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99213

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11 Tips for More Productive Billing -- FPM

Mar 1, 2002 - The author, a practice administrator, offers 10 tips for improving the efficiency of billing and collection processes.

Family Practice Management : Articles

https://www.aafp.org/fpm/2002/0300/p16.html

2021 outpatient office E/M changes FAQ -- FPM

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.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/em_changes_FAQ.html

33 hill newpatient.qxd

...99213 Expanded problem-focused Expanded problem-focused Low 15 99214 Detailed Detailed Moderate 25 99215 Comprehensive Comprehensive High 40 Two of the three key components must be met. New Patient Established Patient September 2003 ■ www.aafp.org / fpm ■ F A M I L...

Family Practice Management

https://www.aafp.org/fpm/2003/0900/fpm20030900p33.pdf

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

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 -- FPM

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.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/coding_99214.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

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

AAFP Comment Letter on 2019 Final Medicare Physician Fee Schedule - December 28, 2018

...and that the physician personally spent the current typical time for the CPT code reported (e.g., 15 minutes when reporting CPT code 99213). We support this plan and strongly urge CMS to implement it in 2020. This is the same approach now used when physicians code based on time...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/LT-CMS-2019FinalMPFS-122818.pdf

AAFP COVID-19 Related Loss Calculator

...99213 Established Patient E/M - Level 3 $ 76.15 $ - 0 $ - 0 $ - 0 $ - 0 99214 Established Patient E/M - Level 4 $ 110.43 $ - 0 $ - 0 $ - 0 $ - 0 99215 Established Patient E/M - Level 5 $ 148.33 $ - 0 $ - 0 $ - 0 $ - 0 ‼Includes E/M services provided via telehealth 0 $ -...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/crisis/AAFP-COVID-19-Related-LossCalculator.xlsx

AAFP Letter to CMS Requesting Codes to be Added to the "Primary Care Exemption" List - ...

...present. Currently, the following codes are on the primary care exception list: • 99201, 99202, 99203 - New patient visits • 99211, 99212, 99213 - Follow-up patient visits • G0402, G0438, G0439 - Welcome to Medicare and Annual Wellness Visits With the proliferation of new...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-PrimaryCareExemption-100919.pdf

AAFP Letter to CMS with Final Comments on the 2019 Proposed Medicare Physician Fee ...

...patient office visit in counseling/coordination of care and chooses to code on the basis of time, the physician should select code 99213 (typical time of 15 minutes) rather than 99214 (typical time of 25 minutes), because the total time of the encounter did not reach the threshold...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-2019ProposedMPFS-090618.pdf

AAFP News - Feb 1, 2011 - American Family Physician

Feb 1, 2011 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2011/0201/p239.html

AAFP News - Feb 15, 2009 - American Family Physician

Feb 15, 2009 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2009/0215/p259.html

AAFP News - Jan 1, 2011 - American Family Physician

Jan 1, 2011 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2011/0101/p19.html

AAFP News - Jan 15, 2007 - American Family Physician

Jan 15, 2007 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2007/0115/p153.html

AAFP News - May 1, 2009 - American Family Physician

May 1, 2009 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2009/0501/p733.html

AFP-FPM-AFM-FPE-Journal-Policies-Rates-2021.pdf

...Coding Tips for 99213 vs. 99214 5 How to Create a Practice Culture of Well-Being 11 Patient Inducements: Dos and Don’ts 16 A Technique to Enhance Patients’ Understanding 20 From the Editor: Improving Quality Measures 4 Coding QandA: Billing for Well-Woman...

American Family Physician

https://www.aafp.org/dam/AAFP/documents/journals/afp/AFP-FPM-AFM-FPE-Journal-Policies-Rates-2021.pdf

afp20200915p330.pdf

...Established Patient 99211 (see specific guidance on back page) 99212 (10-19 min.) 99213 (20-29 min.) 99214 (30-39 min.) 99215 (40-54 min.) 2021 GUIDELINES FOR CALCULATING TOTAL TIME Code selection using total time should be based on the total time spent in care of the patient on the...

American Family Physician

https://www.aafp.org/afp/2020/0915/afp20200915p330.pdf

afp20201001p389.pdf

...Established Patient 99211 (see specific guidance on back page) 99212 (10-19 min.) 99213 (20-29 min.) 99214 (30-39 min.) 99215 (40-54 min.) 2021 GUIDELINES FOR CALCULATING TOTAL TIME Code selection using total time should be based on the total time spent in care of the patient on the...

American Family Physician

https://www.aafp.org/afp/2020/1001/afp20201001p389.pdf

afp20201015p505.pdf

...Established Patient 99211 (see specific guidance on back page) 99212 (10-19 min.) 99213 (20-29 min.) 99214 (30-39 min.) 99215 (40-54 min.) 2021 GUIDELINES FOR CALCULATING TOTAL TIME Code selection using total time should be based on the total time spent in care of the patient on the...

American Family Physician

https://www.aafp.org/afp/2020/1015/afp20201015p505.pdf

afp20201115p629.pdf

...Established Patient 99211 (see specific guidance on back page) 99212 (10-19 min.) 99213 (20-29 min.) 99214 (30-39 min.) 99215 (40-54 min.) 2021 GUIDELINES FOR CALCULATING TOTAL TIME Code selection using total time should be based on the total time spent in care of the patient on the...

American Family Physician

https://www.aafp.org/afp/2020/1115/afp20201115p629.pdf

AHRQ’s Tools for Better Practice: Helping Family Physicians Manage Today’s Challenges

November 1, 2017: Editorials

American Family Physician

https://www.aafp.org/afp/2017/1101/afp20171101p569.pdf

Americans in Motion - Healthy Interventions: A Guide to Group Visits for Chronic ...

Research indicates group visits can also provide an improved quality of care and a higher level of patient and physician satisfaction. They empower patients and also the physician and staff. Group visits allow for more time for education and relationship building. Group visits have ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/fitness/GroupVisitAIM.pdf

An Easy Way to Analyze E/M Coding for Group Practices -- FPM

Aug 1, 2002 - The author describes how practices can analyze their CPT coding distributions and determine whether they are billing for an appropriate range of services.

Family Practice Management : Articles

https://www.aafp.org/fpm/2002/0700/p20.html

Answers to Your Questions on Solo, Idealized Practice -- Family Practice Management

...on what the patient wants but what the patient wants and needs. I document what I do and bill appropriately for that work. I do in fact have 99213 and even 99212 visits, as there are occasions where those codes best approximate what my patients want and need. When do you find...

Family Practice Management

https://www.aafp.org/fpm/2002/0500/fpm20020500p39.pdf

Answers to Your Questions on Solo, Idealized Practice -- FPM

May 1, 2002 - How does a solo doc with no support staff manage his referrals, order his supplies and give immunizations? Gordon Moore, MD, answers those questions and more.

Family Practice Management : Articles

https://www.aafp.org/fpm/2002/0500/p39.html

Are You Coding Accurately? -- FPM

Jun 1, 2004 - This article provides readers with step-by-step instructions for checking their E/M coding distribution with national guidelines established in the Centers for Medicare and Medicaid Family Practice Profile.

Family Practice Management : Articles

https://www.aafp.org/fpm/2004/0600/p20.html

Are You Prepared to Defend Your Coding? -- FPM

Jun 1, 2005 - The authors offer readers an action plan to use in reacting/responding to payers' accusations of incorrect coding.

Family Practice Management : Articles

https://www.aafp.org/fpm/2005/0600/p17.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

Ask FPM - Mar 2000 -- FPM

Mar 1, 2000 - ...by Medicare and many other third-party payers to determine physician reimbursement, a level-III established patient office visit (i.e., code 99213) has a total of 1.29 RVUs assigned to it. Under RBRVS, a code's total RVUs is the sum of three components: work RVUs, practice-expense...

Family Practice Management : Q&As

https://www.aafp.org/fpm/2000/0300/p60.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

Browse FPM Documents on Topic: org.aafp.jms.model.TaxonomyTerm@1d62de40

...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

Browse FPM Documents on Topic: org.aafp.jms.model.TaxonomyTerm@2d63e74c

...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@2dcf4d0

...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

Browse FPM Documents on Topic: org.aafp.jms.model.TaxonomyTerm@5249c52a

...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=1

Browse FPM Documents on Topic: org.aafp.jms.model.TaxonomyTerm@ff5cd71

...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

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 -- FPM Topic Collection

Jul 23, 2010 - This article collection features popular FPM content on the subject of coding -- from getting all the 99214s you deserve to differentiating between new and established patient visits. This article collection features popular FPM content on the subject of coding -- from getting all the ...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=49

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

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 & Documentation - Apr 1999 -- FPM

Apr 1, 1999 - ...Can I code 99455 for a work-related or medical disability evaluation as well as a regular office-visit code (such as 99213) for the same encounter, if it's appropriate? A Yes. Code 99455 is one of three used to report evaluations required for life or disability insurance...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/1999/0400/p12.html

Coding & Documentation - Apr 2005 -- FPM

Apr 1, 2005 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Don't Get Burned Coding Common Skin Procedures New Medicare Payment Opportunities Editor's Collections Coding Coding & Documentation Related Topic Searches CPT: Medicine codes MOST RECENT ISSUE...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2005/0400/p35.html

Coding & Documentation - Feb 2006 -- FPM

Feb 1, 2006 - ...for a separately identifiable service on the same date as an E/M service, the modifier −25 should be appended to the E/M code (for instance, 99213-25.) Payers may choose to bundle code 99173 with the E/M service despite the correct modifier usage. You should check with your payer to...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2006/0200/p30.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 - 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

Coding & Documentation - Jan-Feb 2016 -- FPM

Feb 1, 2016 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Coding for Hypertension: Painting a Picture of the Severity of Illness A Refresher on Medical Necessity Editor's Collections Coding & Documentation Related Topic Searches Time-based coding MOST RECENT...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2016/0100/p34.html

Coding & Documentation - Jul 2001 -- FPM

Aug 1, 2001 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum The 2021 Office Visit Coding Changes: Putting the Pieces Together Coding Flu Shots: Immunize Against Lost Revenue Editor's Collections Coding ICD-10 Coding Coding & Documentation Related Topic Searches...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2001/0700/p16.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

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

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

Coding & Documentation - Mar 2001 -- FPM

Mar 1, 2001 - ...with the level of office visit you provided from the time you actually spent in face-to-face contact with the patient. The CPT manual says a 99213 typically involves 15 minutes of face-to-face time. Subtracting 15 from 70 leaves 55 minutes. Prolonged services code 99354 accounts for...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2001/0300/p23.html

Coding & Documentation - May 2000 -- FPM

May 1, 2000 - ...CPT code is to code the five-digit version of the modifier in addition to the CPT code. For example, instead of coding 99213–25, you can code 99213 and 09925. The five-digit version of a CPT modifier is always 099XX, with XX being the two digits otherwise associated with the...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2000/0500/p22.html

Coding & Documentation - May 2005 -- FPM

May 1, 2005 - ...otherwise does not meet the definition of a consultation, the office encounter should be coded using an office/outpatient visit code, such as 99213. In either case, modifier -25 should be appended to the E/M code to indicate that it was a significant, separately identifiable service...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2005/0500/p27.html

Coding & Documentation - May 2006 -- FPM

May 1, 2006 - ...In the past, I have always billed 99213 with CPT injection code 90782 and HCPCS injection codes J1100 and J1030. Recently, the insurance company has denied the office visit as invalid with CPT code 90782. What are we doing wrong? A First, 90782 is not valid in 2006; instead use...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2006/0500/p32.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 - 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

Coding & Documentation - Nov 2002 -- FPM

Dec 1, 2002 - ...Medicare will allow you to submit G0101 in addition to an evaluation and management (E/M) service (e.g., 99213) if the E/M service is significant and separately identifiable from the G0101 service. An example would be if an established Medicare patient with chronic essential...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2002/1100/p30.html

Coding & Documentation - Nov 2006 -- FPM

Dec 1, 2006 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum The 2021 Office Visit Coding Changes: Putting the Pieces Together An Update on Certifying Home Health Care Editor's Collections Coding Medicare Medicare Annual Wellness Visits Coding & Documentation...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2006/1100/p27.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 - 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 - 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 - Oct 2002 -- FPM

Oct 1, 2002 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum What Can a PA or NP Do for Your Practice? An Update on Certifying Home Health Care Editor's Collections Coding & Documentation Related Topic Searches Time-based coding MOST RECENT ISSUE Nov-Dec...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2002/1000/p23.html

Coding & Documentation - Oct 2003 -- FPM

Oct 1, 2003 - ...Medicare will allow you to submit G0101 in addition to an evaluation and management (E/M) service (e.g., 99213) if the E/M service is significant and separately identifiable from the G0101 service. An example would be if an established Medicare patient with chronic essential...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2003/1000/p16.html

Coding & Documentation - Oct 2006 -- FPM

Oct 1, 2006 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Sports Physicals: A Coding Conundrum In Support of Buprenorphine Deregulation Editor's Collections Coding & Documentation Related Topic Searches Time-based coding MOST RECENT ISSUE Nov-Dec 2020...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2006/1000/p29.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 - 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 - 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 & Documentation - Sep-Oct 2015 -- FPM

Oct 1, 2015 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Editor's Collections Medicare Medicare Annual Wellness Visits Coding & Documentation Related Topic Searches Medicare Time-based coding MOST RECENT ISSUE Nov-Dec 2020 Access the latest issue of...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2015/0900/p48.html

Coding and Documentation Made Easier -- FPM

Apr 1, 1998 - The author's physician-friendly tool can help you to code more confidently.

Family Practice Management : Articles

https://www.aafp.org/fpm/1998/0400/p19.html

Coding Better for Better Reimbursement -- Family Practice Management

...99212 and 99213. The CPT require- ments for these two codes are shown side by side on page 33. As you can see, the differ- ence between the two can be slight.If you don’t fully document the work you do in a visit, you’ll often end up coding 99212s for visits that are easily 99213s....

Family Practice Management

https://www.aafp.org/fpm/2003/0100/fpm20030100p29.pdf

Coding Better for Better Reimbursement -- FPM

Jan 1, 2003 - Your work is worth more than you think. You just need to document and code it better.

Family Practice Management : Articles

https://www.aafp.org/fpm/2003/0100/p29.html

Coding E/M visits by medical decision making -- FPM

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.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/medical_decision_making.html

Coding for Depression Without Getting Depressed -- FPM

Mar 1, 2004 - Here is what you need to know to code and be reimbursed for counseling and treating patients with depression.

Family Practice Management : Articles

https://www.aafp.org/fpm/2004/0300/p23.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.

https://www.aafp.org/family-physician/practice-and-career/getting-paid/coding/evaluation-management.html

Coding for Vaccine Administration

Find out the correct coding procedures for vaccine administration.

https://www.aafp.org/family-physician/practice-and-career/getting-paid/coding/vaccine-administration.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

Coding Level-IV Visits Without Fear -- Family Practice Management

...that level of charge. However, they end up undercoding to 99213 (level III) to be safe because they are unsure of the exact requirements and fear being audited. This is unfortunate because proper coding could potentially reap an extra $20,000 per year, assuming a physician’s daily...

Family Practice Management

https://www.aafp.org/fpm/2006/0200/fpm20060200p34.pdf

Coding Level-IV Visits Without Fear -- FPM

Feb 1, 2006 - Use this worksheet to quickly assess whether you can code a 99214.

Family Practice Management : Articles

https://www.aafp.org/fpm/2006/0200/p34.html

Coding office visits the easy way - based on time -- FPM

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.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/coding_office_visits_the_easy_way.html

Coronavirus (COVID-19): new telehealth rules and procedure codes for testing -- FPM

CMS has loosened restrictions on telehealth reimbursement for areas where the spread of the new coronavirus has been deemed an emergency.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/coronavirus_testing_telehealth.html

Countdown to the E/M Coding Changes

...Level 3 99213 20-29 minutes 99203 30-44 minutes Level 4 99214 30-39 minutes 99204 45-59 minutes Level 5 99215 40-54 minutes 99205 60-74 minutes 99XXX x 1 + 99215 55-69 minutes + 99205 75-89 minutes 99XXX x 2 + 99215 70-84 minutes + 99205 90-104 minutes 99XXX x 3 (or...

Family Practice Management

https://www.aafp.org/fpm/2020/0900/fpm20200900p29.pdf

Countdown to the E/M Coding Changes -- FPM Restricted content. Login required.

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

COVID-19-Town-Hall-QA-040120.pdf

...for the telephone services codes (99441-99443). Whether we will be able to achieve parity in payment with face-to-face services, such as 99213-99215, is unknown. In the meantime, we appreciate that CMS has begun to cover and pay for telephone services, thus aiding family physicians’...

https://www.aafp.org/dam/brand/aafp/news/2020-september/documents/COVID-19-Town-Hall-QA-040120.pdf

COVID-19-Town%20Hall-QA-041520.pdf

...Is Medicare also covering E/M codes 99213-99215 for audio-only services? No. Medicare currently requires real-time audio and video to report office/outpatient E/M codes, such as 99213-99215 as telehealth services. Is Medicare covering audio-only services for FQHC's?...

https://www.aafp.org/dam/brand/aafp/news/2020-september/documents/COVID-19-Town%20Hall-QA-041520.pdf

COVID-19-Town%20Hall-QA-042220.pdf

...What CPT code is used for a telephone visit? Is it 99213 or does that require video? Medicare covers telephone visits through Healthcare Common Procedure Coding System (HCPCS) code G2012 and CPT codes 99441-99443. Medicare requires audio-video for office visit E/M...

https://www.aafp.org/dam/brand/aafp/news/2020-september/documents/COVID-19-Town%20Hall-QA-042220.pdf

COVID-Town-Hall-032120.pdf

...Can the AAFP confirm that Medicare will pay codes 99213 and 99214 for telehealth visits? Yes, use Place of Service Code 02 (Telehealth). A full list of Medicare Telehealth Services is available here. We most likely will see those higher level of services with time base...

https://www.aafp.org/dam/brand/aafp/news/2020-september/documents/COVID-Town-Hall-032120.pdf

COVID-Town-Hall-032520.pdf

...Is code 99213 the correct billing code for a telemedicine visit? That is correct if you are using live video AND your billing documentation has the Place of Service code of 02. Is the AAFP doing anything to improve reimbursement for telemedicine visits? The AAFP is...

https://www.aafp.org/dam/brand/aafp/news/2020-september/documents/COVID-Town-Hall-032520.pdf

Dear Health Plan:

...this notion. If physicians consistently documented the services they provided, there would be a plateau in the bell curve between codes 99213 and 99214. (See King MS, Sharp L, Lipsky MS. Accuracy of CPT evaluation and management coding by family physicians. J Am Board Fam Pract....

Family Practice Management

https://www.aafp.org/fpm/2005/0600/fpm20050600p17-rt1.docx

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

Documentation Guidelines for Established Patient Visits

...99211 99212 99213 99214 99215 History CC N/A Required Required Required Required HPI N/A 1-3 elements 1-3 elements 4+ elements (or 3+ chronic diseases) 4+ elements (or 3+ chronic diseases) ROS N/A N/A Pertinent 2-9 systems 10+ systems PFSH N/A N/A N/A 1...

Family Practice Management

https://www.aafp.org/fpm/2003/1000/fpm20031000p31-rt1.pdf

Documenting History at a Glance

...99213 Expanded problem focused Expanded problem focused Low complexity 15 min. 99214 Detailed Detailed Moderate complexity 25 min. 99215 Comprehensive Comprehensive High complexity 40 min. 2 of 3 required New Patient Office Visit Code History Exam Medical...

Family Practice Management

https://www.aafp.org/fpm/2010/0300/fpm20100300p22-rt1.pdf

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

E-Prescribing codes for 2012 -- FPM

E-Prescribing codes for 2012

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/e_prescribing_codes_for_2012.html

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

Early Thoughts on the 2019 Fee Schedule

AAFP staff members are reviewing the 2019 Medicare physician fee schedule. In the latest In the Trenches post, Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin shares some initial reactions based on the Academy's early evaluation of the proposal.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20180731itt_feeschedule.html

Emotional Intelligence: Five Ways to Have Better Interactions and Improve Your Work Life

...Established Patient 99211 (see specific guidance on back page) 99212 (10-19 min.) 99213 (20-29 min.) 99214 (30-39 min.) 99215 (40-54 min.) 2021 GUIDELINES FOR CALCULATING TOTAL TIME Code selection using total time should be based on the total time spent in care of the patient on the...

Family Practice Management

https://www.aafp.org/fpm/2020/0900/fpm20200900p9.pdf

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.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/em_coding_proposed_changes.html

Example of the AAFP COVID-19 Related Loss Calcuator

...12 $ 304.48 99212 Established Patient E/M - Level 2 $ 50.81 $ 53.12 $ 46.19 $ 50.00 40 $ 2,001.41 40 $ 2,001.41 40 $ 2,001.41 40 $ 2,001.41 99213 Established Patient E/M - Level 3 $ 83.77 $ 87.57 $ 76.15 $ 80.00 122 $ 10,034.04 122 $ 10,034.04 122 $ 10,034.04 122 $ 10,034.04 99214...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/crisis/Example-AAFP-COVID-Calculator.pdf

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