Find-A-Code Users Conference

Coding articles, advice and answers.

Codapedia provides in-depth documentation, coding and billing information to ensure medical professionals are fairly paid and reimbursed for services.


See what's new since your last visit.

Latest articles

How to Combat COVID-Related Risk Adjustment Losses with the Medicare Annual Wellness Exam
April 12th, 2021 - Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content
Identifying new ways to encourage Medicare beneficiaries to schedule and attend their Annual Wellness Exam (AWE) can be difficult, but the Open Enrollment period is a prime time for every payer to identify new beneficiaries and provide a reminder to both new and existing patients that this preventive service does ...
Failure to Follow Payer’s Clinical Staff Rules Costs Provider $273K
April 12th, 2021 - Wyn Staheli, Director of Research
Clinical staff (e.g., LPN, RN, MA) provide essential services which allow providers to leverage their time and improve reimbursement opportunities and run their practices more efficiently. There is, however, an ongoing question of how to appropriately bill for clinical staff time. This is really a complex question which comes down to code descriptions, federal or state licensure, AND payer policies. Failure to understand licensing and payer policies led a Connecticut provider organization down a path that ended in a $273,000 settlement with both federal and state governments.
Properly Reporting Imaging Overreads (Including X-Rays)
April 8th, 2021 - Aimee Wilcox CPMA, CCS-P, CST, MA, MT and Wyn Staheli, Director of Content Research
hile many provider groups offer some imaging services in their offices, others may rely on external imaging centers. When the provider reviews images performed by an external source (e.g., independent imaging center), that is typically referred to as an overread or a re-read. Properly reporting that work depends on a variety of factors as discussed in this article.
How Social Determinants of Health (SDOH) Data Enhances Risk Adjustment
March 31st, 2021 - Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content
The role of SDOH in overall patient care and outcomes has become a more common topic of discussion among healthcare providers, payers, and policymakers alike. All are attempting to identify and collect SDOH and correlate the data to patient management which is increasingly seen as necessary to address certain health disparities and identify exactly how SDOH affects patient health outcomes. Learn how to address this important subject.
Understanding Skin Biopsy Codes
March 23rd, 2021 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
A biopsy is a procedure to obtain only a portion of a lesion for a pathologic exam. According to the AMA, "The use of a biopsy procedure code (e.g., 11102, 11103) indicates that the procedure to obtain tissue for pathologic examination was performed independently, or was unrelated or distinct from other ...

Editors choice articles

COVID-19 Vaccines
March 10th, 2021 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
Not Following the Rules Costs Chiropractor $5 Million
September 1st, 2020 - Wyn Staheli, Director of Research
Is COVID-19 Causing Risk Adjustment “Gotcha’s”?
August 27th, 2020 - Wyn Staheli, Director of Research
To do a complete exam - you must include the following:
August 26th, 2020 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
Health Care Fraud - Don’t Do It!
July 31st, 2017 - Chris Woolstenhulme, CPC, CMRS

Latest questions/posts

Hello Everyone
1st    Apr 9th, 2021 - evopryseo 3 

chiropractic body region question
1st    Mar 15th, 2021 - GregoryH

biopsy of a perianal lesion/malignancy.
1st    Mar 10th, 2021 - btalley

Cardiothoracic Coders
   Feb 8th, 2021 - rdinaso    12  1 

water massage table
1st    Jan 27th, 2021 - KayC

Code G8730 rejection
1st    Jan 20th, 2021 - LEEs

Combination Codes
1st    Jan 7th, 2021 - BeckyR

Insurance Rejections For Medical Necessity - Can 2nd insurance be billed?
   Dec 29th, 2020 - sharris

If you know a procedure will be denied as cosmetic can an E/M be charged instead?
   Dec 1st, 2020 - sschwartz 4 

Elongated Toenails
   Nov 23rd, 2020 - sharris

Does National CPT Tracking exist?
1st    Nov 12th, 2020 - ShawnV

Bought out an Existing Practice
1st    Nov 5th, 2020 - SBerg

Nail Debridement vs Nail Trimming
   Nov 5th, 2020 - sharris

AT modifier use for spinal manipulation services
   Nov 2nd, 2020 - JBrooks 1 

GA modifier
1st    Sep 30th, 2020 - ACC

97110, 97530, 97012
1st    Sep 24th, 2020 - ChiroCasey

Manipulation Therapy & Habilitative/Rehabilitative Services
1st    Sep 22nd, 2020 - Coding&Thriving

99204
1st    Sep 18th, 2020 - smattiko

G-Codes
1st    Sep 8th, 2020 - MKramer

posterlateral fusion with inpatient stay
1st    Sep 4th, 2020 - Rambis

G0481
   Sep 3rd, 2020 - EXECD

Two modifiers
1st    Aug 21st, 2020 - sunshine1991

peer to peer
   Aug 13th, 2020 - trixiecane   

Open Thoracotomy
   Jul 13th, 2020 - rhblevins

99201, 99211 coding
1st    Jul 8th, 2020 - Coder132 1 

cpt 77002 professional componet with cpt 20610, who charges?
   Jul 2nd, 2020 - sschwartz 4 

ICD 10 code for displacement of cholecystostomy tube
   May 15th, 2020 - Susan

ICD 10 PCS code need for repair of skin of left elbow
1st    May 15th, 2020 - Susan

Cigna R24 Omnibus Reimbursement Policy - EXCEEDS LIMIT
1st    Apr 21st, 2020 - keith

covid 19
   Apr 2nd, 2020 - anitac


Leaderboard

New Codapediasts

Apr 21st, 2021:  Khalialah
Apr 21st, 2021:  AArrieta
Apr 20th, 2021:  CamilleAnn
Apr 20th, 2021:  mtibbs
Apr 14th, 2021:  RoMrko 1 

New Profiles

Jan 13th, 2021:  KaybaCarr   
Aug 5th, 2020:  Dawnn    1 
Feb 13th, 2020:  dleone18   
Feb 8th, 2020:  sbaxter15   
Feb 4th, 2020:  fortuneholidays  

Forum Posts (past year)

29:  ChrisW   195  1 
3:  evopryseo 3 
2:  SydneyMohr 2 
1:  sschwartz 4 
1:  HowieFromJersey 1 

Forum Posts (all time)

rphelps 615  1 
jschmutz   323 
youngblood 278 
LBAROGIANIS 250 
petunia 195 

Article Comments (past year)

1:  Trish Mordacq 1 
1:  NCS777@GMAIL.COM 1 



Article Comments (all time)

Kris 1 
MLRowe    1 
DrJ 1 
Mimi6 1 
rphelps 615  1 

The Leaderboard is updated every 10 minutes.



Sponsored by:  Find-A-Code logo


Codapedia's Sister Sites

ICD-10-CM, CPT, HCPCS Codes Online - FindACode.com
HCC Coding and Risk Adjustment - HCCCoder.com
Chiropractic Coding - ChiroCode.com
Medical Coding Books and Cards - innoviHealth.com

Home About Contact Terms Privacy

innoviHealth® - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain)

Copyright © 2000-2021 innoviHealth Systems®, Inc. - CPT® copyright American Medical Association