Basics of CPT code 95145-95170 Codes 95145-95170 represent the antigen itself, its preparation, and the physicians determination of concentration and volume required for the planned schedule of injections based on skin testing and patient history. These codes are used to report the supply of antigen prospectively planned to be administered. (In some cases, the patient may not eventually receive the number of planned doses because of reactions or for other reasons. Regardless, it is appropriate to bill the prospectively planned supply of the antigen at the outset of the scheduled treatment.) The number of doses prepared…
Read MoreStop Revenue Drain With Proper Medical Billing and Coding Practices
Revenue leakages and medical billing in the healthcare industry can lead to significant losses due to long payment cycles. These involve the right medical coding insertion, medical billing process, and increasing claims for payers to get reimbursed on time. Some notable loopholes must be tracked to provide stability to your healthcare business and ensure a steady cash flow. Taking a proactive approach not only helps you to maximize your cash flow but also prevents problems. Therefore, it is necessary to understand the intricacies of the medical billing system to ensure…
Read MorePractice CPC objective Q&A for medical coders
A patient receives two vaccines that are administered intramuscularly and two vaccines that are administered orally. The patient receives no counseling on the vaccines. Which codes should be used to report these services? A. 90471 x2, 90473 x2 B. 90471, +90472, 90473, +90474 C. 90471, +90472, +90474 x2 D. 90460, +90461 x3 2. Which of the following vaccine administration codes qualifies as a professional service? A. 90460 B. 90471 C. 90473 D. +90474 3. A provider performs a 15-minute office E/M service for an established patient that includes high…
Read MoreHow to become Perfect in Coding Vascular Families in IVR
For coding Vascular procedures, it is very important to understand the concept of vascular families. Vascular families are located in Appendix L in CPT codebook. Vascular family is made of branches of arteries arising from aorta. We have different vascular families from head to leg. You can refer the below image and know how they are arranged in the Appendix L page. Now coming to the coding part, the vascular families are needed for coding the selective and non-selective catheterization procedures. Yes, the movement of catheter from one artery to…
Read MoreCMS adds Remote Therapeutic Monitoring (RTM) codes in 2022
The Centers for Medicare & Medicaid Services (CMS) has issued its 2022 Medicare Physician Fee Schedule proposed rule. This time new CPT codes has been added for remote therapeutic monitoring (RTM), which will be totally new for medical coders. Proposed Remote Therapeutic Monitoring Coding and Coverage and Coding The remote therapeutic monitoring codes are described as follows: CPT code 989X1 — Remote therapeutic monitoring (e.g., respiratory system status, musculoskeletal system status, therapy adherence, therapy response); initial set-up and patient education on use of equipment CPT code 989X2 — Remote therapeutic…
Read More2022 CPT code set released by AMA
Healthcare coding professionals should take note of changes issued by the American Medical Association (AMA) to the Current Procedural Terminology (CPT) code set for 2022. Some changes apply to administration of the COVID-19 vaccine. Eight codes in the series for COVID-19 vaccination were approved in the latest update. A tracker is available to help with coding based on vaccine brand and dose. The vaccine-specific codes are among 405 changes to the code set for 2022. The updates include 249 new codes, 93 revisions and 63 deletions. Read also: ICD-10 PCS coding Changes for 2022 Accounting for the…
Read MoreList of New ICD-10 codes for 2022
Below are the list of New ICD 10 codes added for 2022 ICD 10 codebook M54.50 Low back pain, unspecified M54.51 Vertebrogenic low back pain M54.59 Other low back pain R05.1 Acute cough R05.2 Subacute cough R05.3 Chronic cough R05.4 Cough syncope R05.8 Other specified cough S06.A Traumatic brain compression and herniation S06.A0 Traumatic brain compression without herniation S06.A0XA initial encounter D subsequent encounter S sequela S06.A1 Traumatic brain compression with herniation T40.71Poisoning by, adverse effect of and underdosing of cannabis (derivatives) T40.711 Poisoning by cannabis, accidental (unintentional) T40.712 Poisoning…
Read MoreAMA Issues CPT Codes for COVID-19 Vaccine for Pediatric Doses of Pfizer
The American Medical Association (AMA) has issued new Current Procedural Terminology (CPT) codes for pediatric doses of the Pfizer COVID-19 vaccine. In September 2021, Pfizer and BioNTech shared the results of a Phase 2/3 clinical trial in which two doses of the vaccine elicited a strong immune response in children ages 5 to 11. Following the trial, the companies submitted the data to the Food and Drug Administration (FDA). Pfizer recently announced that they have submitted a formal request to the FDA for emergency use authorization of their COVID-19 vaccine in children ages 5 to 11. In…
Read MorePractice Q&A for Medical coders for AAPC exams
1. A patient receives two vaccines that are administered intramuscularly and two vaccines that are administered orally. The patient receives no counseling on the vaccines. Which codes should be used to report these services? A. 90471 x2, 90473 x2 B. 90471, +90472, 90473, +90474 C. 90471, +90472, +90474 x2 D. 90460, +90461 x3 2. A provider performs a 15-minute office E/M service for an established patient that includes high medical decision making. If you are coding by time in 2021, which is the correct code for this service? A. 99212…
Read More2022 ICD-10-PCS Procedure Code Changes: Part 2
New Technology Section A new device for “T- Computer-aided Mechanical Aspiration” has been added to New technology section, Cardiovascular system, Extirpation. Computer Aided Mechanical Aspiration treats occlusions. The Indigo® System uses a mechanical pump (the Penumbra Engine®) to generate a vacuum for aspiration. Additionally, the Lightning™ tubing is the technology aspect of the Indigo® System that detects when the catheter is in patent flow (and therefore removing blood) or in thrombus (and removing clot). This technology automatically stops and starts the Penumbra Engine® to reduce blood loss (e.g., stopping the…
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