Month: September 2018

5 Documentation Dos and Don’ts That Reduce Risk
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5 Documentation Dos and Don’ts That Reduce Risk

September 26, 2018 As our consulting team reviews thousand of medical records each year, we see a consistent list of common documentation issues that present themselves in practices of all size and specialty. Here are 5 of the most common dos and don’ts we find ourselves explaining to clients. 1. DON’T choose E/M codes based...

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Tissue Block for Mohs

September 20, 2018 Question: I have a question about Mohs blocks.  If I butterfly cut a specimen, divide it into two pieces, and place it on a plate, is that one block or two? Answer: One.  It does not matter how many pieces are placed on a plate.  A block is a plate with tissue...

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Multiple Procedure Payment Formula

September 20, 2018 Question: What is Medicare’s multiple procedure payment formula? When I do more than one procedure, I know Medicare reduces payment for some but I can’t remember by how much. Answer: It used to be 100%, 50%, 25%, 25%, etc but many years ago the formula changed to the physician’s advantage and now...

Separate Procedure Coding
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Separate Procedure Coding

September 20, 2018 Question: What does the term “separate procedure” mean at the end of a code? Answer: Separate procedure is a confusing term. It means that the procedure is usually a component of a more complex service and is not reported in addition to the more complex service if performed in the same anatomic...

Viscosupplementation Injections
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Viscosupplementation Injections

September 20, 2018 Question: There is a lot of confusion in our office when the doctor injects viscosupplementation and it is not covered by a plan. The physicians want to report 20610 to the payor for the injection and have the patient self pay for the drug.  Our billers do not believe this practice is...

Carotid Endarterectomy Coding
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Carotid Endarterectomy Coding

September 20, 2018 Question: Can carotid endarterectomy, 35301, be billed more than once if plaque is removed from common, internal and external carotid? Answer: Code 35301, thromboendarterectomy, including patch graft, if performed, carotid, vertebral, subclavian, by neck incision, includes removing plaque at the carotid bifurcation and includes all removal from the common, internal and external...

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Postop Consult

September 20, 2018 Question: If a rehab facility I have privileges at consults me for a postop patient in postop global, can I bill for the consult? Answer: That depends.  Is it your patient and your global period?  If so, then the “consult” is not billed if you’re continuing post-operative care.  If the patient was...

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2019 CPT® Coding for Skin Biopsies

2019 CPT® Coding for Skin Biopsies ICD10 Monitor – September 2018 by Deborah Grider, CPC, COC, CPC-I, CPC-P, CPMA, CEMC, CCS-P, CDIP Skin biopsy codes are changing. EDITOR’S NOTE: This is the second installment in a two-part series on the 2019 CPT® codes released recently by the American Medical Association. For many years we have used two...

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