James Smith

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Eye Infection, Strep Diagnoses Post ICD-10

23rd March 2011
When ICD-10 goes into effect, you will have to gear up for changes across the board as far as diagnosis coding is concerned. Many a time, you will have more choices that may need changing the way you document services and a coder reports it. Take a look a... Read >

CPT 2011: Femoral/Popliteal Coding Options

18th March 2011
This time CPT 2011 adds new codes for lower extremity endovascular revascularization covering angioplasty, atherectomy, and stenting. Here we'll take a look at the femoral/popliteal codes 37224-37227. Master the single code approach for fem/pop coding... Read >

Cpt 2011: IP Catheter Code Changes

17th March 2011
For intraperitoneal (IP) catheter coding, confusing terms such as 'temporary' and 'permanent' are a thing of the past. Here's how CPT 2011 freshened up your options: New code 49418 begins the IP catheter code changes Defined as a 'complete' procedure... Read >

ICD-10 Will Bring One-To-One Equivalents, But Still Watch Out

03rd March 2011
As we get ready to embrace ICD-10 Codes, many of you might be dreading the transition. But rest assured. Many a time you'll find simple one-to-one relationships between old and new codes. That is the case for hyperplasia; but even then you need to stay al... Read >

Do You Need To Add a Modifier To One Of The Codes?

01st March 2011
Our center provides DXA screenings to some cancer patients. We have been getting denials from Medicare on those claims where we code both 77080 and 77081. Is it required to add a modifier to one of the codes? Well, it all depends on your payer whether y... Read >

Coding 96372 with 90471

22nd February 2011
During an office visit, our nurse administered a B12 injection and a flu shot to an established patient. Can we code for both injections apart from the office visit? Well, it all depends on the circumstances. First report the proper code for the flu vac... Read >

99441- 99443: The Harsh Reality about Telephone Calling Codes

01st February 2011
In a certain situation, another physician told my surgeon that he is receiving payment for his contractor for telephone calling codes. My surgeon would like to begin using these codes as well. So does Medicare pay for telephone calls? Medicare takes tel... Read >

Documentation & Chief Complaint: Are You Missing Something

26th January 2011
If you're getting dinged on audits because you do not have a chief complaint listed at the top of your physician's documentation, do not give up until you have a look at the entire note. Even though you'll benefit from a chief complaint documented clear... Read >

Question and Answers to Help Code Unna Boot Application

08th January 2011
Find out why E/M and strapping cannot go together as separate codes Are you aware that CCI bundles Unna boot application to many other complete surgeries (for instance tendon sheath injections, joint aspiration/injection, and the like)? If you are confu... Read >

22551, 22552 Boost Your Arthrodesis Accuracy

05th January 2011
Additional neurostimulator and arthrodesis codes are two of the plusses in the new and revised codes your orthopedic practice will have in the coming year. As a matter of fact, CPT will come up with 200 plus new codes in 2011 and revise over 90 codes to... Read >

Ways to Boost your Hemoccult Test Coding

14th December 2010
If you want to keep the money coming for in-office examination of fecal occult blood test (FOBT), you should train eyes on the difference between three hemoccult codes and their purpose. Here's a scenario: A 60-year old patient presented in the offic... Read >

Three Tips to Achieve Proper Tissue Transfer Coding

08th December 2010
Three Tips to Achieve Proper Tissue Transfer Coding Tip: Do not count on separate lesion removal payment When your dermatologist carries out a wound repair closure, you could be miscoding if you automatically turn to 12001-13160. You need to go deep i... Read >

CPT Codes 2011: Vaccine Administration with Counseling Code

29th November 2010
You will be able to use medicine series vaccine administration codes on older patients and when a nurse provides the counseling thanks to 2011 CPT codes. Report 90460, +90461 through age 18 As counseling for adolescents can involve as much time as cou... Read >

Increase your Coding Options for Patients Refusing Dilation

26th November 2010
A patient shows up for an exam, however he won’t let the ophthalmologist dilate his pupils that day. Whatever the reason – time, the drive home, etc, you are stuck trying to find the best way to report a dilation at a separate visit. Most Medicare carrie... Read >

Do and Don't of Unlisted Procedure Coding

24th November 2010
Keep this CPT instruction in mind: "Don't choose a CPT code that merely approximates the service provided." This rule is key for compliant coding, however it leaves you with tough job of submitting a claim without a procedure-specific code. Here are some ... Read >
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