Medical Coding Rights

Evaluation and Management 2021 Updates  The E&M 2021 changes primarily focused on the documentation and coding guidelines for office and outpatient visits (commonly referred to as E&M codes 99202-99215).  The main goals of these changes were to reduce administrative burden, simplify documentation, and recognize the value of cognitive work performed by healthcare professionals. Key aspects of the E&M 2021 changes included The Elimination of history and physical examination requirements as key components for code selection. The E&M guidelines now allow providers to choose the level of service based on either Medical Decision Making (MDM) or Total time spent on the encounter.  While the documentation of the history and physical examination is still important for patient care, it is not required to determine the appropriate code level but it should be documented in the medical records. A Revised guidelines for code selection based on medical decision-making (MDM. The MDM no

CPT Code Description: - 94760 - Noninvasive ear or pulse oximetry for oxygen saturation; single determination 94761 - Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (e.g., during exercise) The provider and or other qualified healthcare professional takes the oxygen  saturation using the a sensor on the ear or finger from the patients. To perform this service, the doctor places a sensor, such as one in the form of a clip, on the patient’s earlobe or fingertip. The sensor uses a light shining through the body part to measure the oxygen saturation, detecting the differences in the ways blood cells with and without oxygen reflect light.   The Oxygen saturation, is also called as O2 sat, and the percentage of hemoglobin carrying oxygen molecules.   Guidelines: - The CPT Codes ranges from 94010 to 94799 include laboratory procedure(s) and interpretation of test results. If a separate identifiable evaluation and management service is performed on the same day

The modifier 93 (Synchronous Telemedicine Service Rendered Via Telephone or Other Real-Time Interactive Audio-Only Telecommunications System). Modifier 93 is a new audio-only telemedicine code that is effective on Jan. 1, 2022. Modifier 93 describes services that are provided via telephone or other real-time interactive audio-only telecommunications systems. This modifier is appropriate only if the real-time interaction occurs between a physician/other qualified health care professional and a patient who is located at a distant site. When using this modifier 93, the communication during the audio-only service must be of an amount or nature that meets the same key components and/or requirements of face-to-face interaction. Addition of Appendix T This appendix is a listing of CPT codes that may be used for reporting audio-only services when appended with Modifier 93. Procedures on this list involve electronic communication using interactive telecommunications equipment that includes, at

Vaccine Name               CPT Code           Dosage                                                                 Age Range FluMist (LAIV4)         90672              0.2 mL (single-use nasal spray)              2 to 49 years Fluarix (IIV4)                     90686                0.5 mL (single-dose syringe)                          6 months & older FluLaval (IIV4)           90686                0.5 mL (single-dose syringe)                     6 months & older Flublok (RIV4)           90682                0.5 mL (single-dose syringe                          18 years & older Fluzone (IIV4)           90686                0.5 mL (single-dose syringe)                          6 months & older Fluzone (IIV4)           90686                0.5 mL (single-dose vial)                                    6 months & older Fluzone (IIV4)           90687                5.0 mL multi-dose vial (0.25 mL dose      6 to 35 months Fluzone

There are 1790 code changes in 2023 and including new, deleted, revised, and parent codes.   These 2023 ICD-10-CM codes are to be used from the effective date of services from October 1, 2022, through September 30, 2023.  Total changes - 1790 codes New Codes  - 1468 Additions Deleted Codes - 251 Deletions Revised Codes -  35 Revisions   Converted to Parent Code - 36 Codes NEW CODE EFFECTIVE FROM OCTOBER 1ST, 2022 TO SEPTEMBER 30, 2023 Code Description B37.31 Acute candidiasis of vulva and vagina B37.32 Chronic candidiasis of vulva and vagina D59.30 Hemolytic-uremic syndrome, unspecified D59.31 Infection-associated hemolytic-uremic syndrome D59.32 Hereditary hemolytic-uremic syndrome D59.39 Other hemolytic-uremic syndrome D68.00 Von Willebrand disease, unspecified D68.01 Von Willebrand disease, type 1 D68.02 Von Willebrand disease, type 2 D68.020 Von Willebrand disease, type 2A D68.021 Von Willebrand disease, type 2B D68.022 Von Willebrand disease, type 2M D68.