Recent content by Akulo

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    Wiki ED visit codes (99281-99285) be claimed more than once per a day if different specialty?

    Can ED visit codes (99281-99285) be claimed more than once per a day if different specialty? Patient saw emergency specialty doctor in ED, then saw a different doctor with different specialty for Pre-op, both in ED setting, same hospital.
    • Akulo
    • Thread
    • Replies: 2
    • Forum: E/M
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    Wiki Opinions on this article relating to 2021 e&m rules for derm

    You'd think mdedge is a reliable source. But this article is misleading and gives false information to other providers that do not understand coding.
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    Wiki Opinions on this article relating to 2021 e&m rules for derm

    I just came across this article from Mdedge (see attachment) regarding 2021 new e/m rules for derms. It says " Simplified coding and billing requirements for E/M visits will go into effect Jan. 1, 2021. For dermatology, any visit where a decision to do a minor procedure or prescribe a...
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    Wiki Acne table of risk category

    I'm still scratching my head with these new e&m rules. Mainly because it's making it seem much easier to bill higher level of e&m like 99204, which is normally almost never billable by derms with current rules. For example, the 2021 rules for 99204 will be met by a patient coming in for a...
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    Wiki Acne table of risk category

    Wouldn't that 99214 example fall under 99213 under current rules (2 pts for Est. problem worsening and moderate under risk) if not factoring history and exam?
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    Wiki Billing E/M codes with new MDM guidlines

    I paid for and saw the same workshop and I found that to be an issue too. She gave bad examples because all the examples given included minor procedures. All of the cases she used, we should not bill a e&m separately with those minor procedures. I heard there will be a "modest" rate increase...
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    Wiki 11310

    11310 is for shave removal but not for skin tags. For removal of skin tags by any method, use codes 11200 and 11201. For the first 15 skin tags removed, use code 11200. For each additional 10 skin tags removed, also report code 11201. For example, if you removed 35 skin tags, then you would...
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    Wiki Acne table of risk category

    I'm just looking at the 2021 E&M rules. If acne is considered a chronic illness then that means on the 2021 rules, if someone has worsening acne and there was some prescription drug management then that makes the visit a 99214, since 2021 E&M rules will no longer be based on history or exam but...
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    Wiki Acne table of risk category

    Would you call facial acne that a person had for years self limit minor problem OR a stable chronic illness?
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    Wiki manual removal of wart

    What exactly do you mean by "manually?"
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    Wiki Source of Telehealth waiver expiring July 25, 2020

    I've heard that the telehealth waiver will expired for some plans that follow the HHS, and with their set date for when the public health emergency expiring on July 25, 2020, that's when coverage for telehealth for these plans end. Where do I find the direct source of this information? I cant...
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    Wiki E/M - Dermatalogy

    to my knowledge, 99211 are for nurse visits, generally should not be used for providers. At minimal they should use 99212 for a problem focus exam and straight forward medical decision making. The problem also needs to be unrelated/separate to the surgery done on the same day to bill modifier...
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    Wiki BILLING 99421 & 99441 same day or day after.

    How do we bill for scenario where provider spoke with patient on the phone and email on the same day? So far insurances have denied the phone and paid the email. They seem to be bundled for being two E&M visits, even though these are not even face to face visits. Also, how would we bill email...
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    Wiki United Healthcare Audio only

    I'm even more confused now because they're now saying they're covering 99441-99443 under their virtual check-in section. https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19/covid19-telehealth-services/covid19-telehealth-services-virtual-visits.html BUT, their guide...
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    Wiki United Healthcare Audio only

    Is anyone else confused that United Healthcare is saying to bill E&M codes for audio only visits? They say they're not covering for 99441-99443 because Medicare doesn't cover them (even though Medicare does now as of the beginning of this month) but they wan't us to bill those with regular...
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