A Comprehensive Overview of Debridement Procedures and Coding

A Comprehensive Overview of Debridement Procedures and Coding

Debridement is the surgical removal of foreign material and necrotic or infected tissue from or near a traumatic or infected wound, exposing surrounding healthy tissue to promote healing. The instruments utilized for debridement range from maggots, lasers, and ultrasound to forceps, scissors, scalpels, and other sharp tools capable of selectively removing nonviable tissue. There are … Read more

Pediatric Psychotherapy Coding: Guidelines for Accurate Selection

Pediatric Psychotherapy Coding: Guidelines for Accurate Selection

Basics of CPT code 90832-90838 & CPT code 90846-90847 Selecting the appropriate code for pediatric psychotherapy requires consideration of both the duration of the session and the participants involved. Coding can become particularly complex when parents are involved in therapy, necessitating a distinction between family-based psychotherapy (CPT code 90846, 90847) and individual therapy (CPT code … Read more

2025 CPT Codes for Telemedicine: Guide to Audio-Only & Audio-Video Services

2025 CPT Codes for Telemedicine: Guide to Audio-Only & Audio-Video Services

The 2025 CPT code set introduces new codes for synchronous audio-only and audio-video visits between patients and physicians or other qualified healthcare professionals (QHPs). These telemedicine services, which involve real-time communication between the patient and provider, are designed for non-face-to-face encounters and are used when appropriate for patient care, with the patient or their family/caregiver … Read more

Addressing Challenges in Office/Outpatient E/M Coding: Key Insights

Addressing Challenges in Office/Outpatient E/M Coding: Key Insights

Introduction: The major revisions to the coding guidelines for office/other outpatient evaluation and management (E/M) visits (CPT codes 99202-99205 and 99211-99215) were implemented nearly four years ago. While these updates aimed to streamline the coding process, practices continue to encounter challenges in documentation and reporting. Such confusion can lead to improper coding and potential financial … Read more

AWV vs. E/M Visits: Should You Combine or Separate Them?

When deciding whether to perform an Annual Wellness Visit (AWV) in conjunction with an Evaluation and Management (E/M) office visit or as two separate appointments, healthcare providers need to weigh several factors. Each approach has distinct advantages and challenges for both the patient and the provider. 1. Pros of Combining the AWV and E/M Visits … Read more

Time-Based Coding for Office and Outpatient Visits

When coding office or outpatient visits based on time, it is essential to consider the total minutes a physician or qualified healthcare professional spends on various activities, including time spent updating the patient’s medical record. These activities must take place on the same calendar date as the face-to-face encounter. Key Points about Time-Based Coding: Time-based … Read more

Mastering the 2025 Telemedicine Codes: Key Insights and Best Practices for Real-Time Encounters

Mastering the 2025 Telemedicine Codes: Key Insights and Best Practices for Real-Time Encounters

Basics of 2025 Telemedicine Codes The 2025 CPT manual introduces 16 new telemedicine codes designed for real-time encounters, which are divided into those conducted via synchronous audio-video connection and audio-only connection. These codes mirror the structure of office and outpatient evaluation and management (E/M) codes. It is essential to note that the services must be … Read more

A Sneak Peek at the Expanded CPT Codes for 2025

The 2025 expansion of CPT (Current Procedural Terminology) codes is poised to bring significant changes to primary care practices, with the introduction of 270 new codes, 38 revisions, and 112 deletions. These updates, effective January 1, 2025, are crucial for providers to review in advance to ensure timely reimbursement. On September 1, the American Medical … Read more

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