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    Wiki modifier 25

    Has anyone had any issues with Medicare denying when utilizing modifier 25 on both the E/M visit and the ACP visit? MLN and CMS guidelines state to add it to both codes.
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    Wiki History of alcohol abuse

    How are you capturing history of alcohol abuse. The alpha for personal history of substance abuse NEC directs us back to F10-F19, Guidelines indicate we must have provider documentation to code in remission. Does this need queried to clarify if its current or in remission?
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    Wiki paraspinal abscess?

    what code would you capture a paraspinal abscess with?
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    Wiki periaortic abscess

    What is the code to utilize for periaortic abscess?
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    Wiki conditions documented as versus

    What is the appropriate approach to take when the MD documents two conditions utilizing the term versus. For example, patient has a mass documented, and the physician has indicated adenoma versus another type. I have always thought that was more of an uncertain diagnosis but questioning now due...
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    Wiki advanced care planning and modifier 25

    Do you append modifier to both codes when patient has advanced care planning? For example 99350 being coded along with 99497- would we append 25 to both of those CPT codes?
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    Wiki BWC W codes

    I am being asked to provide PT/OT "W" codes utilized by workers compensation for home health and hospice PT/OT visits. Would anyone be able to guide me on where to start looking for this?
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    Wiki Evaluation and Management time piece

    Can anyone clarify is there are any regulations as far as time when it comes to documentation. For example- the E&M guidelines for time indicate that it is "total time on the day of encounter", but we are often seeing clinicians finish up their documentation in the EMR as late as the next day or...
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    Wiki Risk of Complication and/or Morbidity or Mortality

    I am hoping for some input/clarification of a few things that I have learned. I am newer to E/M coding so trying to ensure my understanding. When it comes to High Risk for the following aspects- I took a recent education that to get into a high category for presenting problem with the below...
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    Wiki Documentation time on the day of visit

    Physician sees a patient on 4/17 however does not finish all of their documentation on the date of that encounter and adds documentation in 3 days later. Guidelines that that documenting clinical information in the medical record counts towards time on the date of the encounter. Does this mean...
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