Coding Corner Answer: September's Coding Challenge

CPT Code: 99221

Diagnosis: 714.0

Detailed history:

Brief history of present illness—location, modifying factor, severity, and quality.
Problem-pertinent review of systems—musculoskeletal.
Past family and social history was not documented.
Detailed examination:
Five systems—constitutional, respiratory, cardiovascular, gastrointestinal, and musculoskeletal.
Straightforward decision making:
Rheumatoid arthritis was stable.
Recovering from surgical procedure.

A guide to ensure proper coding, billing and accurately diagnose patients.

After 25 years, the American Medical Association (AMA) Current Procedural Terminology (CPT) office and outpatient evaluation and management (E/M) codes received a major overhaul. These changes, which went into effect Jan. 1, will help reduce administrative burden on providers and roll back some of the rigid requirements for E/M coding by simplifying the code selection…

The ICD-10 page on the Centers for Medicare & Medicaid Services (CMS) website features a countdown clock that shows the time left until Oct. 1, 2015, the date on which compliance with the new code set becomes mandatory. By the time this issue goes to press, the clock will read 90 or fewer days. Time…

The American Medical Association consists of two key groups: 1) the Relative Value Scale Update Committee (RUC), which oversees the annual updates to the physician work relative values, and 2) the Current Procedural Terminology (CPT) Editorial Panel, which assigns new or revised codes in the CPT book. The CPT Process Current Procedural Terminology (CPT) was…

Coding Corner Answer: September’s Coding Challenge

Steps to Help Rheumatologists Achieve Office Compliance in Laboratory Coding

A New Era of Coding Evaluation & Management Services

Prepare NOW for ICD-10 Medical Coding Transition

How to Decipher the American Medical Association’s Billing, Coding Processes

Related Articles