Learn How to Code
Today, I came across a scenario where three modifiers are used together which is very rare. So, I would like to share that scenario which will surely help to use the modifier wisely. Below is the question with the answer as well. Question :An ophthalmologist performs cataract surgery on a patient’s right eye two weeks … Read more
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
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
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
Percutaneous procedures are little difficult to code. We have seen some of the procedures like Fine needle aspiration, arthrocentesis, Breast biopsy, myelogram etc. always have a primary procedure code followed by a imaging guidance or Radiological supervision and interpretation (RS&I) code. Since, interventional radiology charts includes multiple CPT codes for most of the procedures, hence the … Read more
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
Most of the fracture cases are coded in emergency department (ED) facility, hence it is important to understand the different scenarios that a coder come across for these fracture care. Scenario 1 A patient presents to the ED after falling and fracturing his tibia. The emergency physician calls an orthopedic surgeon for a … Read more
What are Signs and Symptoms? Many times we get confused with signs and symptoms and considered them as same by defination. But, if you see their is a very slight difference in both of them. Symptom can be only found out by patient. For example, if a patient is having some pain, that can be … Read more
Basics of CPT code 27405, 27407 and 27409 A surgical reconstruction means that the remnant of the torn ACL/PCL is removed, and a new ligament is created with tissue from elsewhere in the body or donated from a cadaveric donor. ACL/PCL reconstruction surgery has been very successful, but there are concerns that it may not … Read more
Basics of Rotator cuff CPT code CPT code 23410, 23412, 23420 and 29827 The rotator cuff is a group of muscles in the shoulder that allow a wide range of movement while maintaining the stability of the glenohumeral joint. The rotator cuff includes the following muscles: Subscapularis Infraspinatus Teres minor Supraspinatus A helpful mnemonic to … Read more