Category: CC-Physiatry/Pain

Consultation Coding in 2023
Post

Consultation Coding in 2023

March 16, 2023 Question: In 2023 will the level of service be determined by history, exam and medical decision making or will this change. I have heard it is changing. Answer: Beginning January 1, 2023 consultation codes 99242-99255) for both inpatient and outpatient services will be based on medical decision making or time. However, keep...

Implant vs Foreign Body
Post

Implant vs Foreign Body

February 16, 2023 Question: What is the difference between an implant and a foreign body? Answer: On page 74 of the Current Procedural Terminology (CPT) Professional Edition 2023, the definition was added to the guidelines. “An object intentionally placed by a physician or other qualified heal care professional for any purpose (eg, diagnostic or therapeutic)...

New vs Established Patient
Post

New vs Established Patient

December 15, 2022 Question: I am a contracted physician with a group practice (Practice A) in our town. I have an opportunity to contract with another practice (Practice B) not in the same town, but near enough that my patients could see me in either location. My question has to do with the definition of...

E/M Visit During the Global Period
Post

E/M Visit During the Global Period

November 17, 2022 Question: Can I bill an office visit in the global period if the diagnosis is different from why I did the original procedure? Answer: Yes, as long as the diagnosis is not for a related issue (e.g., complication from the original procedure). The documentation must be clear that the condition is unrelated...

Radiofrequency Ablation
Post

Radiofrequency Ablation

August 25, 2022 Question: We have been reporting CPT code 64625 with 3 units when we perform a radiofrequency ablation of the nerves innervating the sacroiliac joint at levels S1. S2, and S3. We have gotten several payer denials recently. Are we coding correctly? Answer: No, CPT code 64625, Radiofrequency ablation, nerves innervating the sacroiliac...

Sign up for KZAlertsSign up for KZAlerts

Coding Coaches