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Make sure claims and documentation support medical necessity. Healthcare providers have been given the go-ahead to provide an additional dose of the COVID-19 vaccine to certain patients. Here’s what you need to know for Medicare claims. The U.S. Food and Drug Administration (FDA) amended the emergency use authorization for both the Pfizer BioNTech COVID-19 vaccine … Read more
Deciding which code to use starts with determining each payer’s policy. The Healthcare Common Procedure Coding System (HCPCS) has two principal subsystems, referred to as Level I and Level II. Knowing when to use HCPCS Level I codes versus HCPCS Level II codes can be confusing, mainly because many services are described by both code … Read more
Certified Professional Coder (CPC) is an exam conducted by AAPC. Professionals who want to pursue a career in Medical coding applies for CPC exam. Every month there are ‘n‘ numbers of professionals getting certified and I am one of them. Many of us who are already cleared CPC exam knows about how important it is? … Read more
Hopefully, everyone is using the new E/M codes without issue. CMS added two HCPCS codes to represent “additional” time for E/M services. These are important qualifiers, as medical necessity audits are likely to follow. The latest instructions from CMS on proper use of the G codes: “When the practitioner selects a visit level using time, the … Read more
Most of us always think that, to be a professional one should take a proper training, which obviously requires investing money. So, those who have money goes ahead and the ones who don’t ,choose a different option. I was into the same kind of situation when I choose medical coding as my career. I was … Read more
Question 2 Starting Jan. 1, 2021, CTBS provided by therapists (LCSW, clinical psychologists, PT, OT, SLP, and other NPPs who bill Medicare directly for their services) will be billed using which codes? A. G2061–G2063 B. 98970–98972 C. G2250 and G2251 D. G2010 and G2012 Question 3 Which of the following HCPCS Level II codes would … Read more
Medical coders are aware about ICD 9 and ICD 10 codes. Their was a big transition happened between ICD 9 and ICD 10 codes in the past. We all the know about the steps taken for awareness and implementation for ICD 10 codes. The huge increase in the number of diagnosis codes in ICD 10 … Read more
The Centers for Medicare & Medicaid Services (CMS) posts quarterly updates of the HCPCS Level II code system on their website. Additionally, six codes are revised and 12 are discontinued, effective April 1, 2021. There are also two codes with changes to Medicare coverage. Following are the changes. Code A9592 Copper cu-64, dotatate, diagnostic, 1 millicurie … Read more
Basics of CPT code 92507, 92508, 92520, 92521 In medical doing, their are separate set of procedure codes (CPT code 92507, 92508, 92520, 92521, 92522, 92523, 92524 & 92526) used for reporting evaluation and treatment of speech sound production, receptive language, and expressive language abilities, voice and resonance production, speech fluency, and swallowing. Evaluations may … Read more
Here’s a sampling of the new G codes that represent physician services, along with some expert analysis: G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related … Read more