Multi-family Group Psychotherapy Sessions
Q. Is there a CPT® code for IOP/OP multi-family group sessions without patient present? A. Psychiatric services are provided in all settings of care and psychiatry services codes are reported without regard to setting (Place Of [...]
New or Established?
A patient whose first office visit is with the PA (Physician’s Assistant) trained in Family Practice; his provider taxonomy code is family practice. The patient’s subsequent appointment with the MD (Doctor of Medicine), whose provider [...]
E&M Amount and/or Complexity of Data to be Reviewed and Analyzed
If a patient comes in and a urinalysis (UA) is ordered and performed, can it be counted as data reviewed and/or analysis? If the practice is billing for the UA, then you should NOT count [...]
New HCPCS Code G2211 Delayed
2020 has kept healthcare reimbursement on its toes, and with 9 days of the year remaining, one thing we can count on is more change. The stimulus bill that Congress signed yesterday, Dec. 21, 2020 [...]
Public Health Emergency (PHE) extended.
On Friday, October 2, 2020, Secretary of Health and Human services, Alex Azar II renewed the determination of a public health emergency exists. This PHE implemented January 27, 2020 will continue for another 90 days [...]
Appropriate Use Criteria (AUC) education and testing period extended, thank God!
August 12, 2020 CMS announced an extension the education and operations testing period for the Appropriate Use Criteria (AUC) program for advanced diagnostic imaging through 2021. AUC is expected to impact all providers who order [...]
Clarity on CPT Code 99211 for Specimen Collection
The Interim Final Rule (IFR) released 4/30/2020 recognized the need for reimbursement for COVID -19 assessment and specimen collection. Pre-public health emergency (PHE), specimen collection was usually considered part of the office or outpatient evaluation [...]
Should we use B97.29 or U07.1 to report COVID-19?
Codes and assignments are changing so quickly during this public health emergency, and in the beginning there was not a specific ICD-10-CM code for our current strain of COVID. Under the circumstances, the CDC provided [...]
When to report COVID-19 exposure?
There is a lot of confusion about what ICD-10-CM codes to report for services for patients who reside in a nursing facility. The determining factor when selecting an ICD-10-CM code should always be the documentation [...]
X-Ray Modifiers
Yesterday, I had the pleasure of presenting for the American Portable Diagnostics Association's 2020 Midyear Billing Webinar. We answered some of the burning questions members had on documentation requirements, coding quandaries and COVID-19 issues [...]
New COVID-19 ICD-10 Codes
The CDC has issued an updated ICD-10-CM Official Coding and Reporting Guideline for April 1, 2020-September 30, 2020. This addition includes clear guidance to reporting COVID. Reach out for more information.