Medicare Payments, Reimbursement, Billing Guidelines, Fees Schedules , Eligibility, Deductibles, Allowable, Procedure Codes , Phone Number, Denial, Address, Medicare Appeal, EOB, ICD, Appeal.
Medicare Guideline posts
- Home
- Finding Medicare fee schedule - HOw to Guide
- LCD and procedure to diagnosis lookup - How to Gui...
- Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline,
- Step by step Guide Medicare participation program
- Medicare Fee for Office Visit CPT Codes - CPT Code 99213, 99214, 99203
- Medicare revalidation process - how often provide need to do - FAQ
- Gastroenterology, Colonoscopy, Endoscopy Medicare CPT Code Fee
- Medicare claim address, phone numbers, payor id - revised list

Billing For Visits When Counseling/Education is the Reason for the Visit
The same code is used for a New Patient or an Established Patient.
99401 15 min.
99402 30 min.
99403 45 min.
99404 60 min.
These codes should be used for New Patients who do not present with a problem. The same codes are used for new and established patients. Generally the V codes for counseling are used.
Developmental Screening (Massachusetts Specific):
All children under the age of 21 are mandated to have a developmental screening at their physical. The codes used to report that is this has been done are divided by the type of provider that sees the patient, and if the child is in need to services or not. If factors are identified, and the child is already receiving service, they still found to be in need of services. The purpose of these codes is to identify how many children in the commonwealth need services. The codes to be used in community health centers are:
Physicians No need found 96110-U1
In need of services 96110-U2
Nurse Practitioners No need found 96110-U5
In need of services 96110-U6
Physician Assistants No need found 96110-U7
In need of services 96110-U8
Emergency Situations
When a patient is transferred to a hospital via ambulance, and the purpose is because the patient’s condition is serious and time is important, it should be reported as a 99215. The rational for the ambulance transfer must be documented. If you have unable to get a complete history and/or Review of Systems, it should be noted why you were unable to get this. This is not to be used in situations where transportation is needed for non-life-threatening situations.
Labels:
CPT / HCPCS
Subscribe to:
Post Comments (Atom)
Top Medicare billing tips
-
CPT CODE and Description CPT 99201 Office or other outpatient visit for the evaluation and management of a new patient, which requires thes...
-
Procedure code and description 11400- Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs; lesion d...
-
URIBEL- methenamine, sodium phosphate, monobasic, monohydrate, phenyls alicylate, methylene blue, and hyoscyamine sulfate capsule Uribel i...
-
This post has Most used J code list and we are constantly updating with example . If you are looking particular J code, use search button. ...
-
LAPAROSCOPY ; LAPAROSCOPIC SURGERY Procedures and Related CPT and ICD-9 Procedure Codes CPT Code CPT Description ICD -9 ...
-
Procedure code and description 93000 - Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report -average fee...
-
Procedure code and description 93224 - External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage;...
-
CPT CODES and Description 81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitr...
-
procedure code and description 11042 -Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 square cm ...
-
Procedure Codes and Definitions 36415 Collection of venous blood by venipuncture - Fee schedule amount $3.10 - Private insurance pay upt...

No comments:
Post a Comment