52 results.
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Do You Want Fries With That? Decoding All the 'Extras' in Physician Visits
Author: Davies, Sharon
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: September 2016
Place an order at almost any fast food chain and you can expect to hear the cashier ask, “Do you want fries with that?” From fries to soft drinks to apple pie desserts, extras abound at any given restaurant. When working on the coding for physician visits, it’s important to keep all the p....
Modifier 25 — Defending a "Significant, Separately Identifiable Service"
Author: Morrow, Karna W
Source: CodeWrite | AHIMA newsletter article
Publication Date: September 2016
Think about the last time you attached modifier 25 to an Evaluation and Management (E/M) code. What were the circumstances? It was a new patient. The procedure or service was not planned. The provider documented each of the key components in addition to documenting the procedure. The payor....
Assigning Advance Care Planning Codes
Author: Huey, Kim
Source: CodeWrite
Publication Date: May 2016
Physicians have a new opportunity to bill and be paid separately for a counseling service they may already be performing. Advance Care Planning codes 99497-99498 were introduced in Current Procedural Terminology (CPT®) in 2015 but were not paid by Medicare until January 1, 2016. CPT code 9....
FY 2016 CPT Updates
Author: Clack, Crystal
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: February 2016
When the first edition of the Current Procedural Terminology (CPT) was released in 1966, there were only 3,554 codes. In 2016, CPT, published by the American Medical Association (AMA), is celebrating its 50th birthday with 10,000 CPT codes. This year’s CPT updates include 140 codes added,....
Don't Let Gastroesophageal Coding Cause Heartburn: Using GERD to Discuss Coding Symptoms Versus Diagnosis
Author: Sims, Kimberly F
Source: Journal of AHIMA
Publication Date: January 2016
More than 60 million American adults experience heartburn at least once a month, and more than 15 million adults suffer daily from heartburn.1 Gastroesophageal reflux disease (GERD) occurs when the lower esophageal sphincter (LES) is weak or relaxes inappropriately, allowing the stomach’s....
Assigning Evaluation and Management Critical Care Codes
Author: Sims, Kimberly F
Source: CodeWrite
Publication Date: November 2015
Objective
The objective of this article is to outline the steps required to assign Evaluation and Management codes for critical care services.
Clinical Information
What is Critical Care?
Critical care can be defined as speci....
Don’t Let Preventable CPT Coding Mistakes Cause Heartburn
Author: Clack, Crystal
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: November 2015
Every medical practice should have preventive measures in place to avoid costly coding and billing audits, errors, and subsequent delays in payment. Incorrectly coded claims, missing charges on a patient encounter, and other mistakes can take a substantial bite out of both practice and ph....
CPT Updates for CY 2015
Author: Buttner, Patty
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: February 2015
On January 1, 2015, the updates to the American Medical Association’s Current Procedural Terminology (CPT) went into effect. The updates include 276 new codes, including three new Category II codes and 39 new Category III codes. There are a total of 129 revised codes and 137 deleted codes....
Understanding The History Component of The E/M Code - Part 2
Author: Maccariella-Hafey, Patricia C
Source: CodeWrite | AHIMA newsletter article
Publication Date: January 2015
This is the second of a two-part series on the history component of the CPT Evaluation and Management code. The first part was published in the December 2014 issue of CodeWrite.
Levels of Evaluation and Management (E/M) services are based on four types of history (Problem F....
Understanding the History Component of the E/M Code (Part 1)
Author: Maccariella-Hafey, Patricia C
Source: CodeWrite | AHIMA newsletter article
Publication Date: December 2014
This is the first of a two-part series on the history component of the CPT Evaluation and Management code.
As discussed in the October 2014 CodeWrite article "Introduction to Evaluation and Management Services," evaluation and management (E/M) services are cognitive services....
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