Practice Management
Neoplasm of uncertain behavior of skin, ICD code D48.5 The AAFP 2019 had the following pertinent Q&A “CODING FOR REMOVAL OF SKIN LESIONS: BIOPSY OR NO? Q: My patient had a lesion that was irritated by her waistband. I used a shave technique to remove the...
Practice Management
Using Modifier 25 A preventive visit is as the name says, for prevention, not for treatment or acute or chronic conditions. When you treat an acute or chronic condition you may need to bill a CPT code 99212-99215 in addition to the preventive medicine service CPT...
Practice Management
Number of Diagnoses and/or Management Options “Here are some important points to keep in mind when documenting the number of diagnoses or management options. You should document: 1) An assessment, clinical impression, or diagnosis for each encounter, which may...
Practice Management
Coding Benchmarks from CMS 2017 data. The source of the data is shown below. The following table is a summary of info I got from an AFP Excel Spreadsheet. CPT Code % 99201 OV, New, Straightforward 0.57% 99202 OV, New, Expanded 12.01% 99203 OV, New, Low 50.17% 99204...
Practice Management
High Risk From AAFP 2014 “High risk is associated with high complexity medical decision-making. High risk could be associated with visits involving patients who have severe exacerbations of their problems or acute injuries that pose a threat to bodily functions....
Practice Management
See a PDF version of the Table of Risk from the CMS. The MDM table of risk takes into account the risk of complications, morbidity, and mortality based on the patient’s condition. Use the highest level of risk based on ONE element from ANY of the categories...
