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Dermatology News and Articles
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'X' Modifiers in Dermatology
UPDATE! (2/12/2015) On 1/26/2015, CMS issued an updated bulletin on the new 'X' modifiers. CMS has stated that providers can continue to use modifier 59 if they were using it appropriately before. ht
Are you compliant with the HIPAA Mega Rule?
HIPAA "mega-rule" regulations went into effect March 26, 2013 . Even if you have previously implemented a HIPAA plan, you have new regulations you must follow and implement immediately. View Press
Billing Frozen Sections (88331) on the same day as Mohs
There are two scenarios where it is permissible to bill 88331 (pathology consultation during surgery with frozen section) on the same day as Mohs Micrographic Surgery. 1. A provider wants to confirm
D48.5 versus D49.2
ICD-10 codes D48.5 and D49.2 are often used incorrectly and are often confused. However, carriers typically accept either of them interchangeably for procedures like biopsies or shave removals. H ere
Dermatology Preventive/Screening Exam Visit Caution
Be careful when ICD-10 coding for "screening" exams CPT has a series of “preventive screening” exams based on age. (These are in the CPT code range of 99381-99387 ) Many patients are reque
Dermatology Superbills with ICD-10
We get asked about dermatology superbills with ICD-10 quite often. Due to the more-specific nature of ICD-10 and the number of commonly used dermatology diagnoses, we have been unsuccessful at develo
Modifier 25 and Dermatology
Original Article Posted 6/30/2013 - Updated 7/14/2016 New Rules for the bundling of E/M visits with Minor Procedures (codes with 0 or 10 postop days) In January 2013, CMS released updated instruction
Modifier 25 Audits in full effect! Are you at risk of an audit?
We've been warning DermCoder clients and our customers since 2013... the OIG, CMS, and commercial carriers are targeting Modifier 25 abuse! The audits are happening NOW , and we're now receivin
Myths and Facts about Unspecified codes in ICD-10
We have been receiving a number of calls and emails and coding questions regarding the “discontinued” use of all unspecified codes after October 1 st , 2016. Many entities are incorrectly or
Repeat Surgical Procedures When your Carrier doesn't like modifier 76
When multiple surgical procedures are being billed (e.g., four 11402 excisions, 9 AKs, multiple Mohs removals, multiple additional stages of Mohs, etc.), a number of different questions come into pla