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CE Articles
Navigate modifier reporting for COVID-19 visits
Coders must apply modifiers to CPT® codes for select services rendered during the novel coronavirus (COVID-19) public health emergency to ensure that providers are paid in full for documented work. This article details reporting of telehealth modifiers -95, -G0, and -GQ, and emergency modifiers -CR and -CS.

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Hospitals get some clarity from CMS on billing telemedicine services, but more required
Recently published CMS guidance clarifies billing requirements for services rendered via telecommunications technology during the public health emergency. Valerie Rinkle, MPA, CHRI, breaks down the updated guidance as it applies to outpatient services provided at alternative care sites such as patient homes.
Boost training, revise forms, and ping vendors to avoid disruptions before E/M switchover
Coding managers: Take steps to effectively prepare staff for the transition to the new E/M guidelines, scheduled to take effect January 1. Review advice from coding experts on updating patient forms, medical record software, and rethinking your workflow to prepare staff for the changes to come.
Healthcare News: AMA releases new CPT code for COVID-19 antigen testing
The American Medical Association (AMA) recently announced a new CPT® code for reporting antigen testing performed on patients suspected of being infected with COVID-19. The new code is intended to improve reporting of antigen tests using an immunofluorescent or immunochromatographic technique for detection of COVID-19.
Q&A: CPT reporting of diagnostic x-ray services
Q: A child presents to the ED with a closed fracture of his left hand. The physician performs a two-view hand x-ray that shows a small fracture. The physician reduces the fracture and performs a one-view x-ray to ensure alignment. Which CPT codes and modifiers would be used to report the physician’s services?
 

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SelectCoder Tip of the Week

Conditions classifiable to ICD-10-CM code category N43.- (hydrocele and spermatocele) indicate cysts of fluid that develop near the head of the epididymis (spermatocele), or surrounding the testicle (hydrocele). They are often painless but may cause discomfort due to pressure on surrounding areas. When a hydrocele is reported as infected, assign code N43.1 (infected hydrocele) with an additional code for the causative organism, if known.

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Outpatient documentation and coding for behavioral health brings a set of unique challenges. Join expert speaker Stephanie Moore, CPC, CPMA, on July 16 for this 90-minute webinar during which she will provide an in-depth review of CPT coding for behavioral health.

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