- Emergency Department Coding: Focus on Details in Lesion Coding - (Feb 21, 2025)
Size, location, complexity all figure into your choices. Coding for lesion removal in the emergency department (ED) can be difficult at best. First, you must take into consideration the level of evaluation and management (E/M) that precedes the lesion removal; [...]
- Primary Care Coding: Get the Answers to All Your Vanderbilt Assessment Coding Questions - (Feb 11, 2025)
Don’t forget to brush up on your ADHD coding knowledge. If your provider has been administering more Vanderbilt Assessment screenings than usual, you shouldn’t be surprised. That’s because attention-deficit hyperactivity disorder (ADHD) diagnoses have been steadily rising over the last [...]
- Anesthesia Coding: Educate Yourself on Moderate Sedation Documentation, Guidelines - (Feb 10, 2025)
Find clarity when reporting moderate sedation. Moderate sedation is a drug-induced state of depressed consciousness in which the patient is able to respond purposefully to verbal commands, whether alone or in combination with light tactical stimulation. Moderate sedation services must [...]
- Ob-Gyn Coding: Choose This Code for Aspirated Ectopic Pregnancy - (Feb 03, 2025)
Question: What is the best CPT® code for this case? Cesarean scar ectopic pregnancy at 8w3d. Patient comes for a planned uterine aspiration. Procedure Performed: D&C. Bedside sono notable for cesarean section scar pregnancy at beginning of procedure and thin [...]
- Neurology & Pain Management Coding: Alter EMG Coding When NCS Occurs - (Jan 30, 2025)
Resort to add-on codes for EMG in certain scenarios. When a patient reports to the neurologist for an electromyography (EMG), you need to be ready to identify the correct code for the service. It sounds simple enough, but the devil’s [...]
- Oncology Coding: Code This Chemo Infusion Administration Scenario - (Jan 23, 2025)
Don’t forget to pay attention to 2025 HCPCS deletions and revisions. Coding infusions is perhaps the most difficult part of an oncologist coder’s job. But the best way to improve is to practice. That’s why we’ve put together this infusion [...]
- Pediatric Coding: Code Umbilical Granuloma Scenario With Confidence - (Jan 16, 2025)
Question: Our pediatrician saw a 6-day-old baby for the first time and diagnosed an umbilical granuloma. The physician treated the patient with a concentrated silver nitrate solution, applied topically. How should I code this encounter? Kansas Subscriber Answer: Since the [...]
- Neurosurgery Coding: Aspirin Use Could Lead to This Condition in Younger Patients - (Jan 16, 2025)
Question: A 15-year-old patient reports to the neurosurgeon’s practice with complaints of confusion and seizures for the past day; for the three days before that, the patient suffered from vomiting and irritability. During the evaluation and management (E/M) portion of [...]
- Pediatric Coding: Identify These Common Rashes in Pediatric Patients - (Jan 15, 2025)
Hint: Some rashes may be specific to newborns. Pediatric rashes can develop for various reasons and frequently display character differences. Contracting a rash can result from a patient trying new food, having been exposed to an illness or virus, dry [...]
- Ob-Gyn Coding: Master Medicare’s ‘Carve Out’ Rule - (Jan 07, 2025)
This modifier tells Medicare that the service isn’t covered. If you need to estimate what to charge a Medicare patient when your ob-gyn performs a preventive service as well as an evaluation and management (E/M) service at the same visit, [...]