Otorhinolaryngologic Services Coding guide (CPT 92523 vs 96125)

Basics of Otorhinolaryngologic Services Coding In otorhinolaryngology, auditory processing disorders are characterized by inefficient communication between the ears and the brain resulting in an inability to process the information heard. Special otorhinolaryngologic service codes 92521-92524 are used to report diagnostic services that are not included in an evaluation and management service and that are predominantly … Read more

Phrenic Nerve Stimulation System Services Coding guide

Basics of CPT code 33276, 33277, 33278, 33279, 33280, 33281, 33287, 33288 For the CPT 2024 code set, eight new codes (33276-33281, 33287, 33288) were established in the Heart and Pericardium Pacemaker or Implantable Defibrillator subsection of the Cardiovascular System section to report insertion, removal, repositioning, and replacement of a phrenic nerve stimulator system and/or … Read more

When to use Procedure code 75574, 75580 by Medical coders

For the CPT 2024 code set, Category I code 75580 and two parenthetical notes were established to report a noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography (CCTA). Category III codes 0501T-0504T and three associated parenthetical notes were deleted to … Read more

New HCPCS codes effective from 1st April 2024

CMS published its HCPCS Quarterly Update in March, which heralded the sum of 94 HCPCS Level II code additions, discontinuations, and definition revisions. The changes became effective April 1. 62 added codes 21 discontinued codes 11 revised codes Below are the Newly added HCPCS codes effective 1st April 2024 A2026 Restrata minimatrix, 5 mg A4271 Integrated lancing … Read more

Community Health Integration (CHI) New G code: G0019 & G0022

CMS created 2 new service codes describing CHI services that auxiliary personnel, including community health workers (CHWs), may perform incidental to the professional services of a physician or other billing practitioner, under general supervision. The billing practitioner initiates CHI services during an initiating visit where the practitioner identifies unmet SDOH needs that significantly limit their … Read more

When to use G2211 code by Medical coders

Begining Jan. 1, 2024, qualified healthcare providers can bill an add-on HCPCS Level II code to report the extra time, effort, and associated practice expense involved with caring for Medicare patients across the continuum of healthcare. G2211     Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal … Read more

First quarter 2024 Coding Clinic update by AHA

The first quarterly release of Coding Clinic focused on the changes and new codes effective April 1, 2024. If you wish to review the updated Official Guidelines for Coding and Reporting, they can be accessed here. Notable changes to the ICD-10 CM coding guidelines include: Section C.1.d.5.b, which speaks to the reporting of sepsis due to a post-procedural infection. This … Read more

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