Sep 12, 2016 | Medical billing basics
CPT CODE AND Description 99391 – Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the...
Aug 17, 2016 | Medical billing basics
Examples of Billable Prolonged Services EXAMPLE 1 A physician performed a visit that met the definition of an office visit code 99213 and the total duration of the direct face-to-face services (including the visit) was 65 minutes. The physician bills code 99213 and...
Aug 8, 2016 | Medical billing basics
HCPCS Description Place of Service 36415 Routine venipuncture for collection of specimen(s) 11 – Office, 12 – Home 36416 Collection of capillary blood specimen 11 – Office, 12 – Home 59400 Vaginal delivery w/7 or more antepartum & postpartum 11 – Office, 12...
Jul 24, 2016 | Medical billing basics
(Office or Other Outpatient Setting) If the total direct face-to-face time equals or exceeds the threshold time for code 99354, but is less than the threshold time for code 99355, the physician should bill the evaluation and management visit code and code 99354....
Jul 19, 2016 | Medical billing basics
Prolonged Services With Direct Face-to-Face Patient Contact Service A. Definition Prolonged physician services (CPT code 99354) in the office or other outpatient setting with direct face-to-face patient contact which require 1 hour beyond the usual service are payable...
