Coding Articles


New vs. Established Patient Scenarios

New vs. Established Patient Scenarios

Well Woman Visit

This article is produced by The American College of Obstetricians and Gynecologists (ACOG) - Committee Opinion Number 534 - August 2012.

2013 New Psychotherapy Billing Codes

Beginning Jan. 1, 2013 all mental health providers must use new CPT codes for psychotherapy when billing insurance carriers, including Medicare.

Separately Billing E/M Visits With Procedures

Billing for E/M visits and procedures on the same day.

Coding for Pediatric Preventive Care 2012

Following are the Current Procedural Terminology (CPT©), Healthcare Common Procedure Coding System (HCPCS) Level II, and International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9- CM) codes most commonly reported by pediatricians in providing preventive care services. It is strongly recommended that the pediatrician, not the staff, select the appropriate code(s) to report.

90460, 90461 - Immunization Administration

Many requests have been received to clarify whether code 90460 may be reported more than once on the same day.

Screening Pap Test

This booklet was current at the time it was published or uploaded onto the web. Medicare policy changes frequently so links to the source documents have been provided within the document for your reference.

Using Modifier 22 Correctly

When applied properly, modifier 22 "unusual procedural service," allows a provider to recover reimbursement above and beyond the regular payment for a difficult or time-consuming procedure.

Learn Differences Between CMS, CPT

Get full reimbursement for observation services by paying close attention to the subtle but essential differences between Medicare requirements and CPT guidance. That allows you to tailor your coding to government-covered patients and to those on private plans.