Tag: Medical coding company

New-Codes-on-Covid-19-Vaccine

New codes on COVID-19 Vaccine for patients 4 years and below

The effective date for 0081A-0083A and 91308 is June 17, 2022. The Food and Drug Administration (FDA) granted emergency use authorization (EUA) to the Pfizer-BioNTech COVID-19 vaccine for patients ages 6 months to 4 years. The new CPT® codes for reporting this vaccine are: 0081A Immunization administration by intramuscular injection of severe acute respiratory syndrome […]
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Coding-Critical-Care-in-2022

Latest updates on Critical Care Coding

Medicare updates its policy for these services to align with CPT®. The Centers for Medicare & Medicaid Services (CMS) revised its Part B benefit policy for critical care services, effective Jan. 1, 2022. Policy changes finalized in the 2022 Medicare Physician Fee Schedule (MPFS) final rule include a new definition of critical care services, who […]
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Provider-Queries-for-outpatient-services

When, Where & How to query the Providers for Outpatient Services

Implement a compliance process in your practice for querying providers for outpatient services. Querying providers about their documentation may seem inappropriate, but it is an important part of the medical coding process. A physician query allows a medical coder to formally ask a healthcare provider a question about something they wrote (or didn’t write) in […]
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cms-updates-hcpcs-level-ii-for-q2

CMS Updates HCPCS Level II for Q2

Medical Coding Updates and Insights Unveiled Effective April 1, 2022, the HCPCS Level II code set, which is employed to record medical services and provisions, will encompass the integration of 37 novel codes. Furthermore, the second quarter revision encompasses the elimination of five codes and a refinement of the description for one modifier. Lay Terms […]
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How CPT codes help track COVID-19 vaccine life cycle

The ability to rapidly and accurately report such granular detail requires a robust data infrastructure. Instrumental to this infrastructure are the specific AMA Current Procedural Terminology (CPT®) product and administrative codes related to COVID-19 vaccines. Long described as the “common language of medicine,” the CPT code set is kept current through the work of the CPT Editorial Panel, […]
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CPT Code for Third Dose of Pediatric COVID-19 Vaccine Added

AMA updated the CPT code for the third dose of Pfizer’s pediatric COVID-19 vaccine on the heels of the FDA’s recently expanded emergency use authorization. The American Medical Association (AMA) announced a Current Procedural Terminology (CPT) code set update to include a code for administering a third dose of Pfizer’s COVID-19 vaccine in children 5 […]
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2021 E/M Guidelines FAQ – December

Ever since the release of the new 2021 evaluation and management (E/M) guidelines for office and other outpatient services, AAPC has been conducting numerous trainings through webinars, virtual workshops, conference sessions, online courses, and multiple articles in Healthcare Business Monthly and the Knowledge Center blog. In the May issue we started to answer your most-asked […]
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How CMS is boosting telehealth and RPM with new CPT codes

In the latest Medicare Physician Fee Schedule, the U.S. Centers for Medicare and Medicaid Services proposed for the first time a set of CPT codes for remote therapeutic monitoring. These codes, according to the proposal, are intended to be used to understand the effectiveness of and the patient’s response to a prescribed therapy. In particular, […]
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