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Pulmonology Coding Alert
Pulmonology Coding Alert
Pulmonology Coding Alert - 2021; Volume 22, Number 12
Risk Adjustment:
Learn How One Word Transforms the Complexity of Your Pulmonology Patients
Realize risk scores carry more weight than just reimbursement. If you want to improve you...
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Condition Spotlight:
Isolate These Common Smoking, Sleep Apnea, and BMI Dx for American Truck Drivers
More than 50% of truck drivers smoke cigarettes. If your pulmonologist sees a patient who...
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ICD-10-CM:
Simplify Flu Manifestations Coding with These 3 Scenarios
Do you code bronchitis separately? Find out. As flu season quickly approaches, now is the...
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Reader Questions:
Dig Through the Descriptors to Find Your Sleep Apnea Dx Code
Question: A patient's general practitioner referred them to our pulmonology practice after...
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Reader Questions:
Be Mindful of Other Descriptors When Coding Nasal Polyps
Question: Our practice saw a patient who was experiencing inflammation in their nasal cavi...
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Reader Questions:
Prepare Your Pleural Infection Coding Skills
Question: I have a report from a physician in our practice from their encounter with a pat...
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Reader Questions:
Assess the Patient’s Age for Spirometry Coding
Question: A pediatrician referred an 18-month-old patient to our pulmonology practice for ...
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You Be the Coder:
Remember the 4th Character for COPD Coding
Question: One of the pulmonologists in our practice examined a patient during a follow-up ...
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Pulmonology Coding Alert - 2021; Volume 22, Number 11
CPT® 2022 Update:
Familiarize Yourself with Principal Care Management Codes Prior to Jan. 1
Prepare to revise the way you report 99211. Are you nervous that you'll have to utilize a...
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Medicare 101:
Get Up to Speed with These 5 Medicare Tips
Follow these keys to transition to Medicare smoothly. If a new provider or coder is joini...
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ICD-10-CM:
Sift Through These Symptoms to Reveal Rare Lung Diseases
Find the right occupation to code a hypersensitivity pneumonitis dx. You'll find a bevy ...
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Reader Questions:
Don’t Quit on 99406 and 99407 When Reporting Smoking Cessation Claims
Question: I have a physician's report that indicates they spent time with the patient disc...
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Reader Questions:
Code an Accurate Sports Exam Following COVID-19
Question: We have a college student who came in for a physical examination to participate ...
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Reader Questions:
Can Supplying Free Samples Land You in a Legal Battle? Find Out.
Question: In the past, pulmonologists in our practice have frequently supplied free sample...
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You Be the Coder:
Carefully Read Documentation to Know if Combo Codes Apply
Question: I have a physician's note that documents the patient's conditions as acute respi...
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Pulmonology Coding Alert - 2021; Volume 22, Number 10
CPT®:
Simplify Your EBUS Billing Claims by Highlighting Lymph Node Stations
Knowing the number of lymph node stations examined determines your code selection. Billi...
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Mythbusters:
Bust These Myths to Strengthen Your Modifier Coding Skills
Hint: Clear documentation will back up your modifier 25 claims. How do you correctly bill...
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ICD-10-CM Coding Quiz:
Dive Into the Descriptors to Understand the Differences in Bronchitis Codes
Learn the difference between J41.0 and J20 bronchitis codes. The respiratory system consi...
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You Be the Coder:
Know the Difference Between 99441-99443 Telehealth E/M Visit CPT® Codes
Question: To cut down on the number of patients in our office during the COVID-19 pandemic...
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Reader Questions:
What Critical Care Services are Bundled into 99291? Find Out.
Question: I'm new to pulmonology, and I received a critical care report from the physician...
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Reader Questions:
Coding COVID-19 Vaccine Side Effects Doesn’t Require Special Treatment
Question: If a patient presents to the emergency department after complaining of hives and...
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Reader Questions:
Pay Attention to the 4th Character When Coding Rare Lung Diseases
Question: A 50-year-old patient came into our pulmonology practice presenting with breathi...
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Pulmonology Coding Alert - 2021; Volume 22, Number 9
ICD-10-CM Update:
Get Ready for Revised COVID-19 and New Cough Dx Codes Before Oct. 1 Hits
Converted and added codes indicate how you'll document cough diagnoses. The Centers for D...
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ICD-10-CM Update:
Documenting Social Determinants of Health Can Factor Into Your Care Plan
2022 ICD-10-CM Z code revisions focus on housing insecurity, food insecurity, and more. Y...
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Reimbursement:
CMS Proposes Billable Split/Shared Visits for Critical Care Services
Plus: Post-COVID telehealth options may get extended. Pulmonology practices have been ant...
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You Be the Coder:
Know How to Code Diskus at an E/M Visit
Question: An established patient comes in for a routine evaluation and management (E/M) vi...
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Reader Questions:
The Distinct Phases of Dysphagia Determine the Correct Codes
Question: If the provider documents different phases of dysphagia, do you code the phases ...
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Reader Questions:
Defining Acute vs. Chronic Will Determine Your Pansinusitis Coding
Question: I have an op note that documents the patient's condition as “pansinusitis.” ...
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Reader Questions:
Check Descriptors for Spirometry Tests and Bronchodilation
Question: I have an established patient who came in for a follow-up visit after an episode...
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Pulmonology Coding Alert - 2021; Volume 22, Number 8
Coding 101:
Breathe New Life into Your Exercise-Induced Asthma Coding Skills
Do you need to report J45.2- with J45.990? Find out. Summer is in full swing and with kid...
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HIPAA:
Check These Key Insights to Stay Ahead of a Privacy Breach
There doesn't appear to be a slowdown in HIPAA violation fines anytime soon. Have you bee...
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E/M Coding:
5 Tips Demonstrate How to Make the Most of Your MD’s 99211 Visits
No face-to-face time with nurse or physician? Find out if this qualifies. Is your pulmono...
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You Be the Coder:
Can You Report URI and Bronchitis on One Report? Find Out
Question: I have an op report that says the patient has bronchitis and URI. Can I submit t...
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Reader Questions:
Get the Scoop on Bronchoscopy Coding
Question: Our pulmonologist biopsied and brushed the same lesion during a bronchoscopy. Ca...
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Reader Questions:
Report Your Diagnosis Code Based on Documentation — Always
Question: I've just started coding for a pulmonary practice, and I'm having some trouble w...
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Reader Questions:
Sore Throat Codes Depend on the Details
Question: My pulmonologist's documentation mentions that the patient is presenting symptom...
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Reader Questions:
A Patient’s Passing Doesn’t Void Privacy Rules
Question: If a patient passes away, how long does my practice need to maintain their priva...
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Reader Questions:
Delve Into Rules Regarding Scribes
Question: We just started having one of our medical assistant's act as a scribe for a phys...
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Pulmonology Coding Alert - 2021; Volume 22, Number 7
ICD-10 Coding:
How to Narrow 50+ Pneumonia Diagnosis Codes Down to the Most Specific Option
Know pneumonia's cause before selecting a code, experts say. When should your pneumonia c...
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Incident-To Coding:
5 Tips for Billing Incident-To Services
Hint: Don't meet the requirements? Bill under the APP's NPI. When you're reporting incide...
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Coding Accuracy:
Boost Your Bottom Line With These Self-Audit Tips
Check in on your practice's coding accuracy to ensure you're on the straight and narrow. ...
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Clip And Save:
Guide Your Self-Audits With This Quick Checklist
Pulmonology coders who have never performed a self-audit may wonder whether they have what...
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Reader Questions:
Set a Schedule to Avoid Seeing Denials Pile Up
Question: We performed a self-audit two months ago and identified over a dozen denied clai...
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Reader Questions:
Denote Corrections Even in EHR
Question: We are aware of how to correct a mistake on a paper medical record, but how do w...
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You Be the Coder:
Know What Constitutes ‘Established’ Patient
Question: We have a cardiothoracic surgeon and a cardiologist on staff at our multispecial...
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Pulmonology Coding Alert - 2021; Volume 22, Number 6
E/M Coding:
Can You Code These Pulmonology-Focused E/M Case Studies?
It's a good time to confirm that your 2021 E/M coding skills are up to the task. You spen...
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Modifiers:
Use Modifier 22 to Unlock Pay for This Complex Op Note
Hint: Be ready to justify the reasons you went beyond the code descriptor. As everyone in...
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Make Your Modifier 22 Case With These Tips
Extra effort, time are important, experts say. Before sending that modifier 22 (Increased...
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Reader Questions:
Stay in ‘J’ Section of ICD-10 for Associated COPD Conditions
Question: Thanks for your guide to COPD diagnoses last month — we were particularly inte...
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Reader Questions:
Don’t Discard Remittance Advice
Question: We received provider remittance advice from an insurance company. What can we do...
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Reader Questions:
Assess PHI Risk When Calling Patient Names
Question: Is it OK to call out full names in a waiting room? Can you ask for “John Smith...
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Reader Questions:
Inpatient E/M Services Are Billable Under Telehealth
Question: Can we report inpatient telehealth E/M services to Medicare? This has happened i...
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Reader Questions:
In Which Settings Can We Report Critical Care?
Question: We often perform critical care (99291-+99292) for our pulmonologists who do roun...
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Reader Questions:
Discover How to Respond to Demand Letter
Question: Our practice just received a “demand letter” from our Medicare Administrativ...
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You Be the Coder:
Can You Report CPAP Interpretation?
Question: When a patient brings a CPAP computer drive to the pulmonologist and the pulmono...
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Pulmonology Coding Alert - 2021; Volume 22, Number 5
ICD-10 Coding:
Test Your COPD Diagnosis Coding Skills With 4 Quick Questions
Find out whether you're an expert COPD coder. Your pulmonology practice is likely to see ...
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Documentation:
Check These Documentation Tips — Straight From Part B Reps
Hint: Maintain all records for at least seven years. Documentation is the lifeblood of yo...
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Virtual Check-Ins:
Clarify Virtual Check-In Coding With a Few Simple Steps
Unsure how to report G2252? We've got the scoop. You may not have been familiar with vi...
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Reader Questions:
Don’t Forget Modifiers With These Services
Question: A 14-year-old established patient presented for a follow-up visit after an episo...
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Reader Questions:
Does This Count Toward MDM?
Question: Our pulmonologist advised a patient to continue taking a given medication at the...
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Reader Questions:
Request Medical Policies Whenever Possible
Question: contacted my insurer and asked how they prefer me to submit codes for a pa...
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You Be the Coder:
Can You Report Vent Management Appropriately?
Question: Our pulmonologist performed vent management on a critically ill patient. We repo...
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Pulmonology Coding Alert - 2021; Volume 22, Number 4
HCPCS Level II Coding:
Are You Reporting Albuterol Correctly? Your Payer May Be Watching
Once again, CMS listed J7613 as the most-billed code. Although you may think E/M service...
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Part B Coding:
Part B Reps Reveal Answers to FAQs About COVID, MA, and More
Check out the responses to seven pressing questions. Are you already eligible to bill f...
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Medicare Provider Enrollment:
Can You Navigate These 4 Provider Enrollment Scenarios?
Yes, you can appeal an enrollment decision. Even if you've been working with the Medicar...
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Reader Questions:
How Should You Report Trach Tube Change?
Question: Our nurse practitioner saw a patient in our office this week who required a trac...
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Reader Questions:
Get to Know the MDM Guidelines
Question: If a provider is billing an outpatient E/M code based on medical decision making...
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Reader Questions:
Iron out 99233 Documentation Rules
Question: In your last issue, you listed the biggest errors that CMS found among Part B c...
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You Be the Coder:
Can You Separately Report Lidocaine?
Question: Is there a code we should bill for subcutaneous lidocaine or lidocaine with epin...
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Pulmonology Coding Alert - 2021; Volume 22, Number 3
Compliance:
CMS: Pulmonologists Responsible for Millions in Incorrect Coding Errors
Medicare reviewers revealed details about the latest Part B E/M improper payment rates. P...
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Get a Handle on CMS’ Review Benchmarks
CMS identified a total of $25.74 billion in total improper payments among providers sampl...
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Telehealth Coding:
Check These 10 Facts About Telehealth, Straight From Part B Reps
MAC reps answered providers' telehealth questions, and the answers may surprise you. Ha...
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ICD-10 Coding:
Solidify Your Pulmonology-Specific Diagnosis Coding With a Few Quick Tips
Don't hesitate to contact the provider when necessary, experts say. Although it's always...
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Reader Questions:
Know Where Modifier 59 Should Go
Question: Our pulmonologist gave an inhalation treatment for an exacerbation and taught ...
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Reader Questions:
Some Payers Still Cover Consult Codes
Question: Our pulmonologist performed a consultation in our office with an arthritic patie...
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You Be the Coder:
Can You Separately Report Lidocaine?
Question: Is there a code we should bill for subcutaneous lidocaine or lidocaine with epin...
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Pulmonology Coding Alert - 2021; Volume 22, Number 2
E/M Coding:
8 Concrete Facts About the New E/M Rules
Check these tips that are straight from the mouths of Part B reps. As pulmonology coders...
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Part B Payments:
Latest Fee Schedule Delivers Changes to Telehealth List
Plus: The updated fee schedule also includes changes to supervision rules. If you were am...
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Reader Questions:
Fee Schedule Includes Details on Payment Amounts
Question: I noticed in your last issue that you shared a typical Medicare reimbursement am...
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Reader Questions:
Check This ICD-11 Update
Question: I listened in on a webinar recently where the speaker said to prepare now for I...
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You Be the Coder:
Can You Code This Lavage Note?
Question: Our pulmonologist dictated a bronchoscopy note saying, “copious amounts of muc...
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Pulmonology Coding Alert - 2021; Volume 22, Number 1
ARDS Coding:
Look to ’J’ Codes for ARDS Diagnoses
Remember that ARDS is secondary to COVID-19. Your pulmonologists are likely to address ca...
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Get to Know How ARDS May Look in the Documentation
If you're unsure of what an ARDS case might look like when reading documentation, get to k...
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Critical Care:
Do You Know When Modifier 25 Applies to Critical Care Codes?
Plus: Documentation must include specific details to report critical care. Do your pulmo...
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Clip And Save:
Know What’s Included in the Critical Care Codes
Although there are some services that you can report along with the critical care codes (9...
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Patient Privacy:
Ensure That Your Remote Coding Team Keeps Patient Privacy Secure
Tip: Devices must be locked down and protected. Patient privacy has always been at the t...
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Reader Questions:
Know the e-Signature Rules
Question: Our practice still sees a majority of our Medicare beneficiaries via telehealth ...
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Reader Questions:
COVID Counseling May Be Billable
Question: Our practice is counseling a lot of Medicare beneficiaries about the importance ...
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You Be the Coder:
Can You Code This Bronchial Biopsy?
Question: Our pulmonologist performed a bronchoscopy with transbronchial biopsies. He disc...
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