Feb 3, 2023 | Coding Quandry
Question: One point of clarification I’ve wondered about. What defines the chronicity of the condition? Is it if it’s lasted more than one year already for the patient or is it if we know that it’s going to last more than a year even if it’s...
Apr 7, 2022 | Coding Quandry
Question: When I am performing a shave biopsy, I append diagnosis code D48.5 to the service. My coder is telling me that it is incorrect, and I should use D49.2 instead. Who is correct? Answer: The coder is correct on this one. D48.5 is Neoplasm of Uncertain...
Feb 6, 2022 | Coding & Documentation Highlight
In CPT this year, there are new Category I codes for Principal Care Management (PCM). CPT CODE DESCRIPTION #•99424 Principal care management services, for a single high-risk disease…; first 30 minutes provided personally by a physician or OQHCP, per calendar month...
May 5, 2021 | Article, Telehealth
The pandemic and the public health emergency (PHE) it brought along with it, have changed how health care is delivered. Commercial payors have been more amenable to paying for telehealth services in prior years. Due to the pandemic, CMS decided to relax its...
Dec 8, 2020 | Article, Physician Fee Schedule
CMS issued a final rule on the Medicare Physician Fee Schedule and some other policies that are slated to start on or after January 1, 2021. The 1,994 page document has a lot of information on many different policies, so a few important ones will be highlighted here,...
