Tag: CPT Code 99204

medical-legal-impact-of-2021-em-changes

Medical/Legal Impact of 2021 E&M Changes

Without detailed documentation, providers may face an uphill battle in defending themselves from quality audits and even malpractice issues. Up until 2021, at least for the prior two decades, coders and clinicians relied upon the established Evaluation and Management (E&M) guidelines to determine which E&M code was appropriate for each specific encounter. The 1995 guidelines […]
ICD-10-PCS Codes for Therapeutics

12 new ICD-10-PCS Codes to Identify Therapeutics

The Centers for Medicare & Medicaid Services (CMS) implemented 12 new ICD-10-PCS codes to allow Medicare and other insurers to identify the use of the therapeutics Remdesivir and Convalescent plasma for treating hospital inpatients with coronavirus (COVID-19). The new codes, effective Aug. 1, are: ICD-10-PCS Code XW013F5 – Introduction of Other New Technology Therapeutic Substance […]