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01/24/2022
Question: Do the new rules for coding office visits also apply to telehealth hospital inpatient or observation visits during the public health emergency (PHE)? I thought I read that CMS created a waiver for E/M visits in 2020.
01/24/2022
Question: Will 2022 CPT codes 94625 (Professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring [per session]) and 94626 ( É ; with continuous oximetry monitoring [per session]) have the same reporting requirements as HCPCS code G0424 (Pulmonary rehabilitation, including exercise [includes monitoring], one hour, per session, up to two sessions per day)?
12/20/2021
Question: Are medical conditions due to substance use, abuse and dependence reported using ICD-10-CM codes for substance-induced disorders?
12/13/2021
Question: I work in a physician practice and sometimes I discuss my medical issues informally with one of our doctors. He seems game, but I don’t want to get him (or us!) in trouble. Should I offer to have a formal medical visit with him instead?
11/08/2021
Question: We have had some patients calling for an appointment to “get a COVID vaccine exemption.” They seem to have jobs that mandate their vaccination. Do we need to tell our doctors anything? Should we prepare some kind of form?
10/25/2021
Question: I‘ve heard that, rather than waiting for a denial on a claim so I can request a formal appeal, I can ask to have my claim changed after I’ve submitted it to the Medicare administrative contractor (MAC). I’ve heard this variously called a “reopening” and a “resubmission.” My question is, how do I do it?
10/25/2021
Question: A wound care patient with a 25-sq-cm chronic foot ulcer presents with a new cellulitic rash, which is treated using topical medication. During the visit, the physician also surgically removes dead tissue from the ulcer. How would these services be reported in CPT?
10/11/2021
Question: We have an adult patient who is covered by her parents’ insurance. She is scheduled for a service but she said she’ll pay for it herself and we can’t bill insurance. According to the patient, this comes from HIPAA but we aren’t familiar with that part of the rule. Is there any official guidance about it?
10/11/2021
Question: Our M.D. performed surgery on a patient, finished the procedure and left the OR. The patient decompensated. Immediately, the M.D. was brought back into the OR to fix the problem, which he did. The patient did not leave the OR between the two procedures. Is this a case for modifier 78 (Unplanned return to the operating room by the same physician fol lowing initial procedure for a related procedure during the postoperative period)?
10/04/2021
Question: The 2022 ICD-10-CM code set includes a new code, U09.9 (Post-COVID-19 condition, unspecified), for post-COVID-19 conditions. When would it be appropriate to report this code?

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