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Viewing:  Mar 25, 2019
Find-A-Code Focus Newsletter

2019 March Articles


How to Report Imaging (X-Rays) of the Thumb

March 21, 2019 - By Aimee Wilcox, CPMA, CCS-P, CMHP, CST, MA, MT
If you've ever taken piano lessons, you know that the thumb is considered the first finger of the hand. Anatomically, it is also referred to as the first phalanx (finger). However, when you are coding an x-ray of the thumb, images are captured of the thumb, hand, wrist, and all of the joints in... Read More

Let's Talk High Risk E/M Services

March 21, 2019 - By Aimee Wilcox, CPMA, CCS-P, CMHP, CST, MA, MT
Have you ever assigned a high-complexity E/M code (e.g., 99205, 99215, 99223, 99233, 99245, etc.) and wondered if it would stand up to further scrutiny? Well, let’s take a closer look at the requirements for reporting high-level E/M services.   Both the Amer... Read More

Coverage for Hearing Aids and Auditory Implants

March 21, 2019 - By Brandon Dee Leavitt QCC, CMCS, CPC, EMT
For hearing impairment, Medicare is firm in its stance on when it will and will not cover hearing correction. In the PUB 100-02 Medicare Benefit Policy Manual, Chapter 16, Medicare cites the Social Security Act by explaining:  "..."hearing aids or examination for the purpose of prescribing,... Read More

CPT Announces 2021 E/M Changes

March 21, 2019 - By Aimee Wilcox, CPMA, CCS-P, CMHP, CST, MA, MT
In 2018, Medicare announced their plans for revamping the Evaluation and Management coding structure and was met with a rapid response from the medical community, including the AMA and many other organizations. As a result, the Medicare changes implemented in 2019 were mostly document... Read More

The Impact of Medical Necessity on High Level E/M Services

March 21, 2019 - By Aimee Wilcox, CPMA, CCS-P, CMHP, CST, MA, MT
I was recently asked the question, "Does 99233 require documentation of a past medical, family, and/or social history (PFSH)?"  The quick answer is, "it depends." Code 99233 has the following minimal component requirement: Subsequent inpatient E/M encounters c... Read More

Date of Service Reporting for Radiology Services

March 12, 2019
Providers need to ensure that they are reporting radiology dates of service the way the payer has requested. Unlike many other professional services which only have one date of service (DOS), radiology services can span multiple dates. There seems to be some disagreement between professional organi... Read More

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