Psychotherapy Treatment CPT CODES LIST
CPT Description90899 Unlisted psychiatric service. This code was previously, Individual Psychiatric Therapy.Note: This is an interim code to be used by schools to be able to bill for psychotherapy...
View ArticlePayment Guide for CPT CODE 52005, 52234, AND 52240
Urinary and Male Genital Systems (Codes 50010 - 55899)A. Cystourethroscopy With Ureteral Catheterization (Code 52005)Code 52005 has a zero in the bilateral field (payment adjustment for bilateral...
View ArticleHow to Bill Hospital Visit and Critical Care on Same Day
When a hospital inpatient or office/outpatient evaluation and management service (E/M) are furnished on a calendar date at which time the patient does not require critical care and the patient...
View ArticleHow to bill Hospital Visits Same Day But by Different Physicians
In a hospital inpatient situation involving one physician covering for another, if physician A sees the patient in the morning and physician B, who is covering for A, sees the same patient in the...
View ArticleResidential Habilitation and Respite Care CPT codes
HCPCS Modifier Description H2011 Community Crisis Supports (1 unit = 15 min)H2015 Comprehensive Community Support Services; per 15 minutes(24-hour/day unavailable under hourly services) for...
View ArticlePayment guide for CPT 99324, 99334 - 99337
Home Care and Domiciliary Care VisitsPhysician Visits to Patients Residing in Various Places of ServiceThe American Medical Association’s Current Procedural Terminology (CPT) 2006 new patient codes...
View ArticleProvider Enrollment fee - who has to pay?
Who must pay an application fee? Institutional/facility-type providers newly enrolling in Medicaid or those adding a service location are required to pay...
View ArticlePayment policy for Home Services (Codes 99341 - 99350)
A. Requirement for Physician PresenceHome services codes 99341-99350 are paid when they are billed to report evaluation and management services provided in a private residence. A home visit cannot be...
View ArticleCPT CODE 99354, 99355, 99356, 99357 - Things to consider before billing
Prolonged Services With Direct Face-to-Face Patient Contact ServiceA. DefinitionProlonged physician services (CPT code 99354) in the office or other outpatient setting with direct face-to-face patient...
View ArticleBilling tips for CPT CODE T1015
Clinic/Center-Federally Qualified Health Center (FQHC)Bill the encounter using procedure code T1015 with the appropriate rate on the first detail line. Providers are required to list all the CPT/HCPCS...
View ArticleThreshold Times for Codes 99354 and 99355
(Office or Other Outpatient Setting)If the total direct face-to-face time equals or exceeds the threshold time for code 99354, but is less than the threshold time for code 99355, the physician should...
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Top 40 Ideas to Improve Medical billing collection - Practice revenue
Many Medial billing company struggles or failed to increase the revenue of Practice or Hospital. Here we have listed top ideas can implement which really increase the revenue of provider , practice or...
View ArticlePregnant Women Clinic cpt code list
CPT/HCPCS Description81025 Urine pregnancy test, by visual color comparison methodsG9001 Coordinated care fee, initial rateG9005 Coordinated care fee, risk adjusted maintenanceJ9261 Injection,...
View ArticleAdmin code policy for Chemotherapy
GeneralCodes for Chemotherapy administration and nonchemotherapy injections and infusions include the following three categories of codes in the American Medical Association’s Current Procedural...
View ArticleAdmin CPT code policy - Therapeutic, prophylactic, and diagnostic injections...
A therapeutic, prophylactic, or diagnostic IV infusion or injection, other than hydration, is for the administration of substances/drugs. The fluid used to administer the drug (s) is incidental...
View ArticleThreshold Times for Codes 99356 and 99357
(Inpatient Setting) If the total direct face-to-face time equals or exceeds the threshold time for code 99356, but is less than the threshold time for code 99357, the physician should bill the visit...
View ArticleCoding Rules for Chemotherapy Administration and Nonchemotherapy Injections...
Instruct physicians to follow the CPT coding instructions to report chemotherapy administration and nonchemotherapy injections and infusion services with the exception listed in subsection C for CPT...
View Articlegynaecologist CPT code list
HCPCS Description Place of Service 36415 Routine venipuncture for collection of specimen(s) 11 – Office, 12 – Home36416 Collection of capillary blood specimen 11 – Office, 12 – Home59400 Vaginal...
View ArticleChemotherapy Administration and Evaluation and Management Services Furnished...
For services furnished on or after January 1, 2004, do not allow payment for CPT code 99211, with or without modifier 25, if it is billed with a nonchemotherapy drug infusion code or a chemotherapy...
View ArticleMedicare Coverage Related to Investigational Device Exemption (IDE)
Requesting CoverageInterested parties with Food and Drug Administration (FDA) approval letters dated January 1, 2015 or later for IDE Category A or Category B studies that are seeking Medicare coverage...
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