Coding

CPT® has provided numerous definitions to clarify terms in the current guidelines, such as “chronic illness with exacerbation, progression or side effects of treatment,” and “drug therapy requiring intensive monitoring for toxicity.”

What are the guidelines/rules for billing an E/M service based upon total time?

Proper Use of the 59 Modifier

What are the Proper Ways to Use the 25 Modifier?

How is one able to determine whether the Same or Similar Rule with respect to Ankle Foot Orthoses applies and how should it be addressed?

What is the Active Care Requirement regarding “At Risk, Routine Foot Care?

Minor Surgery: Any CPT code that has a Global Period of “0” or “10” days is classified as a Minor Surgical Procedure. Major Surgery: Any CPT code that has a Global Period of “90” days is classified as a Major Surgical Procedure.

Can an Unlicensed Individual Perform Nail Debridements Under the License of a DPM and Can the Service be Billed to Medicare?

What are the new rules that went into effect on January 1, 2022 for the removal of hardware? I am not sure whether to bill for the removal of an implant or for the removal of a foreign body. How do you distinguish between an implant and a foreign body?

I was discussing with my biller verruca follow-ups. Most of these are #15 blade debridements in the process of reducing the hyperkeratosis and verrucous tissue to allow topical medication to work. With most of these, as I am managing the attempted eradication of the wart, I bill a 99212 (I am a conservative biller). However, you hear colleagues (most of the time it’s not good) talking about using 17110 (Destruction of benign lesion. In its description it states surgical curettement and by destruction I would assume this means removal. So I don’t think 17110 is the appropriate code to bill. What are your thoughts? The other one is 11300, which is shaving benign lesions: Is this appropriate for verruca? I am thinking this is more shaves for biopsies. So, in the end, am I stuck using 99212 for verruca follow-ups such as I have described? Or is there another option?