Category: Medical Coding

2021 EM Coding Changes

E/M Changes Take Effect January 2021

  Good news for physicians tired of counting bullet points to assign an evaluation and management (E/M) level for an outpatient office visit: Per new AMA guidelines, it’s going to be a whole lot simpler. As of January 1, 2021, physicians will select an E/M code based on total time spent on the date of […]
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Facility Coding Guidelines

The Need for Facility Coding Guidelines

Facility-specific coding guidelines are key to code hospital visits and encounters consistently. Another role that facility-specific guidelines play is to capture all possible reimbursement that is due to an organization. Every Oct. 1, the MS-DRGs and ICD-10-CM/PCS are updated. In addition to the MS-DRGs, the New Technology Add-On Payments (NTAPs) are updated as well. It […]
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CPT Codes for Multi-virus Tests

New CPT Codes for Multi-Virus Tests Detect COVID-19 and Flu

The American Medical Association (AMA) today published an update to the Current Procedural Terminology (CPT®) code set that includes new code additions and editorial revisions for reporting medical services sparked by the public health response to the COVID-19 pandemic. The update to the CPT code set was approved by the CPT Editorial Panel, the independent body convened […]
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CPT codes for dual flu-COVID-19 tests

AMA Has New CPT Codes for Dual Flu-COVID-19 Tests

The American Medical Association updated its Current Procedural Terminology set to include updates to coding for tests that detect influenza and COVID-19. The two new codes, per the AMA’s CPT editorial panel, are: 87636: “Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A […]
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ICD-10-CM Codes for Proper Payment

Sequence ICD-10-CM Codes for Proper Payment

Five terms lead the way to determining primary diagnosis codes. When we select diagnosis codes for billing, we are telling the story of a patient’s healthcare encounter. Patients often present with multiple conditions — some related, some not. Medical coders are tasked with selecting the most specific codes and putting them in the right order. […]
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ICD-10 Coding Tips for Influenza

ICD-10 Coding Tips for Influenza

  There has been much discussion about COVID-19 this year, but as autumn approaches, thoughts turn towards influenza season. The Advisory Committee on Immunization Policies (ACIP) recently published guidelines for flu vaccination. Their advice is that routine annual vaccination is recommended for everyone 6 months of age and older. The United States vaccines will include […]
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Rehab in Covid-19 Recovery

The Critical Role of Rehab In Covid-19 Recovery

  Further, the study underscored that inpatient rehab plays a unique and positive role in treating patients recovering from COVID-19. Discover key strategies hospitals can use to improve outcomes through rehabilitation for patients recovering from COVID-19. Importance of Rehab for Patients Recovering from COVID-19 At least 700,000 Americans recovering from COVID-19 will require inpatient rehabilitative […]
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2021 Coding Rules

New Coding Rules for 2021

New 2021 Coding Rules Q: Do the new 2021 coding rules for office visits apply to all payers or just Medicare and Medicaid? Also, are these rules just for office visits, or can we use them for hospital visits, nursing home services, and home visits? A: The changes to the documentation requirements are for codes […]
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