Updated Moderate Sedation Guidelines for Surgery Coders

Updated Moderate Sedation Guidelines for Surgery Coders

As I have already shared previously there have been lot of changes in CPT codes in 2017. Also, we have new 2017 moderate sedation guidelines for coders with new CPT codes. Since, the conscious sedation service is now removed from almost all the surgery codes, it will now be mandatory to code sedation separately when … Read more

List of Revised CPT codes of 2018 for Medical coders

List of Revised CPT codes of 2018 for Medical coders

Evaluation and Management  99217             Observation care discharge day management (This code is to be utilized to report all services provided to a patient on discharge from outpatient hospital “observation status” if the discharge is on other than the initial date of “observation status.” To report services to a patient designated … Read more

Primary and Secondary ICD 10 Z codes used for Neoplasm

Primary and Secondary ICD 10 Z codes used for Neoplasm

ICD 10 codes has increased lot of complication for medical coders. Since, ICD 10 is very different from ICD 9, the use of these codes has created lot of problem.  Still there are lot of ICD 10  coding errors done by medical coders. Most of the errors are happening in coding Z codes, due to … Read more

Coding tips for Pregnancy Complication in ICD 10

Coding tips for Pregnancy Complication in ICD 10

In ICD 10, the diagnosis codes are very specific. To code pregnancy complications, we have very specific codes in ICD 10 this time. Now, we have codes for first, second, third and unspecified trimester ICD 10 codes for pregnancy complication. Earlier in ICD 9 codes, pregnancy complication codes were only based on antepartum, postpartum or … Read more

Coding Guidelines for CPT code 64555 and 64999

Coding Guidelines for CPT code 64555 and 64999

Percutaneous electrical nerve stimulation (PENS), also known as percutaneous neuromodulation therapy (PNT), is considered medically necessary for patients with severe, acute or chronic pain that is significant, constant or frequent when all of the following are met: 1. Patient has tried TENS and failed to obtain pain relief due to the presence of obvious physical barriers to conduction of … Read more

Medicare Ambulatory Surgical Center Payment Information

Medicare payment is made for facility services and covered ancillary services furnished to Medicare beneficiaries by a participating ASC in connection with covered surgical procedures. Examples of facility services for which payment is packaged into the ASC payment for a covered surgical procedure include: Nursing, technician, and related services; Use of the facility where the surgical procedures are … Read more

New CPT codes for Telehealth Services in 2018

New CPT codes for Telehealth Services in 2018

Medicare pays for a limited number of Part B services furnished by a physician or practitioner to an eligible beneficiary via a telecommunications system. For eligible telehealth services, the use of a telecommunications system substitutes for an in-person encounter. List of Medicare Telehealth Services CPT codes HCPCS codes G0425–G0427 – Telehealth consultations, emergency department or initial inpatient  HCPCS codes G0406–G0408 – Follow-up inpatient … Read more

8 minute Medicare rule in Physical Therapy CPT codes

8 minute Medicare rule in Physical Therapy CPT codes

Time is a very important factor for coding physical therapy codes. Medicare has a special 8 minute rule for billing the physical therapy procedures. Today, we will actually learn how rehab therapists use the Medicare 8 Minute Rule to determine what to bill Medicare for therapy services provided for a particular date of service. Medicare’s 8 … Read more

Learn and Earn Medical coding Examples for Coders

Medical Coding Example Report 1   PREOPERATIVE DIAGNOSIS:   Left small saphenous vein insufficiency with left lower extremity varicose veins that are symptomatic. POSTOPERATIVE DIAGNOSIS:   Left small saphenous vein insufficiency with left lower extremity varicose veins that are symptomatic. PROCEDURE:   Left small saphenous vein radiofrequency ablation. Phlebectomy of left lower extremity varicose veins with 6 incisions.   … Read more

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