CPT code 99213 shows up on more outpatient claims than almost any other evaluation and management code, which is exactly why small documentation gaps around it cause so many denials. Billers
Read More
The 99212 CPT code sits at the bottom of the established patient office visit family, and that position causes two opposite problems. Some practices report it defensively when the note clearly
Read More
CPT code 99211 pays less than any other code in the office visit family, yet it shows up on audit worksheets far more often than its low dollar value would suggest.
Read More
Introduction Code 99215 is the heavyweight of the established-patient office visit family the top rung on the 99211 to 99215 ladder, and, for that single reason, the most closely watched line
Read More
A patient sinks into the waiting-room chair, ticks nine boxes about how the last fortnight has felt, and hands the clipboard back before the visit has properly begun. Nothing about that
Read More
On paper, CPT code 96131 looks almost boring. It’s the add-on code for psychological testing evaluation “each additional hour” and that quiet little plus sign in front of it hides a
Read More
A clinician can spend the better part of a morning making sense of a single patient’s test results cross-referencing a Wechsler profile against intake notes, weighing what an MMPI elevation is
Read More
A denied claim for psychological testing rarely comes down to a coding mistake in the way most people picture it. It comes down to a misunderstanding about what CPT 96136 and
Read More
Introduction Some sessions ask far more of a clinician than the clock will ever admit. A teenager who answers in shrugs until their phone is back in hand. A father who
Read More
Mental health claims fail for reasons that rarely trouble a dermatology practice. A session that runs 52 minutes is 90834. At 53 minutes it becomes 90837, worth roughly 15 to 25
Read More
