DecisionHealth, DecisionHealth - 2024 Issue 9 (September)

Q&A: The CPT manual is still the most authoritative coding resource

Question: Our ortho group has started billing for the primary care management (PCM) codes for osteoarthritis patients who are having a total joint replacement. They are considering billing for the clinical staff component and I'm seeing that in the parentheticals per CPT, we cannot report 99424 (PCM provided personally by a physician or other qualified health care professional, first 30 minutes) and 99426 (PCM directed by a physician or other qualified health care professional, first 30 minutes) in the same month. The clinic feels like we should report these codes together. Do you have a resource or any verbiage I can provide (besides showing them the policy in the CPT book)?

To read the full article, sign in and subscribe to the DecisionHealth Newsletters.

Official DecisionHealth® Newsletter Archives includes:

  • Includes over 25,000 articles from:
    • Coder Pink Sheets
    • Part B News
    • Answer Books newsletters
  • Current newsletters added each quarter
  • Timely news and guidance vital for your practice
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to the Find-A-Code Code Information pages
  • Code Information pages link back to related articles
  • Save yourself tons of research time, find everything in one place!
Access to this feature is available in the following products:
  • DecisionHealth Coding, Billing and Compliance Library

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.