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Billing And Coding

The new year has brought a significant change for the CPT® 28820 and 28825 global periods.

The American Medical Association recently released a new CPT® code, which accounts for additional practice expenses incurred during the COVID-19 public health emergency (PHE). The intention of this code is to represent additional supplies and…

Most routine foot care coverage policies provide a list of qualifying systemic diagnoses. An asterisk accompanies some of the diagnoses on those lists. The asterisk indicates that the patient needs to have seen the provider who is treating or in…

Evaluation and management (E/M) codes are commonly reported codes in the Current Procedural Terminology (CPT) manual. It is likely that most clinicians currently use the 1995 or 1997 documentation guidelines that contain many rules or measures…

Are “observation” patients inpatients?

No. Medicare considers observation services to be outpatient services.1 Even though this is counterintuitive, we cannot assume that a patient who is in a hospital bed is in fact “admitted” to the…

By Anthony Poggio, DPM

With the ongoing increase in available wound care products and services, this author discusses how to approach coding for these complex cases. 

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