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6 new COVID-19 vaccine administration codes added. The American Medical Association (AMA) has released several new vaccine administration CPT® codes and revised existing booster codes. These immediate changes are in response to the U.S. Food and Drug Administration (FDA) recently updating its recommendations for COVID-19 vaccines. COVID-19 Coding Changes at a Glance The code additions […]
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A $ 1.4 trillion government spending bill and $ 900 billion COVID-19 relief package is on its way to the White House. If President Trump signs the bipartisan bill, a slew of stimulus measures would touch every American. The list of provisions is long, even by government standards, but one provision, in particular, will impact physicians directly. […]
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Patient was noted to have:
1) Psychotic disorder (F28)
2) Major depressive disorder, recurrent episode, moderate
The provider had coded as above, but should it have been coded as:
F33.3 Major depressive disorder, recurrent, severe with psychotic symptoms
Thanks,
Per national Correct Coding Initiative (CCI) Chapter 3 guidelines, a procedure with a 90 day global period “is defined as a major surgical procedure.” The 90 day global period actually extends to 92 days, to include one day before the day of the surgery, the day of surgery, and the 90 days immediately following the day of […]
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PMH includes – Prostate hypertrophy, HTN, and type 2 diabetes, but none of these conditions is specifically identified as a risk factor for surgery, just listed in the PMH.
Is this a minor surgery (per CMS definition global period 0 days 45378), a minor surgery with identified risk factors since the additional conditions are listed in the PMH, or a major surgery with/without identified risk factors.
Is there any reference where I could find direction on how to determine minor versus major surgery for MDM?
In order to be considered identified risk factors does the physician have to document a possible negative impact on the proposed surgical procedure or is it enough to simply list the conditions in the medical history?
Thank you in advance. Any input is greatly appreciated.
Angela
Per CMS, preop clearance(see below article) can be billed if medical necessity is proven but nothing has been mentioned about the type of surgeries that require a preop clearance.
https://www.aafp.org/fpm/2001/0900/p16.html
Thanks
If you have a definitive link to something that would point me in the right direction, I would appreciate it since I am working thru audits right now and want to be sure I am interpreting this part of the E/M audit correctly.
Thank you!