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CE Articles
Ensure the appropriate use of modifier -25
Modifier -25 can cause frustration as it is not recognized by many payers, including Medicaid. When applying this modifier, coders must consider CPT reporting rules and adhere to potentially restrictive billing rules followed by payers.

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2020 CPT, ICD-10-CM coding for flu vaccine and immunization administration
The flu vaccine is changed each year based on the virus types that the Centers for Disease Control and Prevention estimates will be the most prevalent. Lori-Lynne Webb, CPC, CCS-P, CCP, CHDA, CDIP, COBGC, reviews CPT and ICD-10-CM coding for this year’s flu vaccine and its administration.
X marks the spot: Perfect -X{EPSU} modifier use as NCCI updates guidance
The 2020 edition of the National Correct Coding Initiative (NCCI) Policy Manual features new guidance and clinical examples to help coders appropriately apply the -X{EPSU} modifiers debuted by CMS several years ago.
Healthcare News: AMA issues checklist for transitioning to 2021 E/M coding, documentation guidelines
The American Medical Association (AMA) recently published a checklist to help physician practices transition to the new E/M coding and documentation guidelines slated to take effect January 1, 2021.
Q&A: Reporting a pleural catheter declotting procedure in CPT
Q: A physician performed a pleural catheter flush using saline with manual clearance of clots under ultrasound guidance. Should we bill an E/M code for an outpatient office visit or report this using other CPT codes?
 

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SelectCoder Tip of the Week

Tardive dyskinesia due to use of medications, also referred to as lingual-facial-buccal dyskinesia, presents as uncontrollable movements of the mouth, tongue, jaw, and cheeks. This condition should be coded using ICD-10-CM code G24.01 (drug induced subacute dyskinesia) followed by the appropriate code to identify the drug causing the dyskinesia. This effect is commonly found following the use of neuroleptic medications.

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This book provides an opportunity for coders to practice and refine their skills in a hands-on way by using a wide range of real-life case scenarios. Coders will determine the correct CPT and ICD-10-CM codes to report for each case scenario based on provided documentation and evidence of sufficient medical necessity.

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JustCoding News: Outpatient
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