Category: Medical Coding

Append Surgical Modifiers With Confidence

Append Surgical Modifiers With Confidence

Modifiers 79: Know how to differentiate modifiers 79, 78, and 58to ensure proper reimbursement for all procedures performed. Modifiers convey important information about a claim and can directly affect reimbursement. But choosing the most appropriate modifier can be confusing — especially when two or more modifiers have similar descriptors. Modifiers 58, 78, and 79 are all […]
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Top Advantages of Employing AI in Medical Billing and Coding

Top Advantages of Employing AI in Medical Billing and Coding

In the realm of medical billing and coding, the incorporation of artificial intelligence stands as a pivotal advancement. Its role in healthcare establishments is to optimize billing procedures, thereby mitigating costly errors. Among the array of AI-driven technologies, machine learning and Natural Language Processing (NLP) take the forefront. These tools excel at swiftly and accurately […]
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E_M Coding and Billing for Interventional Radiology

E/M Coding and Billing for Interventional Radiology

Radiology practices that perform interventional procedures have to be up to date on the use of documentation and coding techniques for evaluation and management (E/M) services. Since these current procedural terminology (CPT) codes in the 99xxx range are less commonly utilized in many radiology practices, identifying circumstances where E/M services are billable and then properly […]
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2021 E_M Guidelines Based on Time

2021 E/M Guidelines Based on Time

Below is a listing of questions and answers regarding some of the nuances of billing Evaluation and Management office visits based on time. The new 2021 E/M coding guidelines for office visits (99202-99205, 99212-99215) allow physicians and qualified health professionals (QHP) to choose whether their documentation and code-selection level for E/M services provided is based […]
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CMS Clarifies Coding and Billing for NCTAP

CMS Clarifies Coding and Billing for NCTAP

The NCTAP was finalized as part of CMS’ fourth COVID-19 interim final rule. CMS on January 27 updated coding and billing instructions to hospitals for new COVID-19 treatments add-on payment (NCTAP). The NCTAP was finalized as part of CMS’ fourth COVID-19 interim final rule with comment period (IFC-4) and is effective November 2, 2020 through the end of the public health […]
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Expansion of Vaccine Administration and Product Codes

Expansion of Vaccine Administration and Product Codes

On December 1, 2020, the Centers for Medicare & Medicaid Services (CMS) introduced revisions to the ICD-10-PCS codes, while the most recent batch of CPT® codes was unveiled on January 25, 2021. The American Medical Association (AMA) has been consistently updating CPT codes in response to the release of vaccines, while CMS has been progressively […]
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Understand and Implement New Cardiology Coding Practices

Understand and Implement New Cardiology Coding Practices

Make sure your practice is well versed on the new codes and guidelines outlined in the 2021 CPT® code set. Advancements spurred by innovation, new technology, and expansion of digital medicine services within the cardiology specialty have increased access to healthcare and, in turn, have resulted in improved health outcomes for patients across the country. The […]
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AMA Announces New CPT Code for Johnson & Johnson’s COVID-19 Vaccine

AMA Announces New CPT Code for Johnson & Johnson’s COVID-19 Vaccine

The American Medical Association (AMA) recently added a new CPT code that will be used to report a COVID-19 vaccine candidate under development by Janssen Pharmaceutica, a division of Johnson & Johnson. The new CPT code is: 91303, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (COVID-19) vaccine, DNA, spike protein, adenovirus type 26 (Ad26) vector, preservative free, […]
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