by kkluglein | Jan 15, 2021 | Blog, Tips & Expertise
Q: Can we count resident’s time?A: No. Teaching physician rules haven’t changed. Resident time is not billable. Q: Do you need to document exactly how you spent your time with the patient, or just the total minutes?A: It is recommended to document total minutes plus...
by kkluglein | Jan 8, 2021 | Blog
In a discussion about spinal anatomy, one of my coworkers once said, “It’s not so much that the spinal column is three-dimensional, it’s more five-dimensional.” I think that is an apt description of the vertebral segments that stack one on top of the other to compose...
by kkluglein | Dec 21, 2020 | Blog, Tips & Expertise
Q: With the new code for lung core needle biopsy, which bundles imaging, how do we code for fine needle aspiration (FNA) performed in the same encounter when imaging is used for it? A: New code 32408 for core needle biopsy of the lung bundles all FNA codes....
by kkluglein | Dec 11, 2020 | Blog, Tips & Expertise
Q: Can I always just use G2212 if our organization follows only CMS guidelines? A: It will depend on whether or not the payer accepts the G2212. HCG would advise to write an internal policy for coders to follow for coding of prolonged services using codes 99417 vs....
by kkluglein | Nov 21, 2020 | Blog, Tips & Expertise
Q: When is code I12.9 used? I thought that was for hypertension with CKD without CHF? A: Code I12.9 is for hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease. This code is used when the...