Category: CC-Dermatology

Mohs Coding Dilemma
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Mohs Coding Dilemma

June 30, 2022 Question: I am new in Dermatology coding and am currently coding for a Mohs surgeon. I was instructed that if the patient comes in and does not have a confirmed malignancy based on a pathology report and the physician does a biopsy to confirm the malignancy prior to Mohs surgery we can...

CPT code 10080 versus 10081
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CPT code 10080 versus 10081

June 2, 2022 Question: I am trying to code an I&D of a pilonidal cyst. CPT 10080 is simple and 10081 is complicated. How to do I know which code to choose? Answer: Great question, you would report CPT 10081 (complicated) if the procedure requires marsupialization, approximation of the wound’s edges, and/or primary closure. *This...

Counting Problems Addressed for Medical Decision Making
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Counting Problems Addressed for Medical Decision Making

March 24, 2022 Question: If a patient has one stable chronic illness and one acute uncomplicated illness without systemic symptoms, can we “up” the level of Problems Addressed to Moderate? Answer: No, sorry, unfortunately it does not work that way. The problems are no additive or cumulative. One stable chronic illness and one acute uncomplicated...

Waiving Medicare Cost-share for Telehealth Visits
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Waiving Medicare Cost-share for Telehealth Visits

March 10, 2022 Question: I heard that Medicare patients don’t have to pay their deductible or coinsurance if they have a telemedicine visit. Is this true? Answer: Medicare is not waiving deductibles or co-insurance. However, they are allowing providers to do so at their discretion without penalty for telemedicine visits. This means the provider will...

2021 E/M Guidelines MDM Table
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2021 E/M Guidelines MDM Table

February 24, 2022 Question: We are using the 2021 E/M guidelines in the office and in most cases base the level of service on medical decision making.  If I have a patient with a chronic condition that is stable who also has diabetes in which the Internist (nor our specialty) is managing, can I assume...

Use of a Scribe
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Use of a Scribe

February 10, 2022 Question: We are hiring a scribe for the doctor because it will help improve his documentation.  Is there anything we need to know about how to document this? Answer: Yes, absolutely. This situation should be clearly delineated so a third-party reviewer can identify the provider who performed the service, and the record...

Telehealth Licensure Requirements 
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Telehealth Licensure Requirements 

January 27, 2022 Question: We live in a northern state and frequently have patients who travel to warmer clients during the winter.  Are you able to directly me to information on state licensure requirements for Telehealth services? Answer: Yes, you will now find this list on the KZA Telehealth Solution site https://www.karenzupko.com/KZA-telehealth-solution-center. Look for the...

Employee Certification for EHR Entry
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Employee Certification for EHR Entry

December 30, 2021 Question: I heard that a medical assistant who enters the patient’s medications into the electronic health record must be certified.  Is this true? Answer: Actually, Medicare requires the MA to be certified to perform order entry.  They do not have to be certified to enter patient information such as vital signs or...

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