Posts

Immunization Coding Update

First, some amazing news.  I understood that it might happening, but I guess it’s official: new admin codes: The American Academy of Pediatrics (AAP) was successful in obtaining new CPT codes for immunization administration. The new codes will replace the 90465-90468 immunization administration codes starting January 1, 2011 to better reflect the work associated with …

More 99050, 99051, 99053, 99058 Madness

As promised, I will show you the money. Click on the picture below (or here) for a better view of the average reimbursement for these scheduling based codes. What we see are fairly consistent reimbursement for the codes with the variation being explained by the additional payers being added on all the time (look at …

After-Hours Codes And Other Scheduling-Based Codes (99050, 99051, 99053, 99058)

In 2008, the CPT definition of the classic “after-hours” codes changed. Gone is all the rigmarole about whether your hours are “posted” or whether your patients know you are open on weekends and all the other commentary that used to convince our clients not to use these important codes. The bottom line: if you see …

E&M Distribution of -25 Modified Codes

Last week, Igor and I were looking at the usage of -25 Modified E&M codes as the information about them is a bit of an unspoken subject in our business. I can’t find any good, definitive sources so, as usual, we have to create our own. Two days ago, I posited that the distribution of …

Pediatric Modifier 25 Usage

Need proof that this is the best pediatric practice management resource on the planet? Check it out.   Oh, first: major drama at PCC’s office last night. Let’s hope this post is the closest I come to being a war correspondent. I don’t like the proximity of the event to yesterday’s message about flooding.   …