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Procedure Coding

How Many Modalities Are Too Many?

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Strapping and Kinesio Taping Coding Differences

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E/M University

E/M University

CMS.gov

CMS.gov

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Medicare Part B

Procedure Coding Articles

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Electrical Stimulation and Electromagnetic Therapy Devices

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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.

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How Many Modalities Are Too Many?

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Q: I have a payor who is denying modalities, claiming that they are “excessive”. At a single encounter I billed for: 98940- Chiropractic manipulative treatment (CMT); spinal, 1-2 regions 97110- Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility G0283- Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 97010- Application of a modality to 1 or more areas; hot or cold packs Is this excessive? How do I know how much is too much?

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How to Code Screening and Diagnostic Colonoscopy

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The following information is from BC Advantage. Colonoscopy is a common procedure performed byGastroenterologists. CPT defines a colonoscopy examination as "the examination of the entire colon, from the rectum to the cecum or colon-small intestine anastomosis, and may include examination of the terminal ileum or small intestine proximal to an anastomosis" ...

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Strapping and Kinesio Taping Coding Differences

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There are differences between the purposes of strapping and taping and using the correct codes depends on the application - literally. Strapping: This application is for the purpose of immobilizing an area. It is clinically indicated for the treatment of fractures, dislocations, sprains/strains, tendonitis, post-op reconstruction, contractures, or other deformities involving soft tissue. Coding: ...

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Psychiatric Partial Hospitalization Programs

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Psychiatric Partial Hospitalization Programs (PHPs) are a more comprehensive level of care than Intensive Outpatient Programs (IOPs - click here to read more about IOPs). When the patient requires a minimum of 20 hours per week and hospitalization is not clinically indicated, a PHP can be the most effective type of ...

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NEW on Find-A-Code...National Coverage Determinations (NCDs)

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Medicare limits its coverage of services to those considered to be reasonable and necessary for the diagnosis and treatment of an injury or illness based on coverage guidelines. National Coverage Determinations (NCDs) are created based on research, evidence-based processes, public participation, and other resources, and made available to the public. ...

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Medicare Requiring Specific Modifiers on Therapy Services

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Medicare's MLN Matters Number: MM10176 was recently revised to identify services subject to their therapy cap. The revision became effective on January 1, 2018 and some providers have begun to receive claim rejections because they are not using the appropriate modifier. The article states the following: Services furnished under the Outpatient ...

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Billing with a GP Modifier

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Q: When patients have a true Medicare secondary insurance we've always billed other Medicare non-covered codes such as G0283 for electric stimulation with modifier GY because we are aware Medicare will not pay for that service but the secondary insurance does. We just were notified by our MAC that GY is not a valid modifier and I have to enter a GP or other therapy modifier. What is the new proper modifier to enter?

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Procedure Coding Tips


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Procedure Coding Webinars

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Coding and Billing Transitional Care and Chronic Care Management Services (TCM and CCM)

Coding and Billing Transitional Care and Chronic Care Management Services (TCM and CCM)

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HCC Coding Tool

How to use Find-A-Code's HCC Coding Tool

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Coding and Auditing in Cardiology

Join Aimee Wilcox for a webinar on cardiovascular coding. In this webinar we'll review EKG reporting regulations, myocardial perfusion imaging, cardiac stress testing, echocardiograms, pacemaker implantation & replacement, and a few others. We'll discuss the best way to use LCDs and commercial payer policies to set coding policies for compliance in your organization.

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Success with Out-of-Network Billing in Today's Environment Part 2

In this webinar Maxine will be presenting information and tips for understanding and billing Employment Retirement Income Security Act (ERISA) insurance plans. She will explain the rules and regulations concerning ERISA plans, as well as procedures for handling/appealing "adverse denials" of claims. Coders and Insurance Billing Specialists should not miss this informative presentation.

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Coding and Auditing for Upper Extremity Procedures

In this webinar, Aimee will review coding and auditing information for procedures commonly performed on the upper extremities and how to locate vital information that could help prevent coding errors and reduce risk in case of an audit.

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Success with Out-of-Network Billing in Today's Environment Part 1

In this webinar Maxine will be presenting information and tips for understanding and billing Employment Retirement Income Security Act (ERISA) insurance plans. She will explain the rules and regulations concerning ERISA plans, as well as procedures for handling/appealing "adverse denials" of claims. Coders and Insurance Billing Specialists should not miss this informative presentation.

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All About Knee Coding & Auditing

Total knee replacement now acceptable ASC procedure also, not auditing for a year. Knee replacement coding, knee joint injections, auditing using FAC, LCDs, drugs, modifiers.

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Anatomy of the Knee

Coders and billers in orthopedic practices must understand the knee extensively. Join Dee to master the anatomy of the knee joint, and understand how it applies to ICD-10-CM diagnosis coding.

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Evaluation and Management Coding and Auditing

Are you responsible for selecting or reviewing Evaluation and Management service levels? Do you wonder how well you know the rules and how to apply them? Join Aimee in this webinar to review and then applly the rules of E/M coding. She will also do a live demonstration of the new Find-A-Code E/M Calculator Tool to assess the level of E/M service for two office visits, one new (99201-99205) and the other established (99212-99215).

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Coding and Auditing TeleHealth Services

Do you report or audit Telemedicine services now or are you considering offering them? Come and learn more about the rules and guidelines surrounding Telehealth services including, documentation requirements, eligible CPT and HCPCS Level II codes, modifiers, and the newest updates to Medicare Telehealth policies.

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Using Find-A-Codes Anatomy Images

Diagnosis coding is difficult when clinician documentation does not match up with the definitions found in the ICD-10-CM code set. Find-A-Code's anatomy images educate both coders and students - bridging the gap between coders and clinicians while simplifying code selection.

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Coding Auditing Inpatient Evaluation and Management — A Hands-On Experience

Do your providers perform and report Evaluation and Management (E/M) services in the inpatient setting? Does the documentation match with the services being billed, or does it fall short? Join Aimee for a hands-on audit of an inpatient E/M service and get an idea of the information and documentation needed to correctly code inpatient E/M services.

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FAC Updates Plus Tools for HCC Coding Chart Review February

Join Taylor to see how you can access free CEUs in 3 clicks, included with top-tier Find-A-Code subscriptions! Also highlighting our New and Improved NCDs system, and how to use the WK Drug Database for HCC Coding/Chart Review

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The Proper Way to Report Modifiers

Modifier 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.

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Learn How to Optimize Your Subscription, Searching and More

Be more productive, work smarter not harder using Find-A-Code. With so much to offer, it is important to understand how to navigate our site to get the most out of your subscription.

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Surgical Coding and Auditing

Ever 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.

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2018 Updates and New Tools

2018 Find-A-Code updates and new tools

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Proper Coding and Billing for Drugs, Biologicals and Injections

Proper Coding and Billing for Drugs, Biologicals and Injections

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How Can Local Coverage Determinations Ensure Reimbursement

How Can Local Coverage Determinations Ensure Reimbursement

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The Proper Application of Modifiers - Part 1

The Proper Application of Modifiers - Part 1

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The Proper Application of Modifiers - Part 2

The Proper Application of Modifiers - Part 2

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How to Check NCCI Edits Using FindACode

How to Check NCCI Edits Using FindACode

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ICD-10-CM Training - Session 08

ICD-10-CM Training - Session 08

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ICD-10-CM Training - Session 07

ICD-10-CM Training - Session 07

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ICD-10-CM Training - Session 06

ICD-10-CM Training - Session 06

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ICD-10-CM Training - Session 05

ICD-10-CM Training - Session 05

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ICD-10-CM Training - Session 36

ICD-10-CM Training - Session 36

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ICD-10-CM Training - Session 35

ICD-10-CM Training - Session 35

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ICD-10-CM Training - Session 34

ICD-10-CM Training - Session 34

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ICD-10-CM Training - Session 33

ICD-10-CM Training - Session 33

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ICD-10-CM Training - Session 04

ICD-10-CM Training - Session 04

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ICD-10-CM Training - Session 31

ICD-10-CM Training - Session 31

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ICD-10-CM Training - Session 03

ICD-10-CM Training - Session 03

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ICD-10-CM Training - Session 02

ICD-10-CM Training - Session 02

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ICD-10-CM Training - Session 30

ICD-10-CM Training - Session 30

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ICD-10-CM Training - Session 29

ICD-10-CM Training - Session 29

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ICD-10-CM Training - Session 27

ICD-10-CM Training - Session 27

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ICD-10-CM Training - Session 01

ICD-10-CM Training - Session 01

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ICD-10-CM Training - Session 26

ICD-10-CM Training - Session 26

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ICD-10-CM Training - Session 25

ICD-10-CM Training - Session 25

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ICD-10-CM Training - Session 24

ICD-10-CM Training - Session 24

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ICD-10-CM Training - Session 23

ICD-10-CM Training - Session 23

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ICD-10-CM Training - Session 22

ICD-10-CM Training - Session 22

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ICD-10-CM Training - Session 21

ICD-10-CM Training - Session 21

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ICD-10-CM Training - Session 20

ICD-10-CM Training - Session 20

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ICD-10-CM Training - Session 19

ICD-10-CM Training - Session 19

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ICD-10-CM Training - Session 18

ICD-10-CM Training - Session 18

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ICD-10-CM Training - Session 17

ICD-10-CM Training - Session 17

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ICD-10-CM Training - Session 16

ICD-10-CM Training - Session 16

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ICD-10-CM Training - Session 15

ICD-10-CM Training - Session 15

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ICD-10-CM Training - Session 14

ICD-10-CM Training - Session 14

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ICD-10-CM Training - Session 13

ICD-10-CM Training - Session 13

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ICD-10-CM Training - Session 12

ICD-10-CM Training - Session 12

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ICD-10-CM Training - Session 11

ICD-10-CM Training - Session 11

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ICD-10-CM Training - Session 10

ICD-10-CM Training - Session 10

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ICD-10-CM Training - Session 09

ICD-10-CM Training - Session 09

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Reimbursement Guides
2020 Edition

Find-A-Code's 2020 specialty specific Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it.

  • Medicare
  • Procedure & Supply codes
  • Documentation
  • Compliance
  • HCC information
  • ICD-10-CM codes


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