CE Articles

Tackle CPT coding for E/M visits with psychiatric care

CPT coding for psychotherapy and psychiatric diagnostic evaluations can be challenging, especially when these services are provided with office visits. Shelley C. Safian, PhD, RHIA, CCS-P, breaks down documentation and CPT coding for visit services provided with psychiatric care.

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Creative delivery of outpatient hospital services during the COVID-19 PHE

Medicare waivers and flexibilities allow providers to deliver care via telecommunication technology during the COVID-19 public health emergency (PHE). Judith Kares, JD, reviews CPT coding for e-visits, virtual communication services, and telephone E/M services.

CMS withdraws split/shared, critical care guidelines, but maintains coverage

CMS withdrew the split/shared and critical care sections of the Medicare Claims Processing Manual and announced its intent to update coverage policies for these services. Prepare for changes to come by reviewing documentation, CPT coding, and billing guidance for split/shared and critical care services.

Healthcare News: OIG says Michigan-based medical center overcharged Medicare for polysomnography services

University of Michigan Health System overcharged Medicare an estimated $12.5k for polysomnography services submitted over a two-year period, according to a recent Office of Inspector General (OIG) report. Overpayments were due to insufficient documentation and CPT coding errors.

Q&A: ICD-10-CM coding for a degenerative labral tear

Q: Which ICD-10-CM code would be used to report a degenerative labral tear or sprain of the shoulder?

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SelectCoder Tip of the Week

When a patient presents with a pressure ulcer that is contiguous to the surface area of the back, buttock, and/or hip, an ICD-10-CM code from subcategory L89.4- (pressure ulcer of contiguous site of back, buttock and hip) should be assigned. The stage of the ulcer should be assigned as the worst stage identifiable (the area of the ulcer which has deteriorated to its worst stage).

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