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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

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.

Coding for Vaccine Administration

Find out the correct coding procedures for vaccine administration.

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

Coding Level 4 Office Visits Using the New E/M Guidelines

...99203 99213 Low Low • 2 or more self-limited or minor problems or • 1 stable chronic illness or • 1 acute, uncomplicated illness or injury Limited (Must meet the requirements of at least 1 of the 2 categories) Category 1: Tests and documents Any combination of 2 from the...

Family Practice Management

Coding Level 4 Office Visits Using the New E/M Guidelines -- FPM Restricted content. Login required.

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

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

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

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

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

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 99417 x 1 + 99215 55-69 minutes + 99205 75-89 minutes 99417 x 2 + 99215 70-84 minutes + 99205 90-104 minutes 99417 x 3 (or...

Family Practice Management

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


...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’...


...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?...


...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...


...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...


...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...

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

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

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

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

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

E-Prescribing codes for 2012 -- FPM

E-Prescribing codes for 2012

Family Practice Management : Getting Paid : FPM Home

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

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

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