Category: Medical Coding

What to Expect with the 2021 E&M Revisions

What to Expect with the 2021 E&M Revisions

  A work group put together by the American Medical Association (AMA) that also represents the AMA’s Current Procedural Terminology (CPT) Editorial Panel and the AMA/Specialty Society RVS Update Committee (RUC) has put together revisions to office and outpatient evaluation management (E&M). These will take effect on January 1, 2021. So how will this affect dermatologists? Well, […]
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Proposed Rule Introduces New CPT Codes For Cardiac Shunting, EKGS, And Lung Biopsies

Proposed Rule Introduces New CPT Codes For Cardiac Shunting, EKGS, And Lung Biopsies

Coders should also take note of the new HCPCS Level II codes CMS is considering. CMS released the calendar year (CY) 2021 Medicare Physician Fee Schedule (MPFS) on August 3, introducing 39 new CPT codes, mainly for cardiovascular services. If finalized, the new codes will go into effect January 1, 2021. The proposed update includes five new codes for […]
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AMA Announces New CPT Codes for Coronavirus Testing

AMA Announces New CPT Codes for Coronavirus Testing

The American Medical Association (AMA) has recently expanded its Current Procedural Terminology (CPT) code set to include four additional codes for coronavirus testing. These new codes facilitate providers in reporting a wider range of laboratory tests for the novel coronavirus on medical claims. The newly introduced CPT codes are as follows: •86408: SARS-CoV-2 neutralizing antibody […]
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CMS Pays for Coronavirus Counseling, Other COVID-19 Billing Updates

CMS Pays for Coronavirus Counseling, Other COVID-19 Billing Updates

Provider reimbursement is now available to physicians who tell their patients to self-isolate at the time of COVID-19 testing, according to CMS. An announcement released late last week in collaboration with the Centers for Disease Control and Prevention (CDC) said CMS will leverage existing evaluation and management (E/M) payment codes to reimburse eligible providers for the coronavirus […]
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E&M Changes_ A Provocative Overview

2021 AMA E&M Changes: A Provocative Overview

Many of us have been immersed in COVID-19 and telehealth billing, coding, and the varying rules among payors of late, all the while the clock has remained ticking on the looming changes to evaluation and management (E&M) services, effective Jan. 1, 2021. It is possible, too, that there are those who have not heard of […]
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New Behavior Assessment Codes for Telehealth

New Behavior Assessment Codes for Telehealth

  There’s a slew of new health behavior assessment codes for 2020 and, good news, they’re on Medicare’s list of services you can provide via telehealth during the public health emergency (PHE) for COVID-19. Check out this rundown of the new codes and who should be using them. Assessment Codes Include Individual, Group The health […]
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2021 ICD-10-CM Guidelines Clarify Reporting of COVID-19 Manifestations

2021 ICD-10-CM Guidelines Clarify Reporting of COVID-19 Manifestations

  Coders should note that the temporary guidelines will expire September 30. CMS released the 2021 ICD-10-CM Official Guidelines for Coding and Reporting on July 8, several weeks earlier than usual. The coding guidelines, which take effect October 1, include new instructions for reporting manifestations of the novel coronavirus (COVID-19), among other changes. The guidelines include a new […]
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FY21 ICD-10-CM – More Than Codes

FY21 ICD-10-CM – More Than Codes

The FY21 ICD-10-CM codes were released by the Center for Disease Control and Prevention (CDC) on July 1, 2020.  The new and updated diagnosis codes are another part of the preparation for FY21 which begins on October 1, 2020. The final codes were very similar to the diagnosis codes that were released earlier this year. […]
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Remote Patient Monitoring Update_ Developments and Opportunities for Physicians

Remote Patient Monitoring Update: Developments and Opportunities for Physicians

Heading into 2020, adoption of telehealth services was already on the rise. Then the health crisis hit. Now it appears that COVID-19 has not only cemented telehealth’s place in the healthcare landscape but done so in a very big way. McKinsey & Co. is projecting that virtual visits could potentially account for $250 billion, or 20%, of […]
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