Month: April 2021

Embolization and Catheterization
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Embolization and Catheterization

April 15, 2021 Question: I was told catheterization is included in the embolization codes, 37241-37244. Is that correct? Answer: No, per CPT catheterization is separately reported with all the embolization codes, 37241- 37244. *This response is based on the best information available as of 04/15/21.

2021 E/M Coding Guidelines: Time for Teaching Physician Services
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2021 E/M Coding Guidelines: Time for Teaching Physician Services

April 15, 2021 Question: In the new guidelines, how does Time affect billing for a teaching physician’s E/M service when the resident spends a great deal of time with the patient? Answer: Good question! CMS reimburses for the services of the attending physician, not the resident in training. Only the time of teaching physician would...

Documenting Time and Medical Decision Making in the 2021 E/M Code Revisions
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Documenting Time and Medical Decision Making in the 2021 E/M Code Revisions

April 15, 2021 Question: Under the new E/M coding revisions for office visits, should we document time AND medical decision making for every visit? Answer: According to advice from the AMA (3/24/21 webinar), you should only document one or the other to prevent potential audit confusion and risk. Document time if billing by time OR...

Skin Tags
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Skin Tags

April 15, 2021 Question: If a physician removes skin tags by shaving can we report 11300? Answer: If you are removing skin tags you would report 11200 (Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions) If more than15 skin tags are removed you would also report the add-on...

Co-Surgeon or Assistant?
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Co-Surgeon or Assistant?

April 15, 2021 Question: A vascular surgeon is requested to come to the OR to repair a blood vessel that my surgeon inadvertently nicked during a colectomy. Is he a co-surgeon or assistant on the case? Answer: Neither. The vascular surgeon will report his work, repair of vessel, and you will report yours. *This response...

New E/M Guidelines: Confusion
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New E/M Guidelines: Confusion

April 15, 2021 Question: I’m still confused about the new E/M guidelines.  Do these new guidelines apply to the consultation codes? Also, I have so many more questions, can you help me? Answer: Yes and yes!  First, the new E/M guidelines do NOT apply to the office/outpatient consultation codes, 9924x. So you’ll continue to code...

Incident to Services
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Incident to Services

April 1, 2021 Question: One of our physician assistants’ saw one of our established Medicare in the emergency room for increasing pain in the area being treated by the physician. The physician assistant made no changes to the plan of care established by the physician. Our physician assistant submitted this as an incident to service...

Lesion Crossing Two Territories
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Lesion Crossing Two Territories

April 1, 2021 Question: Our vascular surgeon did a single intervention on a lesion that was at the juncture of the femoral/popliteal and tibial/peritoneal territories. Can we charge for two interventions? Answer: Lesions that extend across the margins of one vessel vascular territory into another, but can be treated with a single therapy are reported...

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