical Necessity of Callus Removal
Question: Our FP recently excised a callous on a patient’s foot with a scalpel. Wh... Read more
CPT® Coding Strategies:
Failure To Properly ID Complicated I&D Could Leave You Short $90
Watch for instances when you can report an additional E/M. When your clinician perform... Read more
Preventive Counseling:
Get Proficient With Preventive Medicine Counseling With These 3 Scenarios
Hint: Counseling codes cannot be used for patients with existing illness. When your FP... Read more
ICD-10 Update:
Use One-to-One Transition Code For Chronic Laryngitis in ICD-10
Hint: Don’t forget to report exposure to tobacco or infectious agents separately. ... Read more
Reader Questions:
Use Abnormal Results to Report Diagnosis That Prompted Biopsy
Question: If an abnormal pap smear prompted our clinician to undertake a cervical b... Read more
You Be the Coder:
Get Clear About Reporting E/M With Physical Examinations
Question: Our FP recently saw a patient for his routine physical examination. The patient ... Read more
Screening:
Add G0472 For HCV Screening to Your Preventive Services Arsenal
Hint: Repeated screening is allowed annually for high risk patients. When your FP scre... Read more
Mythbuster:
Tackle These TPI Reporting Myths That Might Hurt Your Claims
Warning: Watch for bundling edits when reporting other codes with TPI. When you are re... Read more
ICD-10 Update:
Pave the Way for More Reporting Choices for IBS With K58
Hint: You use the same diagnosis code for spastic colon. When your clinician diagnoses... Read more
Reader Question:
Looking for Coverage For Two Annual Physicals? Think Again
Question: A patient came to our FP for a school physical as he was required by admi... Read more
Reader Question:
Use Appropriate HCPCS Codes For Home Health Care
Question: Our FP recently contacted a home health care agency to plan and provide h... Read more
You Be the Coder:
Watch For Chances to Report E/M With Flu Vaccinations
Question: If our clinician administered a flu vaccination to a patient, is it possi... Read more
Medicare Immunizations:
Ensure Reporting Success For Pneumococcal Vaccination With This Expert Advice
Use different administration codes for Medicare patients. When your FP provides a pneu... Read more
Preventive Counseling:
Tune Into New HCPCS Code For Obesity Group Counseling in 2015
Hint: Use appropriate ICD-9 or ICD-10 codes to support the medical necessity. When you... Read more
ICD-10 Update:
Switch to One-to-One 'N' Series Crossover Options For UTI
Don’t forget to additionally report causative organism for proper reporting. If ... Read more
Reader Question:
Use Days of Treatment as Basis to Select Anticoagulant Management Code
Question: We have a patient that comes into the office and requires anticoagulant m... Read more
Reader Question:
Know If HRA Should be Separately Billed With E/M
Question: A patient of one of our providers came in for an annual wellness visit an... Read more
You Be the Coder:
Routinely Reporting E/M With 11721? Think Again
Question: If our FP performs a procedure like the debridement of nails, is it neces... Read more
Preventive Medicine:
Get Proficient With Preventive Visit Reporting Using This Expert Advice
Watch out for scenarios to report a problem visit on the same calendar date. When repo... Read more
Mythbusters:
Tackle These HPV Administration Myths To Avoid Losing Valuable Reimbursement
Find out what you should report when the patient decides against immunization. You mig... Read more
ICD-10 Update:
Get Specific For Reporting Additional Complications of Herpes Zoster
Otitis externa is reported with a more generalized code choice. When reporting a diagn... Read more
Reader Question:
Don't Report Hemostasis Separately With Excision Code
Question: Our physician recently removed a cyst in the pre-auricular area. The cyst... Read more
You Be the Coder:
Watch CCI For Same Day Injection and Cerumen Removal
Question: Our FP recently performed cerumen removal and provided an injection to the ... Read more
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