Tag: CPT Codes

Cigna Updates Modifier 25 Reimbursement Policy

Cigna Updates Modifier 25 Reimbursement Policy

Find out what you must do to get significant, separately identifiable E/M services paid. The Cigna Group recently updated its reimbursement policy for modifier 25. Effective May 25, if you are billing this health insurance company for an evaluation and management (E/M) service and a minor procedure, you may need to do more than append […]
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New Medical Billing Codes You Should Know About

New Medical Billing Codes You Should Know About

Physicians need to keep their billing and coding right to ensure seamless reimbursements from payers. Similarly, they should stay updated with the latest coding changes to keep their revenue cycle intact. In addition, running a successful medical practice is a daunting task as the providers need to stay updated with the industry guidelines. The year […]
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Deleted, Revised, and New CPT Codes for 2023

Deleted, Revised, and New CPT Codes for 2023

Table of Contents Deleted CPT Codes for 2023 Revised CPT Codes for 2023 New CPT Codes for 2023 Benefits of Allzone’s Medical Coding Company! Adjustments to evaluation and management codes will require a period of adaptation. Within the CPT 2023 update, medical coders will encounter 101 fresh codes interspersed within the existing code set. However, […]
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CMS Corrects Time Thresholds for Prolonged Services

CMS Corrects Time Thresholds for Prolonged Services

What a difference 15 minutes can make when billing E/M services. The Centers for Medicare & Medicaid Services (CMS) issued a notice March 14 correcting several errors in the 2023 Medicare Physician Fee Schedule (MPFS) final rule. Most notably, CMS is correcting technical errors in the calculations of the time thresholds for reporting evaluation and […]
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The 2023 Telehealth Service Codes Physicians Need to Know

The 2023 Telehealth Service Codes Physicians Need to Know

Question: Could you kindly provide us with the updated telehealth services codes for the year 2023? Response: Regarding Medicare Telehealth Services for the year 2023, the Centers for Medicare and Medicaid Services (CMS) are introducing fresh Healthcare Common Procedure Coding System (HCPCS) codes to the compilation of Medicare telehealth services. More precisely, the subsequent HCPCS […]
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Latest Guidelines for Medical Coding E/M services in 2023

Latest Guidelines for Medical Coding E/M services in 2023

A thorough understanding of the latest guidelines for coding evaluation and management services is necessary to ensure compliant claims. You’ve likely heard about the 2023 CPT® changes for reporting hospital inpatient and observation evaluation and management (E/M) services. AAPC has been preparing medical coders for these changes since they were announced and started offering education […]
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Billing for Tetanus Vaccine? Check the Diagnosis

Billing for Tetanus Vaccine? Check the Diagnosis

Did you know that tetanus vaccines are covered under Medicare Part B only when administered for treatment purposes? Preventive tetanus vaccinations do not fall under coverage. The Centers for Medicare & Medicaid Services Internet-Only Manuals Pub. 100-02, Chapter 15, Section 50.4.4.2 clarifies, “Vaccinations or inoculations are excluded as immunizations unless they are directly related to […]
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Updates to the E&M Codes and Guidelines in 2023

The E&M categories that will undergo revision in 2023 encompass: Inpatient and observation care services. Consultations – both outpatient and inpatient Emergency department services Nursing facility services Home and residence services Prolonged services Throughout the upcoming months, a dedicated focus will be placed on each E&M category, delving into the revisions and changes in guidelines. […]
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Preventive Medicine Versus E&M Codes

Preventive Medicine Versus E&M Codes

Choosing a proper office visit code can become confusing unless one understands the rules separating preventive medicine and evaluation and management (E&M) coding. Problem-oriented E&M services, office, and other outpatient visit codes 99202-99215 (along with hospital, observation, and consultative encounters) are for patients who present with signs, symptoms, conditions, diagnoses and/or problems that need to […]
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