Category: Medical Coding

E_M Coding and Billing for Interventional Radiology

E/M Coding and Billing for Interventional Radiology

Radiology practices that perform interventional procedures have to be up to date on the use of documentation and coding techniques for evaluation and management (E/M) services. Since these current procedural terminology (CPT) codes in the 99xxx range are less commonly utilized in many radiology practices, identifying circumstances where E/M services are billable and then properly […]
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2021 E_M Guidelines Based on Time

2021 E/M Guidelines Based on Time

Below is a listing of questions and answers regarding some of the nuances of billing Evaluation and Management office visits based on time. The new 2021 E/M coding guidelines for office visits (99202-99205, 99212-99215) allow physicians and qualified health professionals (QHP) to choose whether their documentation and code-selection level for E/M services provided is based […]
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Get a Peek at Future ICD-10 Codes

Get a Peek at Future ICD-10 Codes

  An ICD-10 Coordination and Maintenance Committee virtual meeting is scheduled for March 9–10, from 9 a.m. to 5 p.m. The Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Control and Prevention National Center for Health Statistics (CDC NCHS) have posted tentative agendas on their websites. Stakeholders will present on a […]
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CMS Clarifies Coding and Billing for NCTAP

CMS Clarifies Coding and Billing for NCTAP

The NCTAP was finalized as part of CMS’ fourth COVID-19 interim final rule. CMS on January 27 updated coding and billing instructions to hospitals for new COVID-19 treatments add-on payment (NCTAP). The NCTAP was finalized as part of CMS’ fourth COVID-19 interim final rule with comment period (IFC-4) and is effective November 2, 2020 through the end of the public health […]
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Expansion of Vaccine Administration and Product Codes

Expansion of Vaccine Administration and Product Codes

On December 1, 2020, the Centers for Medicare & Medicaid Services (CMS) introduced revisions to the ICD-10-PCS codes, while the most recent batch of CPT® codes was unveiled on January 25, 2021. The American Medical Association (AMA) has been consistently updating CPT codes in response to the release of vaccines, while CMS has been progressively […]
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Understand and Implement New Cardiology Coding Practices

Understand and Implement New Cardiology Coding Practices

Make sure your practice is well versed on the new codes and guidelines outlined in the 2021 CPT® code set. Advancements spurred by innovation, new technology, and expansion of digital medicine services within the cardiology specialty have increased access to healthcare and, in turn, have resulted in improved health outcomes for patients across the country. The […]
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AMA Announces New CPT Code for Johnson & Johnson’s COVID-19 Vaccine

AMA Announces New CPT Code for Johnson & Johnson’s COVID-19 Vaccine

The American Medical Association (AMA) recently added a new CPT code that will be used to report a COVID-19 vaccine candidate under development by Janssen Pharmaceutica, a division of Johnson & Johnson. The new CPT code is: 91303, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (COVID-19) vaccine, DNA, spike protein, adenovirus type 26 (Ad26) vector, preservative free, […]
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AMA Announces Update to COVID-19 Vaccine CPT Codes

AMA Announces Update to COVID-19 Vaccine CPT Codes

The American Medical Association (AMA) today announced that the Current Procedural Terminology (CPT®) code set is being updated by the CPT Editorial Panel to include vaccine and administration codes that are unique to the COVID-19 vaccine candidate under development by Janssen Pharmaceutica, a division of Johnson & Johnson. The new CPT codes will be effective for use […]
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