The next episode of Coffee with the Coder^® is coming soon. Dial in at 10 am for the “Insider’s” portion. Post your “mug shot” to social media with #CoffeeWithTheCoder and share – we’ve started an “Insiders” Facebook page for you.

If you’d like to be reminded to dial in, email  CWTC and your text number to: help@aq-iq.com. We’ll remind you during the 60 minutes prior to the start. Let us know if you prefer SMS or “Telegram”

Dial in to the conference call (717) 908-1834 and enter the Access Code: 772888# or find us on YouTube, LinkedIn or Facebook

Listen to previous episodes:

CWTC [Episode 198] Do Your QHPs Assign E&Ms on a Wing and a Prayer?

CWTC [Episode 197] Prolonged Services, Who's Watching the Clock?

CWTC [Episode 196] Are You Getting Enough Specificity?

CWTC [Episode 195] Let's Talk Stark, Not Tony

CWTC [Episode 194] What Incident To Means to Your Practice

CWTC [Episode 192] Proximal Femur Periprosthetic Fractures and IGC Selection

CWTC [Episode 191] Eclipse Coding - What?

CWTC [Episode 190] Proper 7th Characters in the IRF Setting

CWTC [Episode 189] "We think We Have a Coding Problem"

CWTC [Episode 188] What's the Big Deal with Discharge Disposition?

CWTC [Episode 186] Skull Mounted Neurostimulators, Screening Colonoscopy Through Stoma, Bacterial Vaginitis at Delivery

CWTC [Episode 185] COVID, Currently

CWTC [Episode 184] Welcome to 2024

CWTC [Episode 183] Inherent Complexity with Evaluation & Management Services

CWTC [Episode 182] Split Shared Visits

CWTC [Episode 181] New Services Billed to Medicare, Genetic Counseling, AWV Documentation with Attestation

CWTC [Episode 180] Amending Medical Records

CWTC [Episode 179] Amending a Medical Record, Plus Jobs for Coders and IGC Selection

CWTC [Episode 178] ICD-11, Neoplasm or Gastric Surgery Aftercare, Steroid Induced Hyperglycemia

CWTC [Episode 177] IRF IGC 16 Debility

CWTC [Episode 175] Grave's Disease, CGA Staging, Uncontrolled Diabetes

CWTC [Episode 174] Helping Providers with Documentation, Aftercare from Surgery in IRF, Subsequent Care of Fx, New Contest

CWTC [Episode 173] Shark Week! Plus Can I Get a Tier With That?

CWTC [Episode 172] Reporting Chronic Illness on the UB-04

CWTC [Episode 171] Symptoms on the Claim Form, Diabetes and Gangrene in IRF, Post Surgical Admission Reporting

CWTC [Episode 170] DEIP Flap Reconstruction and User Submitted Topics

CWTC [Episode 169] HCCs, Multiple Conditions Responsible for Admission, Colonoscopy after Positive Cologuard

CWTC [Episode 168] Compliance Plans, Peer Practices, Attention to Trach

CWTC [Episode 167] Compliance Plans, Reporting COVID Tests, IRF PDx

CWTC [Episode 166] Integrated Behavioral Health Services, Link Between Anxiety and Alcohol Abuse, Telehealth After PHE Ends

CWTC [Episode 165] Split-Shared vs Incident To, AKA due to, Congenital Heart Disease in IRF, Etio vs Principal, Counting Labs for MDM

CWTC [Episode 164] OIG Enforcement Actions

CWTC [Episode 163] Modifier 25 and Modifier 59

CWTC [Episode 162] The PHE is Ending - What Changes?

CWTC [Episode 161] Queries

CWTC [Episode 160] UB vs IRF PAI, Current Problems,

CWTC [Episode 159] The No Surprises Act, OB Care by Multiple Practices, IRF H&P Requirements,

CWTC [Episode 158] CMS Final Rules for 2023

CWTC [Episode 157] What's That Diagnosis?

CWTC [Episode 156] Evaluation & Management Changes for CY2023

CWTC [Episode 155] Reporting COVID Vaccines

CWTC [Episode 154] Becoming a Coder or Biller, PT OT SLP Telehealth

CWTC [Episode 153] Post Op Hematoma, Depression Screens, Quantifying Over or Under Billing

CWTC [Episode 152] Injections, Infusions, Hydrations, Oh My

CWTC [Episode 151] Ultrasound IV Access, Level 3 During Preventative Visit, Tight Nuchal Cord

CWTC [Episode 150] Active Tx or History of, Fracture Tx without Manipulation

CWTC [Episode 149] Place of Service Selection

CWTC [Episode 148] Reporting 96127 or 96138

CWTC [Episode 147] PHQ2 Tool, Monkey Pox Vaccination, and Breast Implant Replacement

CWTC [Episode 146] Discharge Day Reporting, DM and Neuropathy, Non Physician Documentation

CWTC [Episode 145] Genetic Testing in Cancer Patients, CVA Reporting, IGC Selection

CWTC [Episode 144] CVA on IRF-PAI, IRF PDx and 2Dx, IGC vs Comorbids, Z Code for Traumatic Fracture

CWTC [Episode 143] Biloma in ICD-10, Etio Dx in IRF, ABN

CWTC [Episode 142] IGC Selection, Blue Cap Booster Reporting, Multiple Hernia Repair via One Access Point

CWTC [Episode 141] Questionnaires as Part of EM Level, Billing Locum

CWTC [Episode 140] Reporting Autism, Sequencing for Etiologic, Uncertain Dx for IRF PAI and UB

CWTC [Episode 139] Office Visit by Two Providers, Guillain-Barre on IRF PAI and UB, and PT Under Direction of NP

CWTC [Episode 138] Becoming a Coder, Billing Telehealth PT/OT and Speech

CWTC [Episode 137] Plans of Care for Therapy, Time Spent on Paperwork, Incentivizing Employed Physicians

CWTC [Episode 136] Supporting the Physician's Documentation, Presence of Holter Monitor in IRF

CWTC [Episode 134] Debridement with Compression System, OA Caused by Fracture, Diastolic Heart Failure

CWTC [Episode 133] Etio for Hip Fx, Billing Surgical Tech as Assistant, Cardiac Cath with US Guidance

CWTC [Episode 132] Med Student Documentation and OP Discontinued Surgery

CWTC [Episode 131] Continue Medication as E&M Complexity and Unspecified Neuromuscular Disorder as Etiologic

CWTC [Episode 130] Discontinued Surgery, Modifier -54, Injection During Office Visit

CWTC [Episode 129] NPP Documentation in IRF, Diagnostic Cardiology and Using a Scribe

CWTC [Episode 128] Which Dx are reported During AWV and Is This Query Ok?

CWTC [Episode 127] Substance Qualifiers and Impending Fracture

CWTC [Episode 126] IGC Selection for Transmetatarsal, Isn't Pseudomonas a C Tier?

CWTC [Episode 125] COVID Booster Codes, Modifier 58, Fournier Gangrene

CWTC [Episode 124] Covid Toes, ASC Claims, Consent to Sterilize

CWTC [Episode 123] Concurrent Multiple Therapies, Documenting for Orthotics, Reporting Electrodes with TENS Tx

CWTC [Episode 122] Debility vs Medically Complex in IRF, Brain Injury due to PRES

CWTC [Episode 121] Mutually Exclusive Therapies and IRF Discharge Disposition

CWTC [Episode 120] Hypercoaguable State, Guillian Barre due to, Recurrent DVT

CWTC [Episode 119] Sequella for SDH, Coding from the Acute Record in IRF, Routine Observation After Surgery

CWTC [Episode 118] Interrupted Stay or LOA, Attention to Trach, CMGs

CWTC [Episode 117] Sequencing Periprosthetic Fractures, HCPCS for Orthotics

CWTC [Episode 116] Therapy Documentation Requirements, Billing C-Section

CWTC [Episode 115] What if I Learn I'm Doing it Incorrectly?

CWTC [Episode 114] Reporting Dx from Lab Values, DTPI, Suspected Autism

CWTC [Episode 113] Modifier 22, Post COVID Syndrome, Critical Limb Ischemia

CWTC [Episode 112] Documentation of Chief Complaint, Reporting Multiple Injections, Low Blood Sugar, IRF Reporting

CWTC [Episode 111] Reporting Pressure Injury, NPs and PT, Sequencing Multiple Modifiers

CWTC [Episode 110] Modifier 95, R Codes for IRF PAI

CWTC [Episode 109] Venipuncture at RHC, IRF Etiologic, and Low Blood Sugar Reporting

CWTC [Episode 108] Billing for "Caine" Drugs, COVID Reporting

CWTC [Episode 107] CVAs and Billing Medicare for PT Services

CWTC [Episode 106] Coding From the PAS, Reporting Visits by a Pharmacist in a Physician Practice

CWTC [Episode 105] COVID Vaccines

CWTC [Episode 104] Documentation Concerns, Second Etiologic

CWTC [Episode 103] MDM and Time in 2021, Is Obesity a Complication, Carpel Tunnel Revision Reporting

CWTC [Episode 102] Covid Test Reimbursement, Poorly Controlled Diabetes, Left Heart Cath FFR

CWTC [Episode 101] Conflicting Physician Diagnoses, What Happened to T07, Deconditioning as Diagnosis in IRF

CWTC [Episode 100] Signatures and Chiropractor Capabilities

CWTC [Episode 99] Stroke Deficits, Disuse Myopathy, Aftercare for Stoma

CWTC [Episode 98] Obs After Surgery, Order Plus POC, Selecting the PDx

CWTC [Episode 97] PDx in Rehab, Acute Rejection in Pathology Report, Timed Physical Therapy Units, Determination of Compliance Exposure

CWTC [Episode 96] Status Post as Etiologic, Ablation with Polypectomy, Pre-Admission Screening

CWTC [Episode 95] 7th Character for Comorbidities, Bilateral LE Weakness, Timed Therapy Minutes

CWTC [Episode 94] AKA Revision in PCS, Obesity a Complication, Reporting Injections and Infusions

CWTC [Episode 93] Inpatient COVID-19 Testing, IRF IGC and UB-04 Primary Diagnosis

CWTC [Episode 92] Colonoscopy, COVID-19 in IRF, Acute on Chronic Respiratory Condition

CWTC [Episode 91] Etiologic Sequencing for IGC 05, Aftercare vs Acute Kidney Injury in Rehab

CWTC [Episode 90] Billing Telehealth, DR Modifier, Discharge Status

CWTC [Episode 89] Spinal Stenosis with Myelopathy and IRF COVID Scenarios

CWTC [Episode 88] COVID-19 Questions

CWTC [Episode 87] Reporting COVID-19

CWTC [Episode 86] Laterjet, Rehab Etiologic Specificity, Swing Bed Procedure Billing

CWTC [Episode 85] Reporting Insulin in Observation, Colonoscopy Reporting and IRFPAI vs UB Matching

CWTC [Episode 84] POA for Pregnant Patient, IGC Change From PAS to PAPE

CWTC [Episode 83] Acute Hospital Inpatient Order, Colonoscopy with, Principal Diagnosis for Resolved Etiologic

CWTC [Episode 82] Pathologic Fx IGC, Laminectomy in PCS, ED Visit Unrelated During Global Period, Fx with Debridement

CWTC [Episode 81] Counting Specimens in Pathology, Reporting Requirements for 76937, Etio on IRFPAI

CWTC [Episode 80] Coding from PAS in IRF, Underage Pregnancy Code, PT in Patient's Home

CWTC [Episode 79] Excisional debridement, Osteoporotic Fractures, Etiologic vs Principal in IRF

CWTC [Episode 78] Need for Z992, 3 Etiologics for IRFPAI, Left Heart Cath Reporting

CWTC [Episode 77] SCI or NTSCI, IRF IGC Selection, Likely Diagnosis

CWTC [Episode 76] IRF Coding from the PAS, Billing Date for Teaching Physician

CWTC [Episode 75] Exacerbated MS, 7th Character Concern, Resolved Etiologic Diagnosis

CWTC [Episode 74] West Nile Virus or Sequelae, Assistant Surgeon for Carotid Cutdown

CWTC [Episode 73] Peritoneal Adhesions, RSV Billing, IGC Selection, ER CPT Codes

CWTC [Episode 72] Laminectomy Instrumentation, Rehab Admitting Diagnosis, PA Under Multiple Providers

CWTC [Episode 71] Dialysis Duration, Excisional Debridement and 7th Character for Comorbids in IRF

CWTC [Episode 70] SDH - Traumatic or Not, OB Care By Different Providers

CWTC [Episode 69] Reporting Coding Concerns, Possible, Probable in IRF, Pass-Through Billing

CWTC [Episode 68] 7th Character and POA in IRF, Trach Status

CWTC [Episode 67] PCS Insertion Code, Mid-Level Sees New Patients, PDx for Stroke in IRF

CWTC [Episode 66] Can NP bill New Patient as Incident To, IGC Selection

CWTC [Episode 65] Pricing within tax ID, Mid-Level Assistant Surgeon, UB-04 when IGC is Debility

CWTC [Episode 64] Patient Getting Chemo Elsewhere, Software Edits for Infusions and Injections

CWTC [Episode 63] Allergy Testing Codes, IRF Suspected Dx, Pt witnessed Abuse

CWTC [Episode 62] Diabetic Retinopathy Type 1 or 2, PPS vs Coders in IRF, Therapy Prior to Plan of Care, Modifiers

CWTC [Episode 61] Combination Code on IRF-PAI, Resolving or Improving Diagnoses, Changing the IGC after Day 4

CWTC [Episode 60] IGC Selection and Document Identification

CWTC [Episode 59] Left Heart Cath with, Rotator Cuff Disorder, and Can We Bill This Code?

CWTC [Episode 58] Critical Illness Myopathy, Traumatic Spine v Other Ortho for IGC, ask the Provider, P05.9

CWTC [Episode 57] Rhabdo v Meningitis, Chronic Dx in E&M, Brain Neoplasm v Hemorrhage, Last 2 Days in IRF

CWTC [Episode 56] IGC Selection 02 or 04, Critical Illness Myopathy, and IGC 14_9

CWTC [Episode 55] BMI Reporting, Anemia & Pancytopenia, Symptom as Principle

CWTC [Episode 53] Differing Diagnoses from Acute to Rehab, 7th Character for Comorbids, New E&M Reduced Documentation

CWTC [Episode 54] Tetrology of Fallot, Insurance and Billing Concerns

CWTC [Episode 52] AMI in Transplanted Heart, IGC selection and Last Two Days in IRF

CWTC [Episode 51] AMA Conference 2018, E&M Updates

CWTC [Episode 50] FQHC, Complications vs Comorbidities in IRF, BMI, Profee vs Facility Reimbursement

CWTC [Episode 49] Multiple Etio Codes in IRF, Mobility Deficit, Dehiscence

CWTC [Episode 48] Slow MOHs, Multiple Fx, Stroke vs Fall, EMRs

CWTC [Episode 47] Readmissions after IRF Discharge, Etiologic Selection, Cancer Treatment Time Frame, Multiple Fx

CWTC [Episode 46] Comorbid or Complication, Discharge Status, Injections and Infusions

CWTC [Episode 45] E11, Suicide Ideation, Pressure Ulcer, Radiculopathy and SCI, Excision

CWTC [Episode 44] Myopathy vs Atrophy, Tiering in IRF, Class 3 Obesity vs Morbid Obesity

CWTC [Episode 43] Etiologic Selection in IRF, Bilateral TKA, E&M Selection

CWTC [Episode 42] Fracture, Anesthesia, Remission, Discharge Service

CWTC [Episode 41] Neuropraxia, Stroke Residuals in IRF, Z99.2

CWTC [Episode 40] Non-epileptiform seizures, Multiple Fractures as Etio, Validating Dysphagia, BMI

CWTC [Episode 39] POA in IRF, Interrupted Stay, and ESRD with Acute Renal Failure

CWTC [Episode 38] IGC Selection, MCRP in PCS, Infusion vs Hydration

CWTC [Episode 37] Obesity Counseling, Revascularization Reporting, Weakness in IRF, BMI for non-standard bodies

CWTC [Episode 36] Debility in IRF, Z51.89, Split Shared Visits with Georgia Medicaid and Fracture Specificity

CWTC [Episode 35] MRI during Rehab, Denials and 60%, Morbid Obesity, Diabetes, 7th Character

CWTC [Episode 34] 7th Character in IRF, Should I Query, Principal on UB

CWTC [Episode 33] Spina Bifida, Queries and CoMorbids, Procedure Only

CWTC [Episode 32] AVM, Probable Stroke, Resolved Etiologic

CWTC [Episode 31] Condition resolved prior to admission, Pelvic Fx in IRF, NStemi in IRF, UB vs IRF-PAI

CWTC [Episode 30] Monitored Diagnoses, Cystic Fibrosis Guidelines

CWTC [Episode 29] Bilateral and unilateral sinus, Anoxic brain in IRF, Medical Insurance for dental surgery

CWTC [Episode 28] Readmission Class, Presumptive Qualification, Consulting Physicians, Modifiers -96 and -97

CWTC [Episode 27] Hospital Based Clinics, Ignoring Guidelines

CWTC [Episode 26] E&M Guidelines, Hydration Breaks, Scribes

CWTC [Episode 25] Debility in IRF, IGC 17, and IRF Short Stay Coding

CWTC [Episode 24] POS13, IRF Focus of Care Changes, Cervical Myelopathy, and NTSC

CWTC [Episode 23] Multiple Fx in IRF, Types of AMIs, Z-codes, TBI vs Multiple Fx

CWTC [Episode 22] Salpingectomies, Comorbidities in IRF, Associating Diabetes

CWTC [Episode 21] Payer Auto-rejections in Physician Office, Etiologic Selection in Inpatient Rehab

CWTC [Episode 20] Hospital vs Practice Code Match, Gestational DM, TBI Residuals in Rehab

CWTC [Episode 19] Uremic Neuropathy, Payor Requirements, Secondary Dx in Terminal Cases, Petechial Hemorrhage Reporting

CWTC [Episode 18] Antibiotic Spacer, Possible/Probable for IRF-PAI, PreAdmission Screen, Non-Covered Services

CWTC [Episode 17] PCS for Frozen Plasma, Polydactyly PCS, Diabetes with Manifestations in IRF

CWTC [Episode 16] Conflicting Rules, BMI, Etiologic Selection

CWTC [Episode 15] IGC for JRA, Ideopathic v Unspecified, A v D in Rehab (Fracture Care), Subacute Cerebellar Syndrome

CWTC [Episode 14] BMI, NST, IRF scenarios

CWTC [Episode 13] 7th Character in the IRF, Push Enteroscopy

CWTC [Episode 12] "D" vs "A" in Rehab Coding, DIEP, Etiologic Choice

CWTC [Episode 11] Gastrostomy in IRF, CVA as Comorbid, CPT 23550 or Another

CWTC [Episode 10] CVA and Hemiplegia, 7th Characters in IRF, and Matching Codes for Outpatient Encounters

CWTC [Episode 9] Moderate Sedation add-on, KAFO

CWTC [Episode 8] Septic shock, Unsupported diagnoses, and Past Personal History in IRFs

CWTC [Episode 7] IRF Aftercare, "A" or "D", E&M selection

CWTC [Episode 6] MEAT, IRF Auditing

CWTC [Episode 5] IRF, Hospital, Coding Guidelines

CWTC [Episode 4] Consults, E&M, CHF, & Cultures

CWTC [Episode 3] Precert and Conscious Sedation Questions

CWTC [Episode 2] IRF and Home Health

CWTC [Episode 1] MOON and IRF Questions

End of List

---

Coffee with the Coder® LOVES your questions! To be considered, your entry must include your real name, your phone number, your organization or employer, and the best email address with which to contact you about this question (and if you win). Please use this space to provide those details.

May we use your first name and location if your question is selected?

Yes, use my first name and location

Use my first name but not my location

Use my location but not my name

I'd like to be Anonymous, with a location

I'd like to be Anonymous, without my location

None

Type in your question (without any patient-identifying parts). Provide as much detail as you can.

Comments?

Please review your entry and touch SEND

Name

Email

Business

Phone

Time's up