The American Medical Association (AMA) on 16th August 2021 announced that the Current Procedural Terminology (CPT®) code set is ready for the rollout of third doses of the Pfizer and Moderna COVID-19 vaccines. The CPT Editorial Panel has expedited approval of a new administration code that is unique to a third dose of the current […]
Interprofessional Internet/Telephone/EHR Consultations Interprofessional Telephone/Internet/EHR Consultations (99446-99449, 99451, 99452) are assessment and management services in which a patient’s treating (e.g., attending or primary) physician or other QHP requests the opinion and/or treatment advice of a physician with specific specialty expertise (the consultant) to assist the treating physician or other QHP in the diagnosis and/or management […]
In order to reduce the administrative burden of coding guidelines, the American Medical Association (AMA) Current Procedural Terminology (CPT) Editorial Board and the U.S. Centers for Medicare & Medicaid Services (CMS) have proposed simplifications of the official evaluation and management (E/M) coding system to begin January 2021. The Guidelines for E/M Coding define the requirements […]
Working closely with the Centers for Disease Control and Prevention, the AMA CPT Editorial Panel approved unique CPT Codes for COVID-19 vaccines as well as administration. The new CPT codes clinically distinguish each coronavirus vaccine for better tracking, reporting, and analysis that supports data-driven planning and allocation. Newly added CPT codes and their descriptors are […]
Denial Code CO 50 means that the payer refused to pay the claim because they did not deem the service or procedure as medically necessary. It is a very popular denial code and the sixth most frequent reason for Medicare claim denials. According to a CMS, It is observed that 30% of claims are either […]
Today various private and public ambulance transport services are operating in a huge number for servicing critical patients at crucial moments. These players are getting reimbursed under Medicare Part B which covers ambulance transport medical billing with certain limitations. Let’s understand Medicare Part B in more detail: Medicare Part B Medicare Part B covers emergency […]
Myocardial Infarction has defined six types of MI. The two most commonly encountered are type 1 (primarily due to CAD) and type 2 (primarily due to myocardial supply/demand mismatch). For these two types, MI is defined as myocardial necrosis identified by a rise and/or fall of cardiac biomarkers to or from a level greater than […]
The physician or other qualified healthcare professional are using CPT codes from the range 99202-99499 which is called Evaluation and management (E/M) codes to represent services offered by physicians. These codes are applicable while evaluating and managing patient health. These (E/M) codes have been around for many years still reporting timed-based services is confusing. So let’s […]
On 19th Jan 2020, the American Medical Association (AMA) added new CPT codes (91302 and 0031A) for Janssen COVID-19 Vaccine, a division of Johnson & Johnson. Janssen is a single-dose COVID-19 vaccine which is 4th vaccine to get unique CPT codes for documentation and billing. The new CPT codes will be effective for use on […]
Oct 7, 2020, the American Medical Association (AMA) published an update to the Current Procedural Terminology (CPT®) code set that includes new code additions and editorial revisions for reporting medical services impacted by the public health response to the COVID-19 pandemic. These newly added CPT codes allow providers to report nucleic acid assays that allow […]
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