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Introduction Nursing facility services A nursing facility is not a hospital but does have inpatient beds and a professional health care staff that provides health care to persons who do not require the level of service provided in an acute care facility. A skilled nursing facility (SNF) is one that has a professional staff that … Read more
For patients receiving diagnostic services only during an encounter/visit, sequence first the diagnosis, condition, problem, or other reason for encounter/visit shown in the medical record to be chiefly responsible for the outpatient services provided during the encounter/visit. Codes for other diagnoses (e.g., chronic conditions) may be sequenced as additional diagnoses. For encounters for routine laboratory/radiology … Read more
1. A surgical pathology, gross and microscopic examination was performed for a colorectal polyp by a CLIA waived lab. How is this coded? A. 88305 B. 88305QW C. 88307 D. 88307QW Rationale :A surgical pathology, gross and microscopic examination performed for a colorectal polyp will be coded with 88305. Since the service was performed in … Read more
Basics of CPT code 92622 & 92623 For the CPT 2024 code set, two new Category I codes (92622, 92623) have been established to report analysis, programming, and verification of an auditory osseointegrated sound processor. This article provides an overview of the intent and use of these new codes. 92622 Diagnostic analysis, programming, and verification … Read more
Basics of CPT codes 97550-97552 For the Current Procedural Terminology (CPT) 2024 code set effective January 1, 2024, a new subsection within the Medicine section containing three new CPT codes (97550-97552) has been established. These new codes describe training provided to the patient that includes strategies and techniques to assist with functional activities by a … Read more
Here, we are again sharing some more new CPT codes for 2024 which will be used effectively from 1st January 2024. These CPT codes are new addition to 2024 CPT codebook. Be prepared to use these new codes from new year. The following Category III codes will be available for reporting on date of service … Read more
In the Current Procedural Terminology (CPT®) 2023 code set, four Category III codes (0771T-0774T) were established to report virtual reality (VR) procedural dissociation services effective January 1, 2023. A new Category III subheading with guidelines and a table were added to outline patient age and duration of service and to identify who performs the service. … Read more
A new Category III code 0730T was established effective July 1, 2022, to report laser trabeculotomy, including optical coherence tomography (OCT) guidance. Although there are existing codes to report trabeculotomy (65850, 0621T, 0622T), a surgical incision is required to report these codes. The new nonsurgical procedure described by code 0730T does not involve an incision … Read more
For the CPT 2023 code set, four codes (78803, 78830-78832) were revised to further explain the use and intent of these codes. These revisions distinguish between a single area or a single acquisition vs two or more separate acquisitions with two radiopharmaceuticals that are performed on the same date of service or over two or … Read more
Basics of CPT code 97533 In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service helps to stimulate his or her sensory system and assist the brain to process information more effectively. Use one unit of this code … Read more