Learn How to Code
CEUs (Continue Education Unit) are very important to retain AAPC or AHIMA certificate. These CEUs are to be submitted at the end the year. But, most of the time the AAPC or AHIMA members are short of CEUs at the time of submission. Today, I am sharing one more website where you can easily get … Read more
Basics of CPT code 99173, 99174 & 99177 Visual acuity refers to the clarity or clearness of the vision, a measure of how well a person sees. Visual acuity testing is used to determine how well a person can see at various distances using a Snellen chart. The Snellen chart is the familiar eye test … Read more
Basics for G codes & CPT code 90471, 90472, 90473, +90474 For Medicare, the use G codes is very common for billing specific procedures. For example, the Vaccine administration codes used for flu, is reported with G code G0008. Similarly there are many G codes used for Medicare patients.Also, there are diagnosis codes like Z23 … Read more
Basic of Medicare Condition Codes National Uniform Billing Committee (NUBC) in its Official UB-04Data Specifications Manual 2007 defines condition codes as codes used to identify conditions or events relating to this bill that may affect processing. Condition codes refer to specific form locators in the UB-04 form that demand to describe the conditions applicable to … Read more
Basics about Emergency department (ED) CPT code 99283 An Emergency Department (ED) is defined as an organized hospital-based facility for the provision of unscheduled episodic services to patients who present for immediate medical attention. The facility must be available 24 hours a day. The common reasons for ED visits are chest pain, abdominal pain, open wounds, … Read more
Procedure performed for CPT code 97802, 97803 & 97804 A dietetic professional provides medical nutrition therapy assessment or re-assessment and intervention in a face-to-face or group patient setting. After nutritional screening identifies patients at risk, preventive or therapeutic dietary therapy is initiated to induce a positive result in the role nutrition plays in improving health … Read more
Basics about Initial observation Care E/M CPT codes Significant changes were made to the Evaluation and Management (E/M) Hospital Inpatient and Observation Care Services subsection of the Current Procedural Terminology (CPT®) 2023 code set. Other E/M subsection revisions were discussed in previous CPT Assistant issues. In this issue, the newly combined subsection of hospital inpatient and observation … Read more
Understanding Denial Code 109 Denial code 109 indicates that the claim or service you submitted falls outside the coverage provisions of the specific payer or contractor to whom you sent it. To resolve this, you must redirect the claim or service to the appropriate payer or contractor that provides coverage. Frequent Reasons for CARC 109 (denial code 109) The prevalent factors leading to code 109 include: 1.Wrong payer or contractor details: A frequently encountered reason for denial code 109 is the submission of the claim or service to an incorrect payer or contractor. This often stems from inaccuracies in the patient’s insurance details or uncertainty regarding the correct payer for … Read more
Understanding Denial Code 97 Denial code 97 signifies that the benefit for a specific service has already been encompassed within the payment or allowance for another service or procedure that has been processed previously. In essence, the insurance provider has already factored in the expense of this service within the payments made for another associated … Read more
Basics of Vasectomy CPT code A vasectomy is a surgical procedure used as a method of male contraception. During the procedure, the vas deferens—the tubes that carry sperm from the testicles to the urethra—are cut, sealed, or otherwise blocked. This prevents sperm from mixing with semen that is ejaculated from the penis, effectively preventing pregnancy. … Read more