WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC DRG Code 465

Here’s how to make your way through the CPT® molecular pathology code set. “The genetic testing code set is really unlike anything else in CPT®,” explained Larry Simon, MD, MBA, Blue Cross and Blue Shield of Louisiana, Member CPT® Editorial [...]

Here’s how to make your way through the CPT® molecular pathology code set. “The genetic testing code set is really unlike anything else in CPT®,” explained Larry Simon, MD, MBA, Blue Cross and Blue Shield of Louisiana, Member CPT® Editorial [...]

Plus: Medicaid home health agency to fork over whopping $2.9 million for ghost hours. It’s not always the home health agency and its personnel who have to pay big for kickback-related schemes. So shows a new Louisiana fraud case. Internal [...]

Distinguish codes for similar tests. When January 1 rolls around, you’ll need to know about three new oncology Multianalyte Assays with Algorithmic Analysis (MAAA) codes that CPT® 2020 adds to the Category I pathology section. Read on to learn about [...]

Hint: E/M codes and vaccines may not always go hand-in-hand. The cold weather is looming, which means you’re likely to see an uptick in the number of patients presenting with colds or the flu, as well as other autumn maladies. [...]

Government officials answer questions by not answering at all. The recent delay of ICD-10 until 2015 has raised plenty of questions in the coding community, but unfortunately CMS is not ready to answer them all. Several practices asked reps from [...]

The following House bills were introduced: H.R. 960. A bill to amend part C of title XVIII of the Social Security Act to consolidate and restate the federal laws relating to the social health maintenance organization projects, to make such [...]

J06.9 will be an easy replacement for 465.9. Your otolaryngologist might diagnose an upper respiratory tract infection (or upper respiratory infection, URI) when any of the components of the patient’s upper airway become infected. Possible sites of infection include the [...]

Question: Our office is open on Saturdays. What ICD-9 codes would the claim require to use 99051? Ohio subscriber Answer: Code 99051 (Service[s] provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic [...]

Question: Can I code tonsillitis, pharyngitis, and upper respiratory infection together? Or is it all part of the upper respiratory infection? Washington Subscriber Answer: Yes, you can include each of the three diagnoses on the claim. Appropriate choices might include [...]