JDACPC's latest activity

  • J
    JDACPC replied to the thread Question 2 visits on one day--what modifiers should be used in physician's office?.
    No modifier is appropriate in this situation. You would combine the notes and submit one code for either total MDM or total time. Here are some recent articles with better explanations...
  • J
    JDACPC posted the thread Wiki 25 mod and MDM in E/M.
    Pt visit + minor procedure, visit meets 25 modifier rules: Can we use the decision for that minor procedure in the MDM/risk for the office visit? A few of us have not been able to find authoritative guidance as to yay or nay. CMS says the...
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  • J
    JDACPC replied to the thread Wiki Chief complaint.
    Yes. https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnproducts/downloads/eval-mgmt-serv-guide-icn006764.pdf
  • J
    JDACPC replied to the thread Wiki IV Contrast and High Risk.
    If you're not already familiar with the American College of Emergency Physicians (ACEP), they are a great resource! And they have great conferences, worth every penny! :D Here is a link to their FAQs which covers your question but you may...
  • J
    JDACPC posted the thread Wiki Copy & paste MDM in E/M.
    I have a new cardiology provider documenting on EVERY note "No need for SBE prophylaxis. No Cardiac medications recommended. No activity restrictions." I understand each note needs to stand alone, so maybe it would be relevant in some cases, but...
  • J
    JDACPC replied to the thread Wiki critical care code 99219 question.
    Yes, clinics included. Critical care is not an "in-patient only" code, can be billed at any location.
  • J
    JDACPC replied to the thread Wiki critical care code 99219 question.
    99291 - Critical care, first 30-74 minutes, per CPT code range notes: 30 minutes or more direct care provided by physician or other qualified health care professional to critically ill or injured patient, any location
  • J
    JDACPC posted the thread Wiki Pediatric Cardiac Rehab in Pediatrics.
    We're looking into starting Pediatric Cardiac Rehab services. I understand the documentation and billing, but I researched some of our major carriers polices and only one mentioned Pediatrics, stating coverage would be decided "on a case-by-case...
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