Coding and Documentation in Skin Disease and Care| | | | | | Current Procedural Terminology:
CPT | | | | | |
|
- You are ultimately responsible for proper ICD-9 (diagnosis) codes and CPT (procedure) codes regardless of who does the billing in the office; you should also review your own explanation of benefits (EOBs) from the insurance carriers
- If you do not code correctly, claims may be denied or you may be underpaid; thus, it is imperative to understand proper CPT codes, modifiers, and global periods from the start
- ICD9 and CPT codes may be updated, so it is wise to keep up with these changes
- Below is a brief outline for proper coding, which is by no means exhaustive so please refer to additional references for an updated and more detailed explanation
- The best place to read a more detailed explanation is the Centers for Medicare and Medicaid website: https://www.cms.hhs.gov/MLNEdWebGuide/25_EMDOC.asp (click on Documentation Guidelines for E&M Services on the left hand side)
- Billing form should have the diagnosis listed to the greatest level of specificity
|
