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Tick-Tock: Understand Why Time Matters for E/M Coding

22. April 2019

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For E/M, there has been a lot of attention on how the role of time will change in 2021. But what about right now? After this skill sharpener on time in the AMA CPT® E/M guidelines, you’ll have a better understanding of time’s current role in E/M coding. Where to Find AMA CPT® E/M Guidelines […]

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Your Secret Decoder for ICD-10-CM Notes Has Arrived!

18. April 2019

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I’ve been working with ICD-10-CM notes recently, like Excludes1 and “code first.” One thing coders have to know about those notes is that they come with qualifiers. Let’s look at some of the not-so-obvious meanings of these ICD-10-CM notes. Excludes1 Means “NOT CODED HERE!” Unless … ICD-10-CM Excludes1 notes originally came with the explanation that […]

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Before You Pick a Pain Code, You Need to Know These Official Guidelines

15. April 2019

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ICD-10-CM is picky about pain coding, and it’s no wonder considering all the possible variations. Fortunately you can turn to the 2019 ICD-10-CM Official Guidelines for Coding and Reporting (OGs) to keep your coding skills sharp. Today we’ll take a look at some of these pain pointers. Walk a Fine Line for Pain Related to […]

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Coding Snapshot: 4 Answers to Ace Major Joint Arthrocentesis

11. April 2019

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Time for an arthrocentesis refresher! Today we’re digging into the details of 20610 and 20611 with four questions and answers. 1. What Are the Major Components of These Codes? Let’s start by working our way through the code descriptors: 20610 (Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without […]

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How Well Do You Know ICD-10-CM Vax Codes? Quiz Time!

28. March 2019

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Complete knowledge of ICD-10-CM coding for immunizations means knowing how to code both when an immunization occurs and when it does not. Ready to see if you’ve mastered the ICD-10-CM codes for these encounters? Let’s go! Choose Your Answers to These ICD-10-CM Questions Q1. What does the code-level note with Z23 (Encounter for immunization) in […]

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Simplify Cystocele Coding With These ICD-10-CM and CPT® Pointers

25. March 2019

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Urogynecology brings together urology and gynecology, specifically focusing on treating pelvic floor disorders. One diagnosis urogynecology coders need to be familiar with is cystocele, our topic for today. Tie Your Diagnosis to These ICD-10-CM Codes A cystocele occurs when the wall between the bladder and vagina weakens, causing a protrusion. You should report this condition […]

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Make the CCI Manual Your Go-To Guide for Shoulder Arthroscopy With Debridement

21. March 2019

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Before you code debridement with shoulder arthroscopy, make sure you know what the Medicare Correct Coding Initiative (CCI) manual has to say. You’ll find the highlights here to help you get started. Where to look: You’ll find these instructions in chapter IV, section E, of the Medicare CCI manual. Same Shoulder? Stick to the Basic […]

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3 Can’t-Miss Reasons to Read the Radiology CPT® Coding Guidelines

15. March 2019

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Supervision and interpretation, contrast, and images — these are all terms you need to know for radiology CPT® coding. The 70000 Radiology section guidelines are a good place to start for authoritative information. Helpful: If you use a paper CPT® manual, you are likely to find the Radiology section guidelines directly preceding the first 70000 […]

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Here’s Why the MPFS Should Be at the Top of Your Modifier Checklist

25. February 2019

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When you think of the Medicare Physician Fee Schedule (MPFS), fees might be the first word that comes to mind. But modifiers should be a close second. Here’s how you can use the MPFS to improve your modifier accuracy for Medicare claims. Start here: To read about the MPFS bilateral indicator and modifier 50, read […]

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ICD-10-CM: Don’t Give Up Too Soon When Coding Flank Pain

18. February 2019

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Flank pain is a complaint a lot of general practices and specialties see. Here are some pointers on how to code correctly for this common condition. Find Flank Under Abdominal in the Index The flank is the side area of the torso below the ribs. To code for flank pain, start by looking at the […]

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