Standard ICD-9-CM Coding Conventions

Standard ICD-9-CM Coding Conventions

Each space, typeface, indentation, and punctuation mark determines how you must interpret ICD-9-CM codes. These conventions were developed to help match correct codes to the diagnoses you encounter. Standard ICD-9-CM NOS medical coding conventions affect:1. Terms and Instructions2. Instructional Notes3. ICD-9-CM Notes I. Terms and Instructions SeeSee directs coder to a more specific index term…

Florida Medicaid reimbursement for Adult Health Screening Services

Florida Medicaid reimbursement for Adult Health Screening Services

Medicaid reimburses adult health screening services for recipients age 21 and older with the following procedure codes: • 99385 for new patient screenings age 21-39;• 99386 for new patient screenings age 40-64;• 99387 for new patient screenings age 65 years and older;• 99395 for established patient screenings age 21-39;• 99396 for established patient screenings age…

Updated New CPT Codes For 2011

Updated New CPT Codes For 2011

Evaluation and Management – 3 New CPT Codes 2011 CPT 99224 – Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: Problem focused interval history Problem focused examination Medical decision making that is straightforward or of low complexity. Counseling and/or coordination…

New modifiers and its usage

New modifiers and its usage

Modifier AY: Item/service not for ESRD treatmentCertain laboratory services and limited drugs and supplies will be subject to Part B consolidated billing and will no longer be separately payable when provided for ESRD beneficiaries by providers other than the renal dialysis facility. Should these lab services, and limited drugs be provided to a beneficiary, but…

Florida BCBS bundling edits

Florida BCBS bundling edits

BCBSF uses the following code-editing logic; please note that this is a listing of all customized edits from the standard recommended code editing logic. This does not represent a complete list of all procedure code edits. For more information please visit bcbsfl.com Code 76376 will not be separately reimbursed when submitted with the following: 70450 70460…

MEDICAL TERMS

MEDICAL TERMS

Medical Terms that are commonly found in patient medical recordsAnterior: Situated on the front surface of the body; ventral.Bilateral: On both sides, having two sides.Caudal: Denoting the lower half of the body; inferior.Contraction: A shortening and/or tensioning of muscle tissue.Coronal: Pertaining to an imaginary longitudinal plane at right angle to the medial plane and dividing…

Florida Medicaid non-covered services and procedures – a quick review

Florida Medicaid non-covered services and procedures – a quick review

Service Exclusions from Florida Physician Services Coverage and Limitations Handbook *Medicaid does not reimburse for immunization services for recipients who are 21 years of age and older. *Medicaid does not reimburse providers for venipuncture, collection, handling or transportation of specimens. This is considered part of the global fee for the service. Medicaid does not reimburse…