Codapedia (TM) - The Free Encyclopedia for Medical Reimbursement
Join Our Community Here
It’s FREE!
Editor's Choice
Subsequent Observation Services

CPT® released three new E/M services in 2011, to be used for the second and subsequent days that a patient is in observation status in the hospital.  The codes are 99224--99226 and they are out of sequence in the CPT® book.  They require the same level of documentation as the three subsequent hospital visits. 99224 requires 2 of 3 of a problem focused interval history,  problem focused exam and straightforward or low medical decision making. The typical time is 15 min...

Read More

Right Heart Catherization & Endomyocardial Biopsy

This is new on the 2014 OIG workplan.  If you perform heart transplants in you institution you may want to review your policies and procedures.  Make sure that your procedures are accurately documented.  If you perform both procedures and use the -59 modifier your report should reflect the results from both procedures....

Read More

Yet another new auditor looking at Part B claims

Recovery Audit Contractors (RACs) may be about to take a break while CMS awards new contracts, but don’t rest on your laurels. CMS has handed out yet another auditor contract for a single auditor, known as a Supplemental Medical Review Contractor (SMRC) to do nationwide claims reviews for issues identified as being at risk for high dollar errors. For Part B providers, the biggest target the new auditor, Strategic Health Solutions of Omaha, Neb., has identified is E/M claims billed with ...

Read More

The mission of Codapedia™ is to build a community of volunteers (Codapedists) to create the world’s best and most comprehensive resource for coding and reimbursement for physician services.  Codapedia™ will be 100% free, with costs underwritten by advertising.


ICD-10 Session 1 - Make Ready Before Hand
Nancy Maguire
Tell tale clues that your scribe is in disguise
Betsy Nicoletti
Cloned documentation on OIG radar screen in 2014
Scott Kraft
ICD-10 Session 2 - How is ICD-10 Organized?
Nancy Maguire
ICD-10 Session 3 - Symbols, Conventions and The Ground Rules
Nancy Maguire

re: coding for Gardasil for a young male?
Wed, Jul/23/2014 03:47PM
re: coding for Gardasil for a young male?
by lheston740
Wed, Jul/23/2014 03:38PM
re: medicare coding
Wed, Jul/23/2014 01:25PM
medicare coding
by rfiore
Wed, Jul/23/2014 01:00PM
re: Dx codes 634.90 and 632
by CodapediaMsgBoard
Wed, Jul/23/2014 11:20AM
CPT® Question
by LAReynolds52
Wed, Jul/23/2014 10:21AM

About Codapedia |  Terms of Use |  Privacy Policy |  Management |  Advertise With Us |  Report Copyright Violation    Follow Us