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99213

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Answers to Your Questions on Solo, Idealized Practice -- FPM

May 1, 2002 - How does a solo doc with no support staff manage his referrals, order his supplies and give immunizations? Gordon Moore, MD, answers those questions and more.

Family Practice Management : Articles

https://www.aafp.org/fpm/2002/0500/p39.html

Are You Coding Accurately? -- FPM

Jun 1, 2004 - This article provides readers with step-by-step instructions for checking their E/M coding distribution with national guidelines established in the Centers for Medicare and Medicaid Family Practice Profile.

Family Practice Management : Articles

https://www.aafp.org/fpm/2004/0600/p20.html

Are You Prepared to Defend Your Coding? -- FPM

Jun 1, 2005 - The authors offer readers an action plan to use in reacting/responding to payers' accusations of incorrect coding.

Family Practice Management : Articles

https://www.aafp.org/fpm/2005/0600/p17.html

Are Your Payers' Fee Schedules Fair? -- FPM

Apr 1, 2007 - If they use multiple conversion factors when determining what they'll pay, you may be at an even greater disadvantage than you realized.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2007/0400/p13.html

Ask FPM - Mar 2000 -- FPM

Mar 1, 2000 - ...by Medicare and many other third-party payers to determine physician reimbursement, a level-III established patient office visit (i.e., code 99213) has a total of 1.29 RVUs assigned to it. Under RBRVS, a code's total RVUs is the sum of three components: work RVUs, practice-expense...

Family Practice Management : Q&As

https://www.aafp.org/fpm/2000/0300/p60.html

Breaking Even on Four Visits Per Day -- FPM

Jun 1, 2007 - Spurning health plan contracts enabled this practice to dramatically reduce overhead and fees while improving access for the uninsured.

Family Practice Management : Articles

https://www.aafp.org/fpm/2007/0600/p19.html

Changes Proposed for the E/M Documentation Guidelines -- FPM

Jun 1, 1998 - The article reports on the results of the recently announced delay in implementation of the Medicare E/M documentation guidelines and summarizes possible changes in the content of the guidelines.

Family Practice Management : Articles

https://www.aafp.org/fpm/1998/0600/p14.html

Chart Audit: Is Your Practice Billing What It Should? -- FPM

Apr 1, 2009 - A simple review may save your practice loads of money.

Family Practice Management : Articles

https://www.aafp.org/fpm/2009/0300/p15.html

Charting Then and Now -- FPM

Feb 1, 2009 - Chart notes used to be primarily for doctors, but oh how times have changed.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2009/0100/p40.html

Claims #236 NQF #0018: Controlling High Blood Pressure

2017 Individual Measures

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/payment/controlling-high-blood-pressure-claims.pdf

Coding -- FPM Topic Collection

Jul 23, 2010 - This article collection features popular FPM content on the subject of coding -- from getting all the 99214s you deserve to differentiating between new and established patient visits. This article collection features popular FPM content on the subject of coding -- from getting all the ...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=49

Coding "Routine" Office visits: 99213 or 99214? -- Family Practice Management

...d ata show that family physicians choose 99213 for about 61 percent of visits with established Medicare patients and choose 99214 only about 23 percent of the time for the same type of visit.1 So 99213 must be the correct code to use for a routine visit, right? Not necessarily. Many...

Family Practice Management

https://www.aafp.org/fpm/2005/0900/p52.pdf

Coding "Routine" Office Visits: 99213 or 99214? -- FPM

Sep 1, 2005 - Before choosing 99213 for routine visits, consider whether your work qualifies for a 99214.

Family Practice Management : Articles

https://www.aafp.org/fpm/2005/0900/p52.html

Coding & Documentation - Apr 1999 -- FPM

Apr 1, 1999 - ...Can I code 99455 for a work-related or medical disability evaluation as well as a regular office-visit code (such as 99213) for the same encounter, if it's appropriate? A Yes. Code 99455 is one of three used to report evaluations required for life or disability insurance...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/1999/0400/p12.html

Coding & Documentation - Apr 2003 -- FPM

Apr 1, 2003 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum New Medicare Payment Opportunities Editor's Collections Coding Coding & Documentation Related Topic Searches CPT: Hospital admission and discharge codes CPT: Hospital inpatient codes MOST RECENT...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2003/0400/p26.html

Coding & Documentation - Apr 2007 -- FPM

Apr 1, 2007 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Thinking on Paper: Documenting Decision Making Coding Changes for Family Medicine in 2018 Editor's Collections Coding Coding & Documentation Related Topic Searches CPT: Evaluation and management codes...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2007/0400/p24.html

Coding & Documentation - Feb 1999 -- FPM

Feb 1, 1999 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Do You Know What Is (or Isn't) in Your Documentation? Skin Deep: How to Properly Code for Biopsies and Lesion Removal Editor's Collections Coding Coding & Documentation Related Topic Searches CPT:...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/1999/0200/p24.html

Coding & Documentation - Feb 2001 -- FPM

Feb 1, 2001 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Coding Flu Shots: Immunize Against Lost Revenue Coding Changes for Family Medicine in 2018 Editor's Collections Coding Coding & Documentation Related Topic Searches CPT: Immunization codes CPT:...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2001/0200/p14.html

Coding & Documentation - Feb 2003 -- FPM

Feb 1, 2003 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Understanding When to Use Modifier -25 Getting Paid for Screening and Assessment Services Editor's Collections Documentation Guidelines Chronic Disease Care Coding & Documentation Related Topic Searches...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2003/0200/p23.html

Coding & Documentation - Feb 2006 -- FPM

Feb 1, 2006 - ...for a separately identifiable service on the same date as an E/M service, the modifier −25 should be appended to the E/M code (for instance, 99213-25.) Payers may choose to bundle code 99173 with the E/M service despite the correct modifier usage. You should check with your payer to...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2006/0200/p30.html

Coding & Documentation - Jan 2001 -- FPM

Jan 1, 2001 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Vaccine Administration: Making the Process More Efficient in Your Practice Coding Changes for Family Medicine in 2018 Editor's Collections Preventive Care Coding Medicare Annual Wellness Visits Coding &...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2001/0100/p23.html

Coding & Documentation - Jan 2008 -- FPM

Jan 1, 2008 - ...The most current Medicare utilization data for family medicine indicates that 58 percent of established patient office visits were coded 99213 and 28 percent were coded 99214. Forty-three percent of new patient visits were coded 99203 and 27 percent were coded 99204. This data is...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2008/0100/p43.html

Coding & Documentation - Jan-Feb 2009 -- FPM

Feb 1, 2009 - ...a patient comes in for a sinus infection and I administer an injection of Celestone for the sinus infection, can 90772 be billed along with 99213? What if the sinus infection was the primary focus of the visit but I administer a B12 shot for anemia? A You can report both codes as...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2009/0100/p30.html

Coding & Documentation - Jan-Feb 2013 -- FPM

Feb 1, 2013 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Getting Paid for Screening and Assessment Services How to Code for Observation Services Editor's Collections Documentation Guidelines Coding & Documentation Related Topic Searches Documentation,...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2013/0100/p33.html

Coding & Documentation - Jan-Feb 2015 -- FPM

Feb 1, 2015 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Is Your Diagnosis Coding Ready for Risk Adjustment? CPT Update for 2014 Editor's Collections Coding Coding & Documentation Related Topic Searches CPT: Evaluation and management codes MOST RECENT...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2015/0100/p32.html

Coding & Documentation - Jan-Feb 2016 -- FPM

Feb 1, 2016 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum A Refresher on Medical Necessity Skin Deep: How to Properly Code for Biopsies and Lesion Removal Editor's Collections Coding & Documentation Related Topic Searches Time-based coding MOST RECENT ISSUE...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2016/0100/p34.html

Coding & Documentation - Jul 1999 -- FPM

Aug 1, 1999 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum A Multiple-Service Rule for E/M Services Time Is of the Essence: Coding on the Basis of Time for Physician Services Editor's Collections Coding Coding & Documentation Related Topic Searches CPT:...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/1999/0700/p12.html

Coding & Documentation - Jul 2001 -- FPM

Aug 1, 2001 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Six Payment Opportunities You May Have Overlooked Coding Better for Better Reimbursement Editor's Collections Coding ICD-10 Coding Coding & Documentation Related Topic Searches CPT: Office visit...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2001/0700/p16.html

Coding & Documentation - Jul 2006 -- FPM

Aug 1, 2006 - ...and give referrals when appropriate. We also plan to write individual progress notes for each patient. Would it be appropriate to bill 99213 or 99214, along with 99499, Unlisted evaluation and management (E/M) service, if our documentation meets the criteria for these codes? A At...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2006/0700/p25.html

Coding & Documentation - Jul 2007 -- FPM

Aug 1, 2007 - ...Can I code 99213, 69210 and 93000 at the same visit? A Yes. You should append modifier -25 to the evaluation and management (E/M) code, but you should not need additional modifiers for 69210, removal impacted cerumen (separate procedure), one or both ears, or for 93000,...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2007/0700/p24.html

Coding & Documentation - Jul 2008 -- FPM

Aug 1, 2008 - ...to attach modifier 25 to the evaluation and management (E/M) code when an injection is also performed? For example, I have been coding 99213-25 with 90772. A Yes. CPT instructs that modifier 25 may be reported when a significant and separately identifiable E/M service is provided...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2008/0700/p43.html

Coding & Documentation - Jul-Aug 2010 -- FPM

Aug 1, 2010 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Understanding When to Use Modifier -25 How to Code for Observation Services Editor's Collections Preventive Care Coding Medicare Annual Wellness Visits Coding & Documentation Related Topic Searches...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2010/0700/p33.html

Coding & Documentation - Jul-Aug 2018 -- FPM

Aug 1, 2018 - Medicare billing for well-woman exams | Pediatric hearing screening | Road rash treatment | Peak flow testing | Student documentation

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2018/0700/p31.html

Coding & Documentation - Jun 2000 -- FPM

Jun 1, 2000 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Are You Ready to Discuss Complementary and Alternative Medicine? New Medicare Payment Opportunities Editor's Collections Coding Coding & Documentation Related Topic Searches CPT: Medicine codes MOST...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2000/0600/p16.html

Coding & Documentation - Jun 2001 -- FPM

Jun 1, 2001 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Coding Hospital Admissions From Other Sites of Service Do You Know What Is (or Isn't) in Your Documentation? Editor's Collections Coding Coding & Documentation Related Topic Searches CPT: Evaluation...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2001/0600/p21.html

Coding & Documentation - Jun 2005 -- FPM

Jun 1, 2005 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Getting Paid for Screening and Assessment Services Coding Changes for Family Medicine in 2018 Editor's Collections Coding Coding & Documentation Related Topic Searches CPT: Evaluation and management...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2005/0600/p25.html

Coding & Documentation - Jun 2006 -- FPM

Jun 1, 2006 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Do You Know What Is (or Isn't) in Your Documentation? Thinking on Paper: Documenting Decision Making Editor's Collections Coding Coding & Documentation Related Topic Searches CPT: Office visit codes...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2006/0600/p30.html

Coding & Documentation - Mar 1999 -- FPM

Mar 1, 1999 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum New Diagnosis Codes Take Effect Oct. 1 Skin Deep: How to Properly Code for Biopsies and Lesion Removal Editor's Collections Coding Coding & Documentation Related Topic Searches Procedure coding,...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/1999/0300/p18.html

Coding & Documentation - Mar-Apr 2014 -- FPM

Apr 1, 2014 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Are You Coding Accurately? Skin Deep: How to Properly Code for Biopsies and Lesion Removal Editor's Collections ICD-10 Coding Coding & Documentation Related Topic Searches ICD-10 MOST RECENT ISSUE...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2014/0300/p27.html

Coding & Documentation - Mar-Apr 2018 -- FPM

Apr 1, 2018 - Time spent on chronic care management vs. time spent on E/M services | ICD-10 coding for bug bites | Billing for palliative care visits

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2018/0300/p41.html

Coding & Documentation - May 2000 -- FPM

May 1, 2000 - ...CPT code is to code the five-digit version of the modifier in addition to the CPT code. For example, instead of coding 99213–25, you can code 99213 and 09925. The five-digit version of a CPT modifier is always 099XX, with XX being the two digits otherwise associated with the...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2000/0500/p22.html

Coding & Documentation - May 2003 -- FPM

May 1, 2003 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Help With the HIPAA Transactions and Code Sets Standards Billing for Your Work With Surgeons Editor's Collections Coding Coding & Documentation Related Topic Searches CPT: Hospital inpatient codes...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2003/0500/p17.html

Coding & Documentation - May 2005 -- FPM

May 1, 2005 - ...otherwise does not meet the definition of a consultation, the office encounter should be coded using an office/outpatient visit code, such as 99213. In either case, modifier -25 should be appended to the E/M code to indicate that it was a significant, separately identifiable service...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2005/0500/p27.html

Coding & Documentation - May 2006 -- FPM

May 1, 2006 - ...In the past, I have always billed 99213 with CPT injection code 90782 and HCPCS injection codes J1100 and J1030. Recently, the insurance company has denied the office visit as invalid with CPT code 90782. What are we doing wrong? A First, 90782 is not valid in 2006; instead use...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2006/0500/p32.html

Coding & Documentation - May 2007 -- FPM

May 1, 2007 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Don't Get Burned Coding Common Skin Procedures An Update on Certifying Home Health Care Editor's Collections Coding Medicare Medicare Annual Wellness Visits Coding & Documentation Related Topic...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2007/0500/p16.html

Coding & Documentation - May-Jun 2011 -- FPM

Jun 1, 2011 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Coding Changes for Family Medicine in 2018 Editor's Collections Preventive Care Coding Medicare Annual Wellness Visits Coding & Documentation Related Topic Searches CPT: Preventive medicine codes...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2011/0500/p37.html

Coding & Documentation - May-Jun 2012 -- FPM

Jun 1, 2012 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum A Quick-Reference Card for Identifying Level-4 Visits Do You Know What Is (or Isn't) in Your Documentation? Editor's Collections Coding Coding & Documentation Related Topic Searches CPT: Evaluation...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2012/0500/p32.html

Coding & Documentation - May-Jun 2014 -- FPM

Jun 1, 2014 - ...Regarding transitional care management codes 99495 and 99496, if we see the patient for a 99213- or 99214-level service before the end of the 30-day period, can we bill for that visit at that time and then bill the 99495 after the 30 days? A The first face-to-face visit with the...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2014/0500/p29.html

Coding & Documentation - May-Jun 2019 -- FPM

Jun 1, 2019 - Same-day return visit | Modifier for incident-to services | Inpatient care billing by teaching physician | Biopsy of the outer ear | Multiple X-rays

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2019/0500/p31.html

Coding & Documentation - Nov 1999 -- FPM

Dec 1, 1999 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Coding Better for Better Reimbursement New Diagnosis Codes Take Effect Oct. 1 Editor's Collections Coding Coding & Documentation Related Topic Searches CPT: Evaluation and management codes CPT:...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/1999/1100/p14.html

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