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Internal Medicine Coding Alert

CPT® Coding:
Ask These Questions, Get Ready for Behavioral Health Integration
Read this FAQ to know the pros and cons of the new CPT® codes If your practice has yet t... Read more
Procedure Coding:
Take These Tips to Perfect Your Pulmonary Testing Knowledge
Master the ins and outs of PFT coding with these four expert suggestions. Confused by the... Read more
Case Study Corner:
Study These Steps for Successful STI Counseling, Immunization Coding
Refresh your HPV documentation skills with this scenario. Human papillomavirus (HPV) is p... Read more
Reader Question:
Take Time to Answer This Question, Infuse Your Coding Knowledge
Question: Our nonphysician practioner (NPP) performed an infusion lasting 107 minutes. How... Read more
You Be the Coder:
Detail What's Not Working to Justify CT Injections
Question: Three months ago, our provider saw a patient complaining of wrist pain, a burnin... Read more
News You Can Use:
Will You Be Ready to Use These New CPT® Codes in the New Year?
Jan 1. sees new behavioral health, cognitive impairment, and vaccine codes. 177 new codes... Read more
ICD-10 Coding:
Know Symptoms, Specificity, and Site for Success in Respiratory Coding
Ask these three questions to keep your documentation clear and precise. Your practice has... Read more
Mythbusters:
Document High Blood Pressure Diagnoses Definitively by Busting These Myths
Understand these three scenarios to master hypertension reporting. Let's face it: hyperte... Read more
Reader Question:
Document Destruction with This Procedure Code
Question: Our provider recently removed five common warts from a patient's hand, and ... Read more
Reader Question:
Know Modifier 33 to Identify Preventive Services
Question: A patient with hyperlipidemia and type 2 diabetes came to our office for an... Read more
You Be the Coder:
Create Crystal-Clear CLIA Documentation with This 4-Step Method
Question: Our practice recently received a certificate of waiver from the Centers for... Read more
Procedure Coding:
Put Your Finger on These Trigger Point Injection Codes
Do this, but don't do that, for straightforward TPI reporting. Trigger point injections (... Read more
ICD-10 Coding:
Four Simple Steps for Coding Abdominal Pain Without Dx
R codes key when only symptoms are known. Sometimes a patient's symptoms don't add up. Bu... Read more
Clip and Save:
Know These Words, Know Migraine Coding
Let this handy glossary guide you to pain-free documentation. "It is easy to get lost in ... Read more
Reader Question:
Use This NPI in This Incident-to Scenario
Question: Our nurse practitioner (NP) is often called upon to provide services to our... Read more
Reader Question:
Claim Repeat I&D Within Global with These Modifiers
Question: Our physician recently performed an incision and drainage (I&D) of a co... Read more
Reader Question:
Choose This Code for Care Conclusion
Question: A patient we have been treating for a severe case of eczema came back to ou... Read more
You Be the Coder:
Look to Age to Code This Alzheimer's Encounter Correctly
Question: If our provider diagnoses a patient with Alzheimer's disease, can I use the... Read more
ICD-10-CM Coding:
Cardiac Dx Codes at the Heart of ICD-10-CM Revisions
MI, pulmonary hypertension, and heart failure reporting will change beginning Oct. 1. Cha... Read more
ICD-10-CM Coding:
Report Abuse in Remission Dx Beginning Oct. 1
New F10-F19 codes make substance abuse documentation more specific. For some time, when y... Read more
Procedure Coding:
Think You Know Arthrocentesis, Steroid Administration Coding?
You will when you follow this step-by-step guide for accurate osteoarthritis procedure rep... Read more
Reader Question:
Know Notes, Drug Type for Success Coding this Scenario
Questions: We have a patient who is recovering from a stroke, and we are monitoring h... Read more
Reader Question:
By the Numbers: Use these Two Modifiers to Code Three Procedures by Two Physicians
Questions: A patient recently came in to our practice for three separate electrocardi... Read more
You Be the Coder:
Take this Advice on Coding E/M Services with Tobacco, DNR Counseling
Question: Can we bill an evaluation and management (E/M) service such as 99213 with c... Read more
ICD-10-CM Coding:
Prepare Yourself for Diabetes Coding Changes in Latest ICD-10-CM
New codes for type 2 DKA are on their way. Ready or not, here they come! The annual revis... Read more
CPT® Coding:
Code CCM Accurately with These Expert Tips
These 5 hints will keep your reporting on-target. Following up on last month’s disc... Read more
Reader Question:
Make Inhalation Coding As Simple As Breathing
Question: Our physician provided two inhalation treatments to the same patient on the... Read more
Reader Question:
Use this 5-Step Method to Find Global Days
Question: What is the best way to quickly find the global periods for various procedu... Read more
Reader Question:
Answer This Question to Assess Your Screening Coding
Question: A patient came into our office exhibiting signs and symptoms of alcohol mis... Read more
Reader Question:
Push Your Knowledge of Infusion Codes with these Answers
Question: A patient came to our office for an initial med push of ondansetron hydroch... Read more
You Be the Coder:
Getting Stuck on Modifier Attachment? You Won't When You Know Global Days
Question: Our physician recently excised a benign lesion from a patient. The same pat... Read more
CPT® Coding:
Use These Health and Behavior Codes to Address Patient, Caregiver Concerns
Recent CPT® revisions aid cognition, collaborative care documentation. The 2017 revis... Read more
Coding Quiz:
Don't Sneeze at This Seasonal Allergy Coding Quiz
Find relief from testing and treatment coding problems by taking this test. Now that alle... Read more
E/M Coding:
Know 2 Simple Codes to Make CCM Coding Less Complex
Know what makes complex chronic care management … complex. If your practice is see... Read more
Coding Quiz:
Answers: How Did You Do on Our Seasonal Allergy Test?
Our experts provide some hot summer coding advice. Once you’ve answered the quiz qu... Read more
Reader Question:
Don't Be Left Speechless by These Problem-Focused E/M Codes
Question: A patient came in for a physical exam. While there, one of our physicians a... Read more
Reader Question:
Use 99406 & 99407 for Success in Smoking Cessation Coding
Question: CMS deleted HCPCS codes G0436 (Smoking and tobacco cessation counseling vis... Read more
You Be the Coder:
Follow This Advice for Correct Immunization Coding
Question: A 28-year-old patient recently came into our office for a routine flu immun... Read more
CPT® Coding:
Know the Who, What, and Where of Strapping and Splinting to Boost Your Claims
And you can wrap things up with a supply code, too. When a patient visits your physician ... Read more
Mythbuster:
3 Myths To Destroy To Boost Lesion Destruction Claims
Numbers and types aren’t the only details that need close attention. Do you know wh... Read more
CPT® Coding:
Answer the Call: Learn New POS Code for Telehealth
Hint: It’s all about the modifiers. When your physician provides covered services t... Read more
Reader Question:
Choose Codes Carefully in OD Reporting
Question: Our clinician recently diagnosed a patient with ‘complications arisin... Read more
You Be the Coder:
Reduced or Incomplete? Use Modifiers 52 and 53 to Tell Different Stories
Question: Our clinician recently detected impacted cerumen in a patient with complain... Read more
CPT® 2017:
Take Advantage Of Telemedicine Coding On The Line
Modifier 95, Appendix P, and POS code 02 let you communicate effectively with Medicare. C... Read more
Modifiers:
Stay On The Right (And Left) Side Of Modifier 50 Decisions
Hint: Read the CPT® code descriptors carefully. At times, a provider will need to per... Read more
Clip And Save:
Use These Questions To Get Hip With HPI
Here’s the fast, easy way to get beyond CC. During the history of present illness (... Read more
Reader Question:
Observe 3-Year Rule on Px Status
Question: We have a new physician joining our practice next month from a nearby pract... Read more
Reader Question:
Choose the Right Code to Help Support Falling Patients
Question: When our practice treats patients with a history of falling, what ICD-10 co... Read more
You Be the Coder:
Code for High Risk to Avoid Denial
Question: We received a Pap test order 13 months after the previous test due to &ldqu... Read more
MACRA:
Check Out These Pros, Cons of Early MIPS Adoption
‘Pick your pace’ options available for 2017. If you have been thinking about ... Read more
E/M Coding:
Use These Tips to Grasp TCM Reporting
One-month embargo lifted on TCM codes. When your clinician provides follow-up care for a ... Read more
CPT® Coding:
Nail Debridement or Biopsy? These Clues Lead the Way
Remember, you might also report both procedures together. When your provider debrides or ... Read more
Reader Question:
Look Toward J Code for Wheezing Dx
Question: I am new to coding. Our clinician recently came up with the diagnosis of &l... Read more
You Be the Coder:
Additional Aerosol Treatments Deserve Separate Pay? Find Out
Question: If our physician performed nebulizer treatment to help control wheezing sym... Read more
E/M Coding:
I.D. Incident-to, Split Visits or Risk Lost $$$
Remember, both features are Medicare creations. When your internist and a non-physician p... Read more
Procedure Coding:
Use This Guide to Perfect Lesion Excision Coding
Here’s when you might be able to report excision and wound closure. If your interni... Read more
Compliance:
Know Stark Law to Avoid Practice Problems
Receiving kickbacks can get you kicked out of practice. When your physician makes referra... Read more
Reader Question:
Conduct Site Count for Kenalog Coding
Question: If our clinician administers Kenalog into multiple sites using ultrasound g... Read more
Reader Question:
Cast Aside Application Code Unless Physician's Involved
Question: Our physician recently saw a patient who reported to our practice with comp... Read more
You Be the Coder:
Get to 7th Spot on Neck Sprain Diagnoses
Question: Our provider recently provided an evaluation and management (E/M) service t... Read more
E/M Coding:
Use Injection-E/M Smarts to Code Correctly
You’ll need modifier 25 for the E/M. When your physician examines a patient, she... Read more
Coding Quiz:
Test Your Cerumen Removal Reporting with These Scenarios
Be on the lookout for E/M opportunities with cerumen removal. When your clinician perf... Read more
ICD-10:
Keep Atop Infant Feeding Difficulties Dx Differences
Once the infant reaches this age, you can’t use newborn codes anymore. Physicia... Read more
Quiz Answers:
Check Your Responses Against These Cerumen Removal Answers
Look to CCI when coding for multiple procedures. Scenario 1: Simple Removal by Irrigat... Read more
Reader Question:
Choose 'Feeding Difficulties' Code for Choking
Question: Our physician evaluated a newborn baby whose mother said that the child w... Read more
You Be the Coder:
Coding Dermabond Repair for Medicare
Question: Our physician recently performed simple repair of a laceration of the sca... Read more
E/M Coding:
Nail MDM Level with This 3-Step Method
Use points system to arrive at final level. Coders reporting an evaluation and managem... Read more
Coding Corner:
Score Big with These 3 Sports Physicals Coding Options
Payer can provide insight into correct coding. If your physician performs sports physi... Read more
Mythbusters:
Use This Advice to Unlock Nail Care Reporting Success
Check with payer on proper diagnoses for the service. When your clinician performs rou... Read more
Reader Question:
Tread Carefully When Considering Nail Trimming/Debridement
Question: If our physician performed trimming and debridement of nails for a patien... Read more
You Be the Coder:
Reporting E/M with Cerumen Removal
Question: If your physician performs removal of cerumen, can an E/M code be reporte... Read more