99213 or 99214? Three Tips for Navigating the Coding Conundrum -- FPM
Aug 1, 2018 - Here’s how to quickly identify whether you’re on the path to a 99214 versus a 99213.
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0700/p5.html
99213 vs. 99214: Three tips for spotting the difference
One of the most confounding aspects of evaluation and management (E/M) coding is the distinction between a 99213 and a 99214 established patient office visit. The following tips can help you recognize when a visit meets the requirements of a 99214, as opposed to a 99213.
Publications : FPM
https://www.aafp.org/pubs/fpm/blogs/inpractice/entry/coding_99214.html
Coding "Routine" Office Visits: 99213 or 99214? -- FPM
Sep 1, 2005 - Before choosing 99213 for routine visits, consider whether your work qualifies for a 99214.
Family Practice Management : Articles
https://www.aafp.org/fpm/2005/0900/p52.html
Coding Level 4 Office Visits Using the New E/M Guidelines -- FPM
Feb 1, 2021 - Determining whether the visit you’ve just finished should be coded as a level 4 could be as simple as asking yourself three questions.
Family Practice Management : Articles
https://www.aafp.org/fpm/2021/0100/p27.html
The 2021 Office Visit Coding Changes: Putting the Pieces Together -- FPM
Dec 1, 2020 - Simplified guidelines for coding and documenting evaluation and management office visits are coming next year. Learn how to apply the guidelines to some common visit types.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/1100/p6.html
Combining a Wellness Visit With a Problem-Oriented Visit: a Coding Guide -- FPM
Feb 1, 2022 - In the exam room, the distinction between one type of visit and another isn’t always clear. It’s important to know when - and how - you can bill for both.
Family Practice Management : Articles
https://www.aafp.org/fpm/2022/0100/p15.html
Outpatient E/M Coding Simplified -- FPM
Feb 1, 2022 - Getting clear on the new coding rules can help you eliminate bloated documentation and improve reimbursement to reflect the value of your visits.
Family Practice Management : Articles
https://www.aafp.org/fpm/2022/0100/p26.html
Countdown to the E/M Coding Changes -- FPM
Oct 1, 2020 - The biggest changes in coding since 1997 will take effect Jan. 1, 2021. It is time to prepare for them now.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0900/p29.html
99213 or 99214? Three Tips for Navigating the Coding Conundrum
...99213 or 99214? Three Tips for Navigating the Coding Conundrum Here’s how to quickly identify whether you’re on the path to a 99214 versus a 99213. ABOUT THE AUTHOR Richelle Marting is an attorney practicing with Forbes Law Group in Overland Park, Kan., where she focuses on...
Family Practice Management
https://www.aafp.org/fpm/2018/0700/fpm20180700p5.pdf
Coding "Routine" Office visits: 99213 or 99214? -- Family Practice Management
...d ata show that family physicians choose 99213 for about 61 percent of visits with established Medicare patients and choose 99214 only about 23 percent of the time for the same type of visit.1 So 99213 must be the correct code to use for a routine visit, right? Not necessarily. Many...
Family Practice Management
https://www.aafp.org/fpm/2005/0900/fpm20050900p52.pdf
A Step-by-Step Time-Saving Approach to Coding Office Visits -- FPM
Aug 1, 2021 - Follow these four steps to code quickly and accurately, while reducing the need to count up data points.
Family Practice Management : Articles
https://www.aafp.org/fpm/2021/0700/p21.html
Demystifying Documentation and Billing for Osteopathic Manipulative Treatment -- FPM
Jun 1, 2021 - Osteopathic manipulative treatment is indicated for several common ailments, but documenting and coding it can be daunting for beginners. Here’s how it’s done.
Family Practice Management : Articles
https://www.aafp.org/fpm/2021/0500/p18.html
How to Integrate Clinical Pharmacists Into Primary Care -- FPM
Jun 1, 2021 - Clinical pharmacists can take team-based care to the next level.
Family Practice Management : Articles
https://www.aafp.org/fpm/2021/0500/p12.html
Coding & Documentation - Jul-Aug 2021 -- FPM
Aug 1, 2021 - Staff documentation of the patient history | Modifiers for multiple procedures | Counting data for medical decision making | AWV work by medical assistants | What counts when ordering and reviewing tests
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2021/0700/p32.html
Four Coding and Payment Opportunities You Might Be Missing -- FPM
Jun 1, 2016 - You’re likely already doing the work, so why not get paid for it?
Family Practice Management : Articles
https://www.aafp.org/fpm/2016/0500/p30.html
Medicare Wellness Visits: Reassessing Their Value to Your Patients and Your Practice --...
Apr 1, 2019 - Providing Medicare wellness visits can be challenging but can improve quality and practice revenue.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0300/p25.html
How to Use Group Visits to Manage Obesity -- FPM
Oct 1, 2019 - Clinic and community resources combine to support patients in this unique group-visit model.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0900/p20.html
How to Create a Culture of Well-Being in Your Practice -- FPM
Aug 1, 2018 - Every organization has a culture, either by default or by design. Why not cultivate one that helps people thrive?
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0700/p11.html
Quality Measurement: A Long Way to Go -- FPM
Aug 1, 2018 - Physician quality shouldn't be subjective. But the current measurement methods need more work.
Family Practice Management : From the Editor
https://www.aafp.org/fpm/2018/0700/p4.html
Getting Your Notes Done on Time -- FPM
Apr 1, 2016 - These seven tips can help you spend less time on charting.
Family Practice Management : The Last Word
https://www.aafp.org/fpm/2016/0300/p40.html
Coding & Documentation - Jan-Feb 2016 -- FPM
Feb 1, 2016 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Screening for Social Determinants of Health in Daily Practice A Refresher on Medical Necessity Editor's Collections Coding & Documentation Related Topic Searches Time-based coding MOST RECENT ISSUE...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2016/0100/p34.html
Transitional Care Management Services: New Codes, New Requirements -- FPM
Jun 1, 2013 - Two new codes will help you get paid for managing a patient’s transition from the inpatient to outpatient setting, but they come with new expectations.
Family Practice Management : Articles
https://www.aafp.org/fpm/2013/0500/p12.html
Treating Dementia With Shared Group Visits -- FPM
Jun 1, 2015 - Seeing patients with dementia in a group setting can streamline visits and help provide support for caregivers and families.
Family Practice Management : Articles
https://www.aafp.org/fpm/2015/0500/p16.html
Time Is on Your Side: Coding on the Basis of Time -- FPM
Dec 1, 2008 - E/M coding can be so complex that you forget those visits where it's just a matter of time.
Family Practice Management : Articles
https://www.aafp.org/fpm/2008/1100/p17.html
Coding & Documentation - May-Jun 2014 -- FPM
Jun 1, 2014 - ...Regarding transitional care management codes 99495 and 99496, if we see the patient for a 99213- or 99214-level service before the end of the 30-day period, can we bill for that visit at that time and then bill the 99495 after the 30 days? A The first face-to-face visit with the...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2014/0500/p29.html
Practice Pearls - Mar-Apr 2014 -- FPM
Apr 1, 2014 - ...the Centers for Medicare and Medicaid Services (CMS) said a physician could furnish a medically necessary face-to-face E/M visit (CPT code 99213 or similar code depending on level of service) to a patient that is observed by other patients. The agency added that none of the...
Family Practice Management : Practice Pearls
https://www.aafp.org/fpm/2014/0300/p28.html
Coding & Documentation - Nov-Dec 2013 -- FPM
Dec 1, 2013 - ...In general, the AAFP advises that you report an E/M code, such as 99213, for a patient seen in a group setting as long as your documentation supports that you provided the key components of the code. In other words, the fact that an E/M service was provided in the presence of other...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2013/1100/p28.html
Coding & Documentation - May-Jun 2022 -- FPM
Jun 1, 2022 - Reporting split/shared services | Nurse visits for newborns | Removing sutures placed by another physician
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2022/0500/p33.html
Do You Know What Is (or Isn't) in Your Documentation? -- FPM
Aug 1, 2013 - Leaving out key information in patient documentation can compromise quality and cost you money.
Family Practice Management : Articles
https://www.aafp.org/fpm/2013/0700/p23.html
Making Medicare Wellness Visits Work in Practice -- FPM
Oct 1, 2012 - Taking a systematic, team-based approach can make these services valuable for physicians and patients.
Family Practice Management : Articles
https://www.aafp.org/fpm/2012/0900/p11.html
Browse FPM Documents on Topic: org.aafp.jms.model.TaxonomyTerm@25f6a65a
...Coding "Routine" Office Visits: 99213 or 99214? [Feature] Before choosing 99213 for routine visits, consider whether your work qualifies for a 99214. Oct 2004 Issue Understanding When to Use Modifier -25 [Getting Paid] A coding expert explains how and why modifier -25...
Family Practice Management
https://www.aafp.org/fpm/viewRelatedDocumentsByTaxonomy.htm?taxonomyId=27&page=2
Evaluation and management (E/M) coding and documentation burden could lighten in 2019 ...
The Centers for Medicare and Medicaid Services' proposed rule for the Physician Fee Schedule for 2019 contains significant revisions to the coding, documentation, and payment of office visit evaluation and management services.
Publications : FPM
https://www.aafp.org/pubs/fpm/blogs/gettingpaid/entry/em_coding_proposed_changes.html
Browse FPM Documents on Topic: org.aafp.jms.model.TaxonomyTerm@2d7767ac
...99213 or 99214? Three Tips for Navigating the Coding Conundrum [Feature] Here’s how to quickly identify whether you’re on the path to a 99214 versus a 99213. November/December 2014 Issue When Is It Right to Code 99215? [Feature] Knowing the rules will give you the...
Family Practice Management
https://www.aafp.org/fpm/viewRelatedDocumentsByTaxonomy.htm?taxonomyId=53
Browse FPM Documents on Topic: org.aafp.jms.model.TaxonomyTerm@e2aa06b
...99213 or 99214? Three Tips for Navigating the Coding Conundrum [Feature] Here’s how to quickly identify whether you’re on the path to a 99214 versus a 99213. November/December 2014 Issue When Is It Right to Code 99215? [Feature] Knowing the rules will give you the...
Family Practice Management
https://www.aafp.org/fpm/viewRelatedDocumentsByTaxonomy.htm?taxonomyId=53&page=0
Browse FPM Documents on Topic: org.aafp.jms.model.TaxonomyTerm@55b40e84
...99213 or 99214? Three Tips for Navigating the Coding Conundrum [Feature] Here’s how to quickly identify whether you’re on the path to a 99214 versus a 99213. Nov-Dec 2008 Issue Time Is on Your Side: Coding on the Basis of Time [Feature] E/M coding can be so complex...
Family Practice Management
https://www.aafp.org/fpm/viewRelatedDocumentsByTaxonomy.htm?taxonomyId=77
Medical Coding for Group Visits
Find out the coding procedures to follow to receive Medicare payment for group visits.
Family Physician : Practice and Career
https://www.aafp.org/family-physician/practice-and-career/getting-paid/coding/group-visits.html
Coding for Evaluation and Management Services
Maximize payment and reduce stress by understanding how to properly document and code for evaluation and management (E/M) services.
Family Physician : Practice and Career
https://www.aafp.org/family-physician/practice-and-career/getting-paid/coding/evaluation-management.html
Services Not Covered by Medicare
Learn about the two categories of services not covered by Medicare, including services not deemed medically reasonable or necessary and non-covered services.
Family Physician : Practice and Career
https://www.aafp.org/family-physician/practice-and-career/getting-paid/coding/non-covered-services.html
Good news from Medicare, over time
Good news from Medicare, over time
Publications : FPM
https://www.aafp.org/pubs/fpm/blogs/gettingpaid/entry/good_news_over_time.html
Browse FPM Documents on Topic: org.aafp.jms.model.TaxonomyTerm@7e958908
...Coding "Routine" Office Visits: 99213 or 99214? [Feature] Before choosing 99213 for routine visits, consider whether your work qualifies for a 99214. Jun 2005 Issue Are You Prepared to Defend Your Coding? [Getting Paid] The authors offer readers an action plan to use...
Family Practice Management
https://www.aafp.org/fpm/viewRelatedDocumentsByTaxonomy.htm?taxonomyId=75
2021 outpatient office E/M changes FAQ
Documentation and coding requirements for outpatient evaluation and management services will change starting Jan. 1. Here are some answers to common questions about the changes.
Publications : FPM
https://www.aafp.org/pubs/fpm/blogs/inpractice/entry/em_changes_FAQ.html
July/August 2018
...99213 or 99214? Three Tips for Navigating the Coding Conundrum Richelle Marting How to Create a Culture of Well-Being in Your Practice Mark H. Greenawald Patient Inducements: The New Dos and Don'ts Alice G. Gosfield Teach-Back: A Simple Technique to Enhance...
Family Practice Management
https://www.aafp.org/fpm/2018/0700/
July/August 2018
...99213 or 99214? Three Tips for Navigating the Coding Conundrum Richelle Marting How to Create a Culture of Well-Being in Your Practice Mark H. Greenawald Patient Inducements: The New Dos and Don'ts Alice G. Gosfield Teach-Back: A Simple Technique to Enhance...
Family Practice Management
https://www.aafp.org/fpm/2018/0700
E/M Coding and the Documentation Guidelines: Putting It All Together -- FPM
Oct 1, 2011 - It's time to test your E/M coding skills.
Family Practice Management : Articles
https://www.aafp.org/fpm/2011/0900/p33.html
Telehealth FAQs
Telehealth and telemedicine can be confusing to navigate, especially during the COVID-19 pandemic. The AAFP has gathered the top questions to get you the exact information you need to bill and code telehealth correctly.
Family Physician : Patient Care
https://www.aafp.org/family-physician/patient-care/current-hot-topics/recent-outbreaks/covid-19/covid-19-telehealth/telehealth-faqs.html
Coding for Vaccine Administration
Find out the correct coding procedures for vaccine administration.
Family Physician : Practice and Career
https://www.aafp.org/family-physician/practice-and-career/getting-paid/coding/vaccine-administration.html
Sep 2005
...Coding "Routine" Office Visits: 99213 or 99214? Peter R. Jensen Departments From the Editor New and Improved for You Leigh Ann Backer Editorial Ten Hard Questions About the Future of the Specialty Douglas Iliff Letters • Taking Care of Children • Is...
Family Practice Management
https://www.aafp.org/fpm/2005/0900/
Primary Care Exception Needs Expansion, AAFP Tells CMS
In an Oct. 9 letter to CMS, the Academy advocated for the expansion of codes under the primary care exception rule -- an update that would reduce administrative complexity without compromising patient care.
AAFP News : Advocacy and Government
https://www.aafp.org/news/government-medicine/20191014exceptionrule.html
Fighting for a Fee Schedule That Works for You, Your Patients
The AAFP is working on a detailed response to the proposed 2019 Medicare physician fee schedule that steers CMS toward fixes that will help family physicians give patients the comprehensive, continuous care they expect.
AAFP News : As We See It: Voices From the AAFP
https://www.aafp.org/news/opinion/20180821presmsg-mpfs.html
Cigna changes policy on paying for an E/M visit with cerumen removal
Starting Nov. 14, Cigna will deny office visit evaluation and management (E/M) services as not separately payable when billed with the removal of impacted cerumen if the removal is the sole reason for the visit.
Publications : FPM
https://www.aafp.org/pubs/fpm/blogs/gettingpaid/entry/cigna_cerumen_emcoding.html
E-Prescribing codes for 2012
E-Prescribing codes for 2012
Publications : FPM
https://www.aafp.org/pubs/fpm/blogs/gettingpaid/entry/e_prescribing_codes_for_2012.html
Potential pitfall in Medicare billing: psychotherapy in conjunction with an evaluation ...
Potential pitfall in Medicare billing: psychotherapy in conjunction with an evaluation and management service
Publications : FPM
https://www.aafp.org/pubs/fpm/blogs/gettingpaid/entry/potential_pitfall_in_medicare_billing.html
What's your coding profile?
Comparing your E/M coding distribution with national benchmarks will help you identify aberrant coding patterns and make adjustments before they raise a red flag with payers or cost your practice money.
Publications : FPM
https://www.aafp.org/pubs/fpm/blogs/gettingpaid/entry/whats_your_coding_profile.html
Think 99214 if you see these problems or procedures
The risk component of medical decision making is more subjective and can be difficult to identify, so here’s what to look for.
Publications : FPM
https://www.aafp.org/pubs/fpm/blogs/inpractice/entry/99214_presenting_problems.html
Coding office visits the easy way - based on time
An E/M office visit may be coded based solely on face-to-face time when more than half is devoted to counseling or coordination of care.
Publications : FPM
https://www.aafp.org/pubs/fpm/blogs/inpractice/entry/coding_office_visits_the_easy_way.html
Coding E/M visits by medical decision making
Starting Jan. 1, physicians will be able to code evaluation and management visits based solely on medical decision making, which is made up of three elements.
Publications : FPM
https://www.aafp.org/pubs/fpm/blogs/inpractice/entry/medical_decision_making.html
How to bill for osteopathic manipulative treatment and E/M in a single visit
If you provide OMT, or are considering offering it, here’s how to get paid for all your work.
Publications : FPM
https://www.aafp.org/pubs/fpm/blogs/inpractice/entry/omt_visit.html
Four tips to help you spend less time charting
To get through your routine documentation more efficiently and reduce work after clinic, try these tips.
Publications : FPM
https://www.aafp.org/pubs/fpm/blogs/inpractice/entry/spend_less_time_on_charting.html
FPM Past Issues 2005
FPM issues 2005
Publications : FPM
https://www.aafp.org/pubs/fpm/issues/2005.html
FPM Past Issues 2018
FPM 2018 Past issues
Publications : FPM
https://www.aafp.org/pubs/fpm/issues/2018.html
Sep 2005
...Coding "Routine" Office Visits: 99213 or 99214? Peter R. Jensen Departments From the Editor New and Improved for You Leigh Ann Backer Editorial Ten Hard Questions About the Future of the Specialty Douglas Iliff Letters • Taking Care of Children • Is...
Family Practice Management
https://www.aafp.org/fpm/2005/0900
Coronavirus (COVID-19): new telehealth rules and procedure codes for testing
CMS has loosened restrictions on telehealth reimbursement for areas where the spread of the new coronavirus has been deemed an emergency.
Publications : FPM
https://www.aafp.org/pubs/fpm/blogs/gettingpaid/entry/coronavirus_testing_telehealth.html
How the E/M code RVU increases could affect family physicians’ pay
The relative value units (RVUs) for several key E/M codes increased on Jan. 1. Here’s how this could affect your payment rates.
Publications : FPM
https://www.aafp.org/pubs/fpm/blogs/gettingpaid/entry/em_rvus.html
Tips for using total time to code E/M office visits in 2021
Some tips for coding using total time under the new rules for E/M office visits that take effect Jan. 1, plus an example of a visit well-suited for time-based coding.
Publications : FPM
https://www.aafp.org/pubs/fpm/blogs/gettingpaid/entry/total_time_tips.html
Practice management
FPM "In Practice" blog posts on the topic of practice management
Publications : FPM
https://www.aafp.org/pubs/fpm/blogs/inpractice/practicemanagement.start-ind-aafp-link-pile-150.html
Documenting History in Compliance With Medicare's Guidelines -- FPM
Apr 1, 2010 - The difference between one level and the next may be no more than a word or two.
Family Practice Management : Articles
https://www.aafp.org/fpm/2010/0300/p22.html
Five Common Coding Mistakes That Are Costing You -- FPM
Apr 1, 2011 - Fix these problems to increase your bottom line.
Family Practice Management : Articles
https://www.aafp.org/fpm/2011/0300/p31.html
Understanding When to Use the New Patient E/M Codes -- FPM
Sep 1, 2003 - Even an old patient can be new.
Family Practice Management : Articles
https://www.aafp.org/fpm/2003/0900/p33.html
Is Your Medicare Payer Playing by the Rules? -- FPM
Aug 1, 2010 - Don't let varying interpretations of the evaluation and management guidelines keep you from getting paid.
Family Practice Management : Articles
https://www.aafp.org/fpm/2010/0700/p27.html
Why the Medicare Fee Schedule and RVUs Matter to Employed Family Physicians -- FPM
Jun 1, 2010 - When Medicare payments are cut, everybody loses, not just self-employed physicians.
Family Practice Management : Opinion
https://www.aafp.org/fpm/2010/0500/p7.html
Level-II vs. Level-III Visits: Cracking the Codes -- FPM
Jan 1, 2007 - Once you learn the rules, choosing the right code is easier than you think.
Family Practice Management : Articles
https://www.aafp.org/fpm/2007/0100/p21.html
A Quick-Reference Card for Identifying Level-4 Visits -- FPM
Aug 1, 1999 - The author's tool will help you keep in mind what qualifies a visit for a 99214 or a 99204.
Family Practice Management : Articles
https://www.aafp.org/fpm/1999/0700/p32.html
Ten Steps to a Patient-Centered Medical Home -- FPM
Dec 1, 2009 - Start with steps that increase practice revenue. Then you'll be better able to afford the steps that just make practice better and more satisfying.
Family Practice Management : Articles
https://www.aafp.org/fpm/2009/1100/p18.html
Coding & Documentation - Sep-Oct 2009 -- FPM
Oct 1, 2009 - ...observation care services on day one, 99213 for observation care on day two and 99217 for observation care discharge services on day three. The hospital listed the patient as an outpatient all three days. Is there a better code than 99213 to use for day two? Also, should 99219 be...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2009/0900/p30.html
Coding From the Bottom Up -- FPM
Dec 1, 2008 - Start from the presenting problem to get to the right code faster.
Family Practice Management : Articles
https://www.aafp.org/fpm/2008/1100/p22.html
Practice Pearls - Sep-Oct 2009 -- FPM
Oct 1, 2009 - ...The typical office visit for a family physician is represented by CPT code 99213. The work RVUs for that code in 2009 are 0.92. Based on this number, at 20 visits per day a family physician might be expected to generate 18.4 work RVUs per day, on average. Kent J. Moore AAFP Leawood,...
Family Practice Management : Practice Pearls
https://www.aafp.org/fpm/2009/0900/p31.html
Chart Audit: Is Your Practice Billing What It Should? -- FPM
Apr 1, 2009 - A simple review may save your practice loads of money.
Family Practice Management : Articles
https://www.aafp.org/fpm/2009/0300/p15.html
Charting Then and Now -- FPM
Feb 1, 2009 - Chart notes used to be primarily for doctors, but oh how times have changed.
Family Practice Management : The Last Word
https://www.aafp.org/fpm/2009/0100/p40.html
Coding & Documentation - Nov 2008 -- FPM
Dec 1, 2008 - ...We had a patient come in for a routine diabetic checkup, which we billed using CPT code 99213 and ICD-9 code 250.02. A few hours later, this patient came in with a migraine and hypertension issues. Could we have reported code 99058 for the second visit? A Code 99058 is to be...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2008/1100/p37.html
Coding & Documentation - Jan-Feb 2009 -- FPM
Feb 1, 2009 - ...a patient comes in for a sinus infection and I administer an injection of Celestone for the sinus infection, can 90772 be billed along with 99213? What if the sinus infection was the primary focus of the visit but I administer a B12 shot for anemia? A You can report both codes as...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2009/0100/p30.html
A Multiple-Service Rule for E/M Services -- FPM
Jun 1, 2008 - A simple rule change could improve access and quality of care while reducing inequities between compensation for E/M services and for procedures.
Family Practice Management : Opinion
https://www.aafp.org/fpm/2008/0600/p9.html
How We Improved Our Practice and Our Bottom Line With a New EMR System -- FPM
Aug 1, 2008 - This four-physician practice has good reason to be enthusiastic about new technology.
Family Practice Management : Articles
https://www.aafp.org/fpm/2008/0700/p25.html
Coding & Documentation - Jul 2008 -- FPM
Aug 1, 2008 - ...to attach modifier 25 to the evaluation and management (E/M) code when an injection is also performed? For example, I have been coding 99213-25 with 90772. A Yes. CPT instructs that modifier 25 may be reported when a significant and separately identifiable E/M service is provided...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2008/0700/p43.html
What Every Physician Should Know About the RUC -- FPM
Feb 1, 2008 - A small group of physicians has a big say in what you get paid.
Family Practice Management : Articles
https://www.aafp.org/fpm/2008/0200/p36.html
Are Your Payers' Fee Schedules Fair? -- FPM
Apr 1, 2007 - If they use multiple conversion factors when determining what they'll pay, you may be at an even greater disadvantage than you realized.
Family Practice Management : Opinion
https://www.aafp.org/fpm/2007/0400/p13.html
Breaking Even on Four Visits Per Day -- FPM
Jun 1, 2007 - Spurning health plan contracts enabled this practice to dramatically reduce overhead and fees while improving access for the uninsured.
Family Practice Management : Articles
https://www.aafp.org/fpm/2007/0600/p19.html
Coding & Documentation - Jan 2008 -- FPM
Jan 1, 2008 - ...The most current Medicare utilization data for family medicine indicates that 58 percent of established patient office visits were coded 99213 and 28 percent were coded 99214. Forty-three percent of new patient visits were coded 99203 and 27 percent were coded 99204. This data is...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2008/0100/p43.html
Coding & Documentation - Oct 2007 -- FPM
Oct 1, 2007 - ...A injection, can I bill for the visit (99213), the vaccine (90632, Hepatitis A vaccine, adult dosage, for intramuscular use) and the vaccine administration (90471) at the same time? A Yes. You will need to append modifier -25 to code 99213 in this scenario to indicate that your work...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2007/1000/p15.html
Coding & Documentation - Nov 2007 -- FPM
Dec 1, 2007 - ...Can I report office visit code 99213 with modifier -25 and code 90805 for psychotherapy at the same visit? A No. Code 90805 reports that psychotherapy and medical E/M services were provided on the same date, which includes evaluation and management of comorbid conditions, drug...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2007/1100/p15.html
Coding & Documentation - Sep 2007 -- FPM
Sep 1, 2007 - ...that … under existing CPT codes and Medicare rules, a physician could furnish a medically necessary face-to-face E/M service (e.g., CPT code 99213 or similar code depending on the level of complexity) to a particular patient that is observed by other patients. From a payment...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2007/0900/p12.html
Coding & Documentation - Jul 2007 -- FPM
Aug 1, 2007 - ...Can I code 99213, 69210 and 93000 at the same visit? A Yes. You should append modifier -25 to the evaluation and management (E/M) code, but you should not need additional modifiers for 69210, removal impacted cerumen (separate procedure), one or both ears, or for 93000,...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2007/0700/p24.html
Virtual Office Visits: A Reachable and Reimbursable Innovation -- FPM
Oct 1, 2007 - They're convenient, they're efficient, and for a growing number of physicians, they pay.
Family Practice Management : Articles
https://www.aafp.org/fpm/2007/1000/p20.html
How to Analyze Your E/M Coding Profile -- FPM
Apr 1, 2007 - Your peers have been coding more 99214s. Is it time to review your coding habits?
Family Practice Management : Articles
https://www.aafp.org/fpm/2007/0400/p39.html
Coding & Documentation - May 2007 -- FPM
May 1, 2007 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Don't Get Burned Coding Common Skin Procedures An Update on Certifying Home Health Care Editor's Collections Coding Medicare Medicare Annual Wellness Visits Coding & Documentation Related Topic...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2007/0500/p16.html
Coding & Documentation - Nov 2006 -- FPM
Dec 1, 2006 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum An Update on Certifying Home Health Care Combining a Wellness Visit With a Problem-Oriented Visit: a Coding Guide Editor's Collections Coding Medicare Medicare Annual Wellness Visits Coding &...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2006/1100/p27.html
Coding & Documentation - Oct 2006 -- FPM
Oct 1, 2006 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Sports Physicals: A Coding Conundrum Office-Based Strategies to Combat Antimicrobial Resistance Editor's Collections Coding & Documentation Related Topic Searches Time-based coding MOST RECENT ISSUE...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2006/1000/p29.html
How to Document and Bill Care Plan Oversight -- FPM
May 1, 2005 - This article will describe how to bill for and document care plan oversight, balancing it as a billing opportunity and a compliance risk. It will include a form for documenting CPO.
Family Practice Management : Articles
https://www.aafp.org/fpm/2005/0500/p23.html
In Search of a Super Superbill -- FPM
Sep 1, 2006 - This superbill incorporates the best characteristics of superbills submitted by FPM readers.
Family Practice Management : Articles
https://www.aafp.org/fpm/2006/0900/p43.html
News & Trends - Jul 2006 -- FPM
Aug 1, 2006 - ...changes would result in increased payments for many evaluation and management (E/M) services. For example, the Medicare allowance for code 99213 would increase $6.83, while the allowance for code 99214 would increase $7.58. (See the accompanying table.) Payment for many hospital and...
Family Practice Management : News Briefs
https://www.aafp.org/fpm/2006/0700/p20.html
Coding & Documentation - Jul 2006 -- FPM
Aug 1, 2006 - ...and give referrals when appropriate. We also plan to write individual progress notes for each patient. Would it be appropriate to bill 99213 or 99214, along with 99499, Unlisted evaluation and management (E/M) service, if our documentation meets the criteria for these codes? A At...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2006/0700/p25.html
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