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Description of CPT code 99441, 99442 & 99443 Telephone E/M services are provided to a patient, parent, or guardian and do not originate from a related E/M service within the previous seven days and do not lead to an E/M service or procedure within the next 24 hours or soonest available appointment. Telephone services are … Read more
Clinical Example (86328) A 67-year-old female with a history of diabetes mellitus and hypertension presented to the emergency department with a 5-day history of malaise, a nonproductive cough, and low-grade fever (eg, 100.4° F/ 38° C). A SARS-CoV-2 IgG/IgM reagent strip antibody test for COVID-19 was ordered. Blood or serum is collected from the patient … Read more
Introduction of Multi-virus test COVID CPT code 87636 and 87637 The American Medical Association (AMA) introduced the two codes for COVID-19 Test as below: “Two of the newly approved codes report nucleic acid assays that allow a single test to simultaneously detect the novel coronavirus and a combination of common viral infectious agents, including influenza … Read more
Basics of Covid 19 CPT code 87635 & HCPCS code U0001/U0002 The COVID 19 cases or Coronavirus diagnosed cases should be reported separately with unique specific CPT and HCPCS codes. Three codes have been added newly for Covid 19 or coronavirus related cases. CPT code 87635 should be reported by the payers other than medicare for … Read more
The CPT Editorial Panel (the Panel) has approved a vaccine product code (91310) and its associated vaccine administration code (0104A) for the new Sanofi Pasteur vaccine product to address severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease 2019 [COVID-19]) in adult patients aged 18 years and older. In addition to the new Sanofi Pasteur … Read more
The CPT Editorial Panel (the Panel) has approved a new vaccine product code (91309) and its associated vaccine administration code (0094A) for the Moderna booster dose–specific COVID-19 vaccine product for adult patients aged 18 years and older, which will become effective upon receiving the emergency use authorization (EUA) approval from the Food and Drug Administration … Read more
Basics of CPT code 86318, 86328 & 86769 CPT code 86328 was established as a child code to 86318 to report a qualitative or semiquantitative single-step method immunoassay for SARS-CoV-2 (COVID-19) antibody(ies). CPT code 86769 was established to report an antibody test for SARS-CoV-2 (Coronavirus disease [COVID-19]) using a multiple-step method. Note that code 86769 … Read more
The CPT Editorial Panel has approved a new vaccine administration code (0034A) for the administration of the Janssen COVID-19 vaccine booster for patients who had previously received the Janssen single-dose primary vaccine. Immunization Administration for Vaccines/Toxoids 0031A Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, DNA, … Read more
CMS also released Medicare Severity Diagnosis-Related Group (MS-DRG) V39.1 The Centers for Disease Control and Prevention (CDC) released its April 1, 2022 diagnosis files on Dec. 23, 2021. The updated files include a Tabular Addendum, Index Addendum, Official Coding and Reporting Guidelines update, ICD-10-CM Order File, and List of Codes and Descriptions. The Tabular Addendum … Read more
The Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services (CMS) have both stated that in April 2022, we will have three new ICD-10-CM codes and seven new procedure codes for COVID-19 therapeutics and vaccines in the codebooks for medical coders. Because of the COVID-19 Pandemic their has been … Read more