CE Articles

Review injection and infusion reporting guidance, CPT coding for COVID-19 vaccines

Outpatient coding for injections and infusions can be challenging given the foundational definitions and complex rules that drive reporting of these services. This article breaks down the facility drug administration hierarchy and CPT coding for therapeutic infusions, injections, and hydration.

Note: To access this free article, make sure you first register here if you do not have a paid subscription.

Outpatient pregnancy primer: CPT coding for screening ultrasounds and maternal blood tests

Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, breaks down CPT coding for ancillary services provided by obstetric providers including targeted ultrasound services and maternal serum tests used to screen for fetal abnormalities.

Make sense of new proposals to revise CPT coding, billing for split/shared visits

CMS recently released the 2022 Medicare Physician Fee Schedule proposed rule, which introduces new guidelines for reporting split/shared visit services. Julia Kyles, CPC, analyzes how the changes would impact physician practices.

Healthcare News: OIG says CMS overpaid physicians $1.7 million for TCM services

CMS overpaid physicians an estimated $1.7 million for transitional care management (TCM) services over a two-year period, according to a recent Office of Inspector General (OIG) report. Overpayments were due to CPT coding and billing errors.

Q&A: Physician coding for a combined C-section and vaginal twin delivery

Q: A 32-year-old female presents for a planned vaginal delivery of twins. Twin A is delivered vaginally but due to complications, the second-born is delivered via a caesarean section (C-section). How would these obstetric services be reported in CPT?

New on JustCoding.com

New on JustCoding Platinum!

Platinum members can access new clinical encyclopedia entries for mumps, varicella, and rabies. If you are not a Platinum member and you want to upgrade your account, please call customer service at 800-650-6787.

Free quiz

Test your knowledge with this week’s free quiz, which features ICD-10-CM codes for auditory conditions.

JustCoding user experience survey

Your feedback is the most important tool we have to evaluate potential features and topics for JustCoding. Please help us meet your needs by completing the following user experience survey. Respondents may opt in to participate in a focus group with their peers for a chance to win a free on-demand webinar.

Click here to complete the survey.

Mini poll

How have you and your facility been preparing for the fiscal year 2022 ICD-10-CM/PCS code updates effective in October?

Click here to share your answer.

SelectCoder Tip of the Week

When coding epileptic syndromes, coders should note that seizures/epileptic disorders noted by the provider as treatment- or medication-resistant, refractory, or poorly controlled should be coded to intractable. Coders should not assign ICD-10-CM code R56.9 (unspecified convulsions) for patients experiencing seizure disorders or recurrent seizures. Recurrent seizures and unspecified seizure disorders, when not reported as intractable, should be reported using ICD-10-CM code G40.909 (epilepsy, unspecified, not intractable, without status epilepticus).

Interested in more coding tips and claim validation tools? Click here to sign up for a demo or to learn more about SelectCoder.

Platinum Newsletters

Platinum members can view the latest stories from Briefings on APCs and Briefings on Coding Compliance Strategies.

Product Spotlight

2022 JustCoding Pocket Guide

Co-written by ACDIS’ CDI Education Director Laurie Prescott, RN, MSN, CCDS, CDIP, CRC, CCDS-O, and Director of HIM and Coding Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CRC, CCDS, this powerful resource provides the key information you need to accurately and efficiently code claims.

For more information, call 800-650-6787 or visit the HCPro Healthcare Marketplace.

Contact Us

Sarah Gould, CPC
Editor
JustCoding News: Outpatient
editor@justcoding.com

HCPro
35 Village Road, Suite 200
Middleton, MA 01949
800-650-6787
http://www.hcpro.com

New to JustCoding?

Click the following links to:

Career Center

Post your open positions or find your next career move with the HCPro Career Center.