Oct 7, 2016 | Medical billing basics
procedure code and description 99221 – Initial hospital care -average fee payment – $100 – $120 99221 : Inpatient hospital visits: Initial and subsequent initial hospital care, per day, for the evaluation and management of a patient, which...
Oct 6, 2016 | Medical billing basics
Implementation of New Influenza Virus Vaccine Code Billing for Influenza: New CPT Code 90674 The American Medical Association issued a new Current Procedural Terminology (CPT) code for influenza vaccine Flucelvax, CPT 90674, effective August 1, 2016 for Medicare...
Oct 4, 2016 | Medical billing basics
Institutional providers may submit a taxonomy code on claims they submit to Medicare. Medicare does not use the taxonomy code for matching a provider’s NPI to the appropriate legacy identifier. Medicare uses other claims data for this purpose. Medicare does not use...
Oct 3, 2016 | Medical billing basics
97799 Unlisted physical medicine/rehabilitation service or procedure: For all claims submitted for unlisted services or procedures, the following documentation must be submitted: * A description of the service or procedure; and, * A treatment plan including...
Oct 1, 2016 | Medical billing basics
97750 Physical Performance test or measurement (e.g., musculoskeletal, functional capacity), with written report, each 15 minutes: * This testing may be medically necessary for patients with neurological or musculoskeletal conditions when such tests are needed to...
Sep 30, 2016 | Medical billing basics
Procedure code and Description 97530 Therapeutic activities, direct one-on-one contact, each unit 15 mins PT, OT 3 Sometimes 97532 Cognitive skills development, each unit 15 mins PT, OT 3 Sometimes 97533 Sensory integration, each unit 15 mins PT, OT 4 Sometimes 97535...