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Primary Care Coding Alert

E/M Coding:
Get the Answers to These 5 Frequently Asked 2021 Outpatient E/M Time Questions
Note changes in total times, prolonged outpatient services. Last month, we took an in-de... Read more
Care Management:
Know These Best Practices for Managing Your CCM Program
Understand what it takes to implement and maintain this valuable service. How do you sta... Read more
Condition Spotlight:
Take These Steps to Code Diabetic Foot Exams Correctly
Here are all the combo Dx codes and Medicare rules you need to know. With a diagnosis of ... Read more
You Be the Coder:
Rectify This Denial by Removing This Modifier Mistake
Question: We billed a patient's Wellcare Medicare Advantage Plan 11400-25, 17000, and +170... Read more
Reader Question:
Stay on Top of These New COVID-19 Guidelines, Codes
Question: There have been so many coding changes regarding COVID-19 that we are having tr... Read more
News You Can Use:
Hear These Answers to Your Frequently Asked PHE Telehealth Questions
All the guideline changes and additions to the telehealth list you need to know. On Marc... Read more
Coding Quiz:
Do You Have What It Takes to Pass This Hypertension Coding Quiz?
Hint: pay close attention to the Chapter 9 guidelines. Many of us are being asked to st... Read more
Guidelines:
Code These 3 Scenarios, Master Telehealth Coding
Know how to decide which services best fit your practice. The current public health emer... Read more
Coding Quiz Answers:
Check Your Answers to Our Hypertension Coding Quiz
Find out if your coding knowledge needs to get back on schedule. Once you've answered t... Read more
You Be the Coder:
Rule Out This Z Code When Dx Ruled Out
Question: A patient came into our practice saying he thought he might have a hernia. Our p... Read more
Reader Question:
Don’t Complicate Your Diabetes Dx in This Unstable Scenario
Question: Our provider documented that a type 2 diabetic patient's condition was “unstab... Read more
Reader Question:
Follow CDC, AMA Advice, Choose These COVID-19 Codes
Question: Thank you for keeping us up to date with the changes in medical coding due to th... Read more
E/M Coding:
Know How 2 of Your Most-Used E/M Codes Will Change in 2021
MDM table revisions, new language, spell changes and challenges. In last month's Primary ... Read more
Mythbusters:
Bust These 4 Myths for Signs and Symptoms Coding Success
Know when, and when not, to use these commonly used codes. You know that Chapter 18 in IC... Read more
Preventive Medicine:
Don’t Let Your 99406 and 99407 Claims Go up in Smoke
Here are all the answers to your Medicare smoking cessation counseling guideline question... Read more
Reader Question:
Consider This Coding Counsel to Curtail COVID-19 Confusion
Question: Has the Centers for Disease Control (CDC) issued any guidance regarding coding f... Read more
Reader Question:
Add Times When Billing This Multi-Provider Critical Care Encounter
Question: One of our providers spent 40 minutes treating a critically ill adult patient in... Read more
Reader Question:
Expand Your History Understanding by Solving This Problem
Question: If I have a chief complaint, an extended history of present illness (HPI), a pro... Read more
You Be the Coder:
Stick to This Advice to Report Blood Draw, E/M, on Same Day
Question: Is it possible to bill 99211 with 36415? If so, do I need to append modifier 25 ... Read more
E/M Coding:
Get the Answers to These 3 Frequently Asked 2021 E/M MDM Questions
Know what changes, what stays the same, and what we still have yet to learn. If you read ... Read more
Guidelines:
Don’t Get Left in Denial – Make the Right Modifier 50 Choice Every Time
These 3 tips will keep payers on your side. Modifier 50 (Bilateral procedure) is one of t... Read more
ICD-10 Coding:
Confused by Dermatitis Codes? Here Are 3 Things to Remember
Understand contact type and synonyms for success. When it comes to coding dermatitis, the... Read more
Reader Question:
Add U07.0 to Code for Vaping Disorder
Question: Thank you for your recent article on coding for vaping-related conditions [see P... Read more
Reader Question:
Code for Current Condition When Care Continues
Question: A patient of ours was hospitalized for pneumonia. On release, the patient receiv... Read more
Reader Question:
Know Who, What to Bill for Pre-Employment Drug Tests
Question: What is the best way to bill for a pre-employment drug test? We would like to ch... Read more
You Be the Coder:
Understand Options in This Suture Removal Scenario
Question: One of our patients was involved in an accident that required him to go to the e... Read more
News You Can Use:
Get Onboard With These NCCI Edits for Online E/Ms
Billing 98970-98972 and 99421-99423 just got a whole lot trickier this year. As you would... Read more
Coding Quiz:
Fine-Tune Your Bronchitis Coding With This Quiz
And use these 3 pro-coding tips to sharpen your skills. Think you're a bronchitis coding ... Read more
Guidelines:
Take a Closer Look at the NCCI PTP Edit Pair Guidelines
Know how 0, 1, and 9 add up to total coding success. Do you have questions about how to i... Read more
Coding Quiz Answers:
Check Your Answers to Our Bronchitis Coding Quiz
Once you've answered the quiz questions, compare your answers with the ones provided below... Read more
Reader Question:
Administer This Advice to Avoid Injection Confusion
Question: We just got a denial on 20526 with 96372. What are we doing wrong? Missouri Sub... Read more
Reader Question:
Depend on These Code Choices in This Alcohol Withdrawal Encounter
Question: What is the correct ICD-10 coding for a patient diagnosed with alcohol use ... Read more
Reader Question:
Get on the Right Side of This Modifier Misunderstanding
Question: When a provider performs an incision and drainage (I&D) on a right brea... Read more
You Be the Coder:
Don’t Experiment With This Steroid Claim
Question: We have been getting denials from one of our payers whenever one of our provider... Read more
Care Management:
Take Care to Manage These Care Management Changes This Year
TCM, CCM, receive rigorous revisions and reevaluation. In addition to the addition of pri... Read more
E/M Coding:
Get Ready for 2021 by Taking These 2 Steps Now
Hint: get your documentation and implementation ducks in a row. You know that a year from... Read more
Condition Spotlight:
Follow This Guide, Code Vaping Problems With Precision
New CDC advice provides clear coding suggestions. If you've been paying attention to rece... Read more
Reader Question:
Use 1 Code for These 2 Bed Sores
Question: How should I code a patient who has two stage-two pressure ulcers on the right b... Read more
Reader Question:
Take a Long-Term View of This Code Use
Question: If a provider writes out a prescription for a drug pending the results of a lab ... Read more
Reader Question:
Understand Global for Correct Modifier Application
Question: If a provider makes a decision to perform cerumen removal using 69209, can I use... Read more
You Be the Coder:
Manage Billing Responsibilities in This CCM Scenario
Question: My company, FirstVitals, is credentialed with Medicare and all commercial insura... Read more