Neurology|Neurosurgery Articles and Resources
News and Important InformationImagesCode SetsCPT CodesCPT Procedure Codes ICD-10-CM CodesICD-10-CM Diagnosis Codes Find-A-Code's Tools & ResourcesClick-A-Dex™Click-A-Dex™ Index Search Tool Build-A-CodeStep-by-step coding from all major code sets. NCCI Edits ValidatorValidate using NCCI edits for errors in code selection. Pro-Fee CalculatorVerify Medicare Reimbursement and UCR Fees for Professional Services Commercial Payer PoliciesView Clinical Indications for Medical necessity on procedures, Suggested Code Selection to assist your clinical judgment includes citations. Find-A-NPI™Find-A-NPI™ Fast Provider Lookup Additional Links and ResourcesDrugs and Biologicals Pub-100 Ch 17Drugs and Biologicals Pub-100 Ch 17 Billing Requirements for OPPSBilling Requirements for OPPS Providers with Multiple Service Locations Select the title to see a summary and a link to the full article. December 23rd, 2020 ICD-10-CM 2021 Codes for your Specialty| Published December 23rd, 2020
1. Certain infectious and parasitic diseases (A00-B99)
Code: Description:A84.81 Powassan virus diseaseA84.89 Other tick-borne viral encephalitisB60.00 Babesiosis, unspecifiedB60.01 Babesiosis due to Babesia microtiB60.02 Babesiosis due to Babesia duncaniB60.03 ... December 22nd, 2020 ICD-10-CM 2021 Codes for your Specialty| Published December 22nd, 2020
16. Certain conditions originating in the perinatal period (P00-P96)
Code: Description:P91.821 Neonatal cerebral infarction, right side of brainP91.822 Neonatal cerebral infarction, left side of brainP91.823 Neonatal cerebral infarction, bilateralP91.829 Neonatal cerebral infarction, unspecified side
... December 22nd, 2020 ICD-10-CM 2021 Codes for your Specialty| Published December 22nd, 2020
6. Diseases of the nervous system (G00-G99)
Code: Description: G11.10 Early-onset cerebellar ataxia, unspecifiedG11.11 Friedreich ataxiaG11.19 Other early-onset cerebellar ataxiaG40.42 Cyclin-Dependent Kinase-Like 5 Deficiency DisorderG40.833 Dravet syndrome, intractable, ... October 28th, 2020 Incident To| Published October 28th, 2020
Just about any large clinic you visit will have non-physician practitioners, or NPPs. These will include physician assistants, nurse practitioners, and clinical nurses for example. Practices and clinics can bill under the NPPs if they are credentialed with the payer, but the reimbursement is only 85% of the fee schedule. There ... October 7th, 2020 Stay out of Trouble — Understand the Qualified Medicare Beneficiary (QMB) Program| Published October 7th, 2020 To assist low-income Medicare beneficiaries, CMS created the Qualified Medicare Beneficiary (QMB) program; a Medicaid benefit which pays for Medicare deductibles, coinsurance, or copays for any Medicare-covered items and services for Medicare Part A, Part B, and Medicare Advantage (Part C). Providers/suppliers are prohibited from billing premiums and cost sharing to Medicare beneficiaries who are enrolled in QMB. October 1st, 2020 New Codes for Cytokine Release Syndrome (CRS)| Published October 1st, 2020 - Last Review/Update October 6th, 2020 New codes for Cytokine Release Syndrome (CRS) are effective October 1, 2020 based on the grade/severity of the symptoms. This article covers the new grading scales. July 14th, 2020 Are NCCI Edits and Modifiers Just for Medicare?| Published July 14th, 2020 The National Correct Coding Initiative (NCCI) edits were developed by CMS to help promote proper coding and control improper coding that leads to incorrect payments with part B claims. It is important to understand that NCCI edits do not include every possible code combination or every type of un-bundling combination. With that ... April 8th, 2020 ICD-10-CM Official Coding and Reporting Guidelines Updated for COVID-19| Published April 8th, 2020 The ICD-10-CM Official Coding and Reporting Guidelines have just been updated to include COVID reporting. Additional information beyond the previously released interim guidelines are included. These are the rules that should be followed for claims submission. The notice states that this is for April 1, 2020 through September 30, 2020. February 10th, 2020 A 2020 Radiology Coding Change You Need To Know| Published February 10th, 2020 The radiology section of the 2020 CPT© has 1 new, 18 revised, and 14 deleted codes. Interestingly, six of the 14 deleted codes were specific to reporting single-photon computerized tomographic (SPECT) imaging services of the brain, heart, liver, bladder, and others. If your organization reports radiology services, it is... August 16th, 2019 Medical ID Theft| Published August 16th, 2019 - Last Review/Update August 20th, 2019 Medical ID Theft
"So, do you guys think you can do something with that?" John asked angrily at our first meeting with him in August 2017 as he slammed a stack of medical bills, EOBs and collection letters - three inches high - down in front of my partner and I. ... August 9th, 2019 The OIG Work Plan: What Is It and Why Should I Care?| Published August 9th, 2019 - Last Review/Update August 14th, 2019 The Department of Health and Human Services (HHS) founded its Office of Inspector General (OIG) in 1976 and tasked it with the responsibility to combat waste, fraud, and abuse within Medicare, Medicaid, and the other HHS programs. With approximately 1,600 employees, HHS OIG is the largest inspector general's office within ... July 12th, 2019 5 Ways to Minimize HIPAA Liabilities| Published July 12th, 2019 - Last Review/Update July 30th, 2019 Last year was historic for HIPAA enforcement. The HHS Office of Civil Rights collected a record $23.5 million in settlements and judgments against providers guilty of HIPAA violations. To avoid becoming part of that unwanted statistic, it’s important to pay extra close attention to five key areas of HIPAA vulnerability.
Take ... June 18th, 2019 How to Properly Report Monitoring Patients Taking Blood-thinning Medications| Published June 18th, 2019 - Last Review/Update June 19th, 2019 Codes 93792 and 93792, which were added effective January 1, 2019, have specific guidelines that need to be followed. This article provides some guidance and tips on properly reporting these services. May 13th, 2019 Electrical Stimulation and Electromagnetic Therapy Devices| Published May 13th, 2019 - Last Review/Update May 20th, 2019 Electrical Stimulation and Electromagnetic Therapy Devices can be used for pain, muscle atrophy, help spinal cord injuries, treat symptoms caused by other medical conditions and can be used in the treatment of wounds. This Regence BC/BS article lists codes and devices and gives guidance on coding from Medicare Advantage viewpoint. April 1st, 2019 Spinal Cord Stimulator Used for Chronic Pain| Published April 1st, 2019 Chronic pain is a condition that can be diagnosed on its own or diagnosed as a part of another condition. When coding chronic pain, there is no time frame defining when pain becomes chronic pain; the provider’s documentation should be used to guide the use of these codes.
ICD-10-CM Diagnosis Codes ... March 18th, 2019 How to Report Imaging (X-Rays) of the Thumb| Published March 18th, 2019 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 ... January 4th, 2019 Nine New Codes for Fine Needle Aspirations (FNA) in 2019| Published January 4th, 2019 If your practice performs a lot of fine needle aspirations (FNA), you probably have the code options memorized (10021 without image guidance and 10022 with image guidance). However, the 2019 CPT codes now include nine (9) new FNA codes (10004-10012), one deleted FNA code (10022) and one revised FNA code ... There are more articles. View all articles... View articles for the current specialty by subtopic: Select the webinar title to view a summary and link to the webinar video. April 10th, 2018 Liens and PI care — How to Make Them Work Better...Liens have been the salvation and anathema for doctors involved in personal injury care treatments. While an essential part of extending needed injury recovery care to those whose insurance coverage is minimal to non-existent, they are not a fool-proof way to secure reimbursement. How do you protect yourself against insurers and attorneys who refuse to honor the agreement? This webinar will explore various methods that have proven to be successful in enforcing a lien to secure reimbursement of your skillful services. March 15th, 2018 The Proper Way to Report Surgical ModifiersApplying the wrong modifier to a surgical procedure can cause a claim to deny or put you at risk of over-payment and accusations of fraud and abuse. Join Aimee as she demonstrates the proper use of surgical modifiers. February 8th, 2018 The Proper Way to Report ModifiersModifier 25 has long been a coding conundrum and an auditor's gold mine. Don't risk take-backs, penalties, or accusations of fraud and abuse. Join Aimee in this webinar on how to properly report modifier 25 and have confidence in your code reporting. January 25th, 2018 Surgical Coding and AuditingEver wonder what an auditor is looking for when they review your surgical coding? Join Aimee and review the basic rules and documentation requirements. We’ll tear apart a couple of operative reports, code them, review NCCI edits, modifiers, and more. Get an idea of how you are doing and things you may want to incorporate into your practice to be better prepared when an audit comes your way. Also, we’ll review our cool Code-A-Note tool and how it can help you locate CPT and ICD-10-CM codes quickly. This tool is great for new coders, coders new to a specialty, difficult coding situations, or anyone who just wants a second opinion on their code options. January 4th, 2018 Proper Coding and Billing for Drugs, Biologicals and InjectionsProper Coding and Billing for Drugs, Biologicals and Injections February 2nd, 2017 How to Check NCCI Edits Using FindACodeHow to Check NCCI Edits Using FindACode Advanced Beneficiary Notice of Noncoverage (ABN) Form Instructions ToolBilateral Surgeries: Claim SubmissionCMS-Novitas Solutions: Specialty Exam: NeurologyCommonly Used Medicare Modifiers - GA, GX, GY, GZMedicare Part B Clinical Laboratory Fee ScheduleNoridian Fee-for-Time Compensation Arrangements and Reciprocal Billing PoliciesNoridian: Allowed Amount ReductionsPhysician Assistant (PA) Resources NoridianSummary of the HIPAA Privacy Rule by HHS Select the podcast title to view a summary and link to the podcast. August 25th, 2020 Do You Have All the Right Dental Resources Needed to Succeed in Dental Medical Billing and Coding?Discussion with LaMont Leavitt (CEO of innoviHealth) and Christine Taxin (Adjunct professor at New York University, President of Dental Medical Billing, and Links2Success).
Some of the resources and tools they discuss will help you with your dental coding/billing and education.
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