Category: Medical Coding

HCPCS Add-On Code G2211

CMS Reminder: HCPCS Add-On Code G2211 is a Bundled Service

The application of this code will not result in additional payment for a billed E/M visit service. In its February MLN Connects newsletter, CMS reminds providers that HCPCS add-on code G2211 (visit complexity inherent to E/M associated with medical care services that serve as the continuing focal point for all needed healthcare services and/or with medical care […]
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2021 Emergency Medicine Reimbursement Changes

Understanding 2021 Changes in Emergency Medicine Reimbursement

  Emergency medicine groups face several changes this year, including a new federal ban on surprise medical billing, updates to the Medicare reimbursement formula, changes to the CMS MIPS program, and new billable services. Below is a summary of these changes provided by the experts at Brault Practice Solutions. Federal Ban on Surprise Medical Billing […]
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Medicare G Codes

Focus on G Codes for Medicare

Code professional services like a pro to maximize reimbursement in 2021. The first quarter update to the HCPCS Level II code set includes 83 new codes, 76 revised codes, and 174 deleted codes. The majority of movement in the HCPCS Level II update for 2021 involves the G codes, Procedures & Professional Services. The Centers […]
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Medical Billing & Coding opportunities

Top Challenges, Opportunities of Medical Coding and Billing

By April of last year, seemingly every news station in American was featuring the heroic efforts of physicians, nurses, and other clinicians fighting COVID-19. These providers transformed healthcare, implementing telehealth and virtual care, standing up new wards in hotels, sports arenas, and schools, and finding new ways to stretch precious supplies. But behind those transformations […]
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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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New Cardiology Coding

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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CPT - HCPCS Codes for COVID-19 Vaccines

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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2021 Healthcare IT Predictions

Health IT Predictions for 2021: What Awaits Post-Pandemic

One year ago, it’s doubtful that anyone could have accurately predicted the changes that would occur in healthcare in 2020. While facing the world’s greatest health crisis in living memory, we’ve seen amazing shifts in adapted care delivery and a surge in “telemedicine,” as well as implementation, regulation, coding, and payment adjustments established at great […]
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COVID-19 Coding Update

AMA Announces Update to COVID-19 Vaccine CPT Codes

The American Medical Association (AMA) today announced that the Current Procedural Terminology (CPT®) code set is being updated by the CPT Editorial Panel to include vaccine and administration codes that are unique to the COVID-19 vaccine candidate under development by Janssen Pharmaceutica, a division of Johnson & Johnson. The new CPT codes will be effective for use […]
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2021 ICD-10-CM Coding Guidelines

2021 ICD-10-CM Coding Guidelines Get a Refresh

Several changes have been recently made to the ICD-10-CM Official Guidelines for Coding and Reporting for fiscal year (FY) 2021. The guidelines changes affect code assignment for conditions and symptoms related to COVID-19. The Centers for Medicare & Medicaid Services (CMS) released the updates in December 2020. Familiarize yourself with the following new and revised guidance to […]
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