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HeatherrLaw's latest activity
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HHeatherrLaw reacted to TThivierge's post in the thread Wiki Physical Therapy Documentation for CPT 97110 with
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Hi Heather🦴 Ensure they put time and area body PT was performed on in documentation....use modifiers GP or GO or RT or LT or 96 or 97 with these CPT codes but check with payer, add referring doctor name on claim. They need to list pain in which... -
HHeatherrLaw replied to the thread Wiki Guidance needed for coding scenario.Thank you. I apologize if my questions are numerous and repetitive. I was doing billing for several years, just took on a big coding position and am probably overthinking the scenarios. Sometimes it helps to ask questions and get a very basic...
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HHeatherrLaw posted the thread Wiki Guidance needed for coding scenario in Medical Coding General Discussion.I started a new job as a medical coder for a practice that sees walk in patients. I am reviewing notes and prepping claims for billers and noticing the provider is entering the following: Diagnosis : J06.9, R05.9 and R09.81 CPT: 99212(E/M) ...
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HHeatherrLaw replied to the thread Wiki Deciding on 99213 over 99212.Would I still be able to list the CPTs for the tests performed on the claim? I have read some threads that state if you are using the tests to count towards office visit you cannot list separately? Is that correct? For instance in this claim I...
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HHeatherrLaw posted the thread Wiki Physical Therapy Documentation for CPT 97110 in General Discussion.I am new to coding for Physical Therapy and would like some guidance or feedback on documentation. I have a PT who bills 97110 and 97140 typically. PT does document specific exercises performed during visit but does not state a start and end...
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HHeatherrLaw replied to the thread Wiki Deciding on 99213 over 99212.That is great information. Thank you. I have a provider who consistently codes 99212 even though one - three tests were ordered and resulted in the progress note. example Acute uncomplicated illness (sore throat, pain with swallowing, pain in...
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HE/M levels are selected on either MDM or time - it does not have to meet both. You can choose whichever is most advantageous to the provider for the encounter.
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HHeatherrLaw replied to the thread Wiki Deciding on 99213 over 99212.Thank you for your response. Would this also be true for two tests (flu and covid)? Also, what if the time requirement is not met? Do you need both the MDM and the time of 20-29 mins to be able to bill for this code?
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HHeatherrLaw reacted to csperoni's post in the thread Wiki Medication Documentation in Progress Note with Like.
Here is what NGS has about prescription drug management: Please define prescription drug management relative to MDM. Answer: In order to count prescription drug management there must be documentation of at least one of the following...
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HHeatherrLaw posted the thread Wiki Medication Documentation in Progress Note in Medical Coding General Discussion.If a provider sees a patient and prescribes medication does the medication name need to be documented specifically in the assessment/plan section or can it just say medication sent to pharmacy because it is listed in the medication section of the...
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HFor an established patient office visit with Low complexity of problem (acute, uncomplicated illness), Moderate complexity of data (ordering 3 unique tests), and Minimal risk of management use 99213.
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HHeatherrLaw posted the thread Wiki Deciding on 99213 over 99212 in Medical Coding General Discussion.Hello, I have a case where patient presents with cough, congestion, nasal congestion, shortness of breath and some pain swallowing. Provider orders three tests Covid, flu and strep. Assigned Acute respiratory respiratory infection J22, Cough...