Category Archives: CPT

Interactive Complexity 90785 – Clarification

Posted on March 4, 2013 by clbaer

As most of us are still learning about the 2013 Psychiatry coding changes, we know that the Interactive Complexity 90785 is used in reporting communication factors that complicate the delivery of psychiatric services.  Interactive Complexity represents the difference in intensity … Continue reading →

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AMA Errata Revised 01/25/2013 – Changes in Psychotherapy and Prolonged Services

Posted on February 4, 2013 by clbaer

AMA released a revision to the 2013 CPT Manual Errata dated:  1/25/2013 – 2:03:37 PM.  The changes for Psychotherapy is with CPT Code 90837 Psychotherapy, 60 minutes; the parenthetical that states to use of the Prolonged Services for psychotherapy services … Continue reading →

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How to Get Paid More for Patient Visits

Posted on February 2, 2013 by dzetter

Most physicians often go the extra mile for patients — perhaps even if they don’t get paid for those added efforts. However, sometimes you can reap financial as well as professional satisfaction for giving patients additional attention. Reprinted from Medscape … Continue reading →

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AMA Suggesting You Report Payers

Posted on January 21, 2013 by dzetter

Are any of your payers not accepting the 2013 CPT codes? Some payers may not be prepared to accept the new CPT codes.  We have noticed this with payers dealing with psychiatric codes because the AMA deleted all the old … Continue reading →

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MACs May Possibly Determine Primary Codes

Posted on January 16, 2013 by dzetter

CMS released a transmittal on December 7, 2012 that communicated that add-on codes may only be used with the appropriate primary code.  ON the surface, this isn’t really news.  We all know that add-on codes are to be added to … Continue reading →

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CMS Cuts 88305 Global Payment by 33%

Posted on December 29, 2012 by dzetter

CMS announced a series of physician pay cuts impacting pathologists in the final 2013 Physician Fee Schedule (PFS), advancing its commitment to contain health care delivery costs. Most notably, the agency lowered the technical component (TC) of the surgical pathology … Continue reading →

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Major Overhaul Coming to Mental Health Coding Effective January 1, 2013

Posted on December 11, 2012 by dzetter

The psychiatry section of CPT was restructured to incorporate new coding concepts to accurately reflect the difference in work performed by psychiatric and mental health professionals.  The new series of codes capture the dramatic changes in the way psychotherapy services … Continue reading →

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New Influenza Virus Vaccine Code – CR 7794

Posted on August 29, 2012 by clbaer

Effective July 1, 2012, Medicare began accepting influenza virus vaccine code Q2034 – Influenza virus vaccine, split virus, for IM use (Agriflu) (for dates of service (DOS) on or after that date); and will add it to existing influenza virus … Continue reading →

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WPS: Status of 3 chronic conditions accepted with 97 guidelines only

Posted on April 23, 2012 by dzetter

E/M documentation Here is a follow-up article, to a prior blog post, that was reported by Karen Long of Part B News Practices that followed WPS carrier instructions to document extended history of present illness (HPI) with three or more … Continue reading →

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