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The American Medical Association (AMA) has updated its CPT code set to include new vaccine codes for the 2024-2025 influenza season, as well as for pneumonia and meningitis. These updates, including one code revision, will be reflected in the CPT 2025 publication, though some changes are already in effect. Influenza Vaccine Code Updates For the … Read more
Important Updates to HCPCS Codes for Methylprednisolone and Methotrexate (Effective April 1, 2024) : J1010 CPT update The Centers for Medicare & Medicaid Services (CMS) has updated the Healthcare Common Procedure Coding System (HCPCS) for certain injectable medications, including methylprednisolone and methotrexate. These changes apply to claims with service dates on or after April 1, … Read more
Basics of Plantar fasciitis ICD-10 CM coding Plantar fasciitis is inflammation of the fascia that connects your heel to your toes, which can cause intense pain in your foot. M72.2, plantar fascial fibromatosis M72.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Plantar Fasciitis and ICD-10 The good … Read more
Basics of CPT code 20561 In this exam, the physician inserts a dry solid filament needle through the skin and into one or two muscles in CPT code 20560 and into three or more muscles in CPT code 20561. Indicated for myofascial pain relief and movement impairments, trigger points (focal, discrete spots of hypersensitive irritability … Read more
Basics of CPT code 99395 Periodic comprehensive preventive medicine services are typically well-patient examinations for established patients presenting for reevaluations and/or management of overall health condition with code selection dependent upon the patient’s age. These services include applicable patient history and examination, guidance/recommendation regarding personal risk factors, and any laboratory and/or diagnostic procedures ordered. Clinicians … Read more
Basics of CPT code 96160 and 96160 A provision in the Patient Protection and Affordable Care Act of 2010 (ACA) established a Medicare Wellness Visit, which included a Health Risk Assessment (HRA) and customized wellness or prevention plan. HRAs are typically completed by a patient or caregiver prior to the encounter with a physician or … Read more
Use of CPT code 99391, 99392, 99393, 99394, 99395 and 99396 Periodic comprehensive preventive medicine services are typically well-patient examinations for established patients presenting for reevaluations and/or management of overall health condition with code selection dependent upon the patient’s age. These services include applicable patient history and examination, guidance/recommendation regarding personal risk factors, and any … Read more
Documentation and coding of complications In the MS-DRG system, many MS-DRGs require a secondary diagnosis that is classified as a complication/comorbidity (CC) or major complication/comorbidity (MCC). The Medicare definition of complication is any condition that occurred after admission. Clinicians often view the term “complication” differently than the coding perspective. Clinically, complication means a condition that is caused by … Read more
Normal native connections exist when the pathway of blood flow follows the expected course through the right and left heart chambers and great vessels (ie, superior vena cava [SVC]/inferior vena cava [IVC] to right atrium, then right ventricle, then pulmonary arteries for the right heart; left atrium to left ventricle, then aorta for the left … Read more
For the CPT 2024 code set, two new Category III codes (0807T, 0808T) were established to report pulmonary tissue ventilation analysis. This article provides an overview of the intent and use of these new codes. Description of code 0807T and 0808T Category III codes 0807T Pulmonary tissue ventilation analysis using software-based processing of data from … Read more