Coding Articles


Document Preventive and Sick Visit Properly

Often, a patient who arrives for a “preventive” service (i.e., a well patient exam) will also mention a problem or other health issue that he or she is experiencing. Whether you separately report a problem-focused service or {“sick visit”} – in addition to the preventive service – depends on the nature of the patient’s problem(s), the payer, and your documentation.

Wound Care

For surgical prep of acute wounds, consider using codes 15002-15005

New Code Pairs Bundle E/M With Vaccine Admin

To bill separately for an E/M service on the same date as an immunization, you now must append a modifier to the E/M code.

Pump Implants

CPT 2013 updated the definition of pump refill codes 62370 and 95991. Instead of requiring a physician’s skill, the descriptors for the codes state the service must require the skill of "a physician or other qualified health care professional."

Ear Wax Removal & Reporting 69210

Ear Wax Removal, The Question of Whether to Bill CPT 69210

2012 Seasonal Flu Coding and Fee Schedule - Medicare

Annual Part B deductible and coinsurance amounts do not apply for the influenza virus and the pneumococcal vaccinations.

Getting Paid For B12 Injections

Getting Paid for B12 Injections

When Not to Use Modifier 59

This article courtesy of American Academy of Professional Coders' (AAPC) John Verhovshek. AAPC is one of the nation's largest and most respected providers of education and professional certification to physician-based medical coders.

Pulmonary Function Tests (PFT)

Beginning January 1, 2012, 10 CPT codes used to report pulmonary function tests will be replaced with 4 bundle codes for reporting PFT services.