facebook Page 19 – Quest National Services

Audiology CPT Codes for 2023 + Modifiers

The more accurate you are in your medical billing, the more you can maximize your collections. Codes and modifiers may change and audiology specialists should make sure that they’re using the latest. Inaccuracy could result in lost profits or even an audit.

Audiology Code Ranges for 2023

The following are updated CPT codes for audiology in 2023:

  • 98978 – remote therapeutic monitoring
  • 0725T – vestibular device removal or surgical implantation
  • 0726T – vestibular device removal or surgical implantation
  • 0727T – vestibular device removal or surgical implantation
  • 0728T – initial programming, diagnostic analysis of vestibular implant, unilateral
  • 0729T – subsequent programming, diagnostic analysis of vestibular implant, unilateral
  • 92601 – Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming
  • 92602 – subsequent reprogramming
  • 92603 – Diagnostic analysis of cochlear implant, age 7 years or older; with programming
  • 92604 – subsequent reprogramming

Audiologist Modifiers

Use modifiers to make codes more accurate and specific in order to increase collections from claims.

  • -22 – indicates that the work is substantially greater than typically required
  • -52 – modifier for an abbreviated procedure
  • -59 – establishes one procedure as distinct from another procedure billed on the same day

Learn more in our Audiology medical billing services.

Work with expert medical billing professionals

Ready to get started? Contact us.

Contact us

Neurology CPT Codes for 2023 + Modifiers

Accuracy is essential when it comes to medical billing. If you’re not using the right codes, you could be missing out on collections or even getting flagged for an audit. Check out these latest neurology CPT codes so you can maximize your profits with increased accuracy.

Neurology Code Ranges for 2023

These CPT codes are updated codes for neurologists in 2023:

  • 95970 – implanted neurotransmitter electronic analysis without programming
  • 95983 – implanted neurotransmitter electronic analysis with programming and first 15 minutes of face-to-face time
  • 95984 – implanted neurotransmitter electronic analysis with programming and each additional 15 minutes of face-to-face time
  • 95836 – implanted brain neurotransmitter electrocorticogram
  • G40.011 – idiopathic epilepsy with localized onset seizures with status epilepticus
  • G40.019 – idiopathic epilepsy with localized onset seizures without status epilepticus
  • G40.111 – symptomatic epilepsy with simple partial seizures with status epilepticus
  • G40.119 – symptomatic epilepsy with simple partial seizures without status epilepticus
  • G40.211 – symptomatic epilepsy with complex partial seizures with status epilepticus
  • G40.219 – symptomatic epilepsy with complex partial seizures without status epilepticus
  • Z45.42 – neurotransmitter management and adjustment

Neurology CPT Modifiers

You can use CPT modifiers in order to make a code more specific:

  • 310 – not vaccinated against COVID-19
  • 311 – partly vaccinated against COVID-19
  • 39 – indicates any other under-immunized status

Learn more in our Neurology medical billing services.

Work with an expert medical billing team

Contact us to get started.

Contact us

Pediatric CPT Codes for 2023 + Modifiers

If your pediatric practice’s codes aren’t accurate or up-to-date, you could be missing out on collections with your medical billing. Inaccuracy can also delay claims processing, so it’s important to stay on top of the latest codes.

Pediatric CPT Code Ranges for 2023

The following codes are the latest for pediatric CPT codes in 2023:

  • 99381 – new patient preventative care for infant
  • 99382 – new patient preventative care for 1-4 years old
  • 99383 – new patient preventative care for 5-11 years old
  • 99384 – new patient preventative care for 12-17 years old
  • 99385 – new patient preventative care for 18+ years old
  • 99391 – established patient preventative care for infant
  • 99392 – established preventative care for 1-4 years old
  • 99393 – established preventative care for 5-11 years old
  • 99394 – established preventative care for 12-17 years old
  • 99395 – established preventative care for 18+ years old
  • 99401 – 15 minute counseling for preventative medicine or risk reduction
  • 99402 – 30 minute counseling for preventative medicine or risk reduction
  • 99403 – 45 minute counseling for preventative medicine or risk reduction
  • 99404 – 60 minute counseling for preventative medicine or risk reduction
  • 99411 – 30 minute counseling for preventative medicine or risk reduction for a group
  • 99411 – 60 minute counseling for preventative medicine or risk reduction for a group
  • 99211 – office visit that doesn’t require a qualified health professional
  • 99491 – chronic care management, first 30 minutes
  • 99437 – chronic care management, each additional 30 minutes
  • 99487 – complex chronic care management, first 30 minutes
  • 99489 – complex chronic care management, each additional 30 minutes
  • 99424 – principal care management for a high-risk disease, first 30 minutes
  • 99425 – principal care management for a high-risk disease, each additional 30 minutes
  • 99426 – principal care management for a high-risk disease, first 30 minutes
  • 99427 – principal care management for a high-risk disease, each additional 30 minutes

Pediatric CPT Modifiers

The following CPT modifiers are for pediatric care in 2023:

  • Z00.110 – newborn under 8 days old health supervision
  • Z00.111 – newborn between 8 and 28 days old health supervision
  • Z00.121 – routine health exam for a child with abnormal findings
  • Z00.129 – routine health exam for a child with no abnormal findings
  • Z00.00 – routine health exam for an adult with no abnormal findings
  • Z00.01 – routine health exam for an adult with abnormal findings
  • Z28.3 – under-immunized status
  • Z71.3 – dietary counseling or surveillance
  • Z71.82 – exercise counseling
  • Z71.84 – health counseling for travel purposes
  • Z71.85 – counseling for immunization safety
  • Z71.89 – other counseling, specified
  • Z71.9 – other counseling, unspecified

Learn more in our Pediatric medical billing services.

Work with a professional medical billing team

Contact us to get started.

Contact us

ENT CPT Codes for 2023 + Modifiers

Filing claims with specific codes and modifiers can help to increase your collections. It’s also important to be accurate because mistakes could delay collections. These CPT codes for ENT services have been updated for 2023, along with their modifiers.

ENT Code Ranges in 2023

Here are the updated CPT codes for ENT services used in 2023:

  • 31233 – diagnostic nasal/sinus endoscopy with maxillary sinusoscopy
  • 31235 – diagnostic nasal/sinus endoscopy with sphenoid sinusoscopy
  • 31292 – surgical nasal/sinus endoscopy with orbital decompression; medial or inferior wall
  • 31293 – surgical nasal/sinus endoscopy with orbital decompression; medial and inferior wall
  • 31294 – surgical nasal/sinus endoscopy with optic nerve decompression
  • 31295 – maxillary sinus ostium, transnasal or via canine fossa surgical nasal/sinus endoscopy with dilation
  • 31296 -frontal sinus ostium surgical nasal/sinus endoscopy with dilation
  • 31297 – sphenoid sinus ostium surgical nasal/sinus endoscopy with dilation
  • 31298 – frontal and sphenoid sinus ostia surgical nasal/sinus endoscopy with dilation
  • 74210 – pharynx and/or cervical esophagus radiology examination
  • 74220 – esophagus radiology examination
  • 74230 – swallowing function with cineradiography/videoradiography radiology examination
  • 92626 – first hour of postoperative status of a surgically implanted device or auditory function for surgically implanted device evaluation
  • 92627 – Each additional 15 minutes of postoperative status of a surgically implanted device or auditory function for surgically implanted device evaluation
  • 94728 – Oscillometry airway resistance

ENT Modifiers

Using modifiers when filing claims can help boost your collections:

  • 310 – Not vaccinated against COVID-19
  • 311 – Partly vaccinated against COVID-19
  • 39 – Indicates any other under-immunized status

Learn more in our ENT medical billing services.

Work with an expert medical billing team

Contact us to get started.

Contact us

Cardiology CPT Codes for 2023 + Modifiers

To run a practice successfully, it’s important for your medical billing to be as accurate as possible. This means processing claims with the right cardiology CPT codes and modifiers. The more specific the claim, the more you may be able to collect.

Cardiology CPT Code Ranges in 2023

The following are updated CPT codes for cardiology services used in 2023:

  • 33370 – Transcatheter placement and the removal of cerebral embolic protection devices
  • 33894 – Endovascular stent repair crossing side branches
  • 33895 – Endovascular stent repair not crossing side branches
  • 33897 – Percutaneous transluminal angioplasty
  • 33900 – Initial procedure performed unilaterally in normal native connections
  • 33901 – Initial procedure performed unilaterally in normal native connections
  • 33902 – Initial procedure performed unilaterally in normal native connections
  • 33903 – Initial procedure performed unilaterally in normal native connections
  • 33904 – Initial procedure performed unilaterally in normal native connections
  • +93319 – 3D echocardiographic imaging and postprocessing
  • 93593 – Right heart catheterization for congenital heart defects with normal native connections
  • 93594 – Right heart catheterization for congenital heart defects with abnormal native connections
  • 93595 – Left heart catheterization for congenital heart defects with normal or abnormal native connections
  • 93596 – Right and left heart catheterization for congenital heart defects with normal native connections
  • 93597 – Right and left heart catheterization for congenital heart defects with abnormal native connections
  • +93598 – Cardiac output measurements
  • 93653 – Comprehensive electrophysiologic evaluation
  • 93654 – Comprehensive electrophysiologic evaluation
  • 93656 – Comprehensive electrophysiologic evaluation
  • 0623T – Automated quantification and characterization of coronary atherosclerotic plaque
  • 0545T – Transcatheter tricuspid valve annulus reconstruction
  • 0643T – Transcatheter left ventricular restoration device implantation
  • 0645T – Transcatheter implantation of coronary sinus reduction device
  • 0646T – Transcatheter tricuspid valve implantation
  • 0650T – Programming device evaluation
  • 0692T – Therapeutic ultrafiltration
  • 0695T – Body surface–activation mapping of a pacemaker or a pacing cardioverter-defibrillator at time of device implantation
  • 0696T – Body surface–activation mapping of a pacemaker or a pacing cardioverter-defibrillator at the time of follow-up
  • 0710T – Noninvasive arterial plaque analysis, including data review, interpretation, and reporting
  • 0711T – Noninvasive arterial plaque analysis, including data preparation and transmission
  • 0712T – Noninvasive arterial plaque analysis
  • 0713T – Noninvasive arterial plaque analysis, including data review, interpretation, and reporting

Cardiology Modifiers

Adding modifiers where you can improves the accuracy of billing and reduces the risk of the claim getting denied. The following are recent additions to the list of modifiers:

  • 310 – Not vaccinated against COVID-19
  • 311 – Partly vaccinated against COVID-19
  • 39 – Indicates any other under-immunized status

Work with an expert medical billing team

Contact us to get started.

Contact us

Hospitalist CPT Codes for 2023 + Modifiers

Accuracy is essential in medical billing. As modifiers and codes change, it’s important for hospitals to make the most of your medical billing experience and stay updated to increase the potential for maximum patient claim profits.

Hospitalist Code Ranges for 2023

The following are updated CPT codes for hospitalists in 2023:

  • 99221 – hospital inpatient care services (new or established patient)
  • 99222 – hospital inpatient care services (new or established patient)
  • 99223 – hospital inpatient care services (new or established patient)
  • 99231 – subsequent hospital care services
  • 99232 – subsequent hospital care services
  • 99233 – subsequent hospital care services
  • 99238 – hospital discharge services
  • 99239 – hospital discharge services
  • 99252 – outpatient consultation services (new or established patient)
  • 99253 – outpatient consultation services (new or established patient)
  • 99254 – outpatient consultation services (new or established patient)
  • 99255 – outpatient consultation services (new or established patient)
  • 99291 – critical care services
  • 99292 – critical care services
  • 99242 – inpatient consultation services (new or established patient)
  • 99243 – inpatient consultation services (new or established patient)
  • 99244 – inpatient consultation services (new or established patient)
  • 99245 – inpatient consultation services (new or established patient)

Hospitalist Modifiers

Use modifiers to make codes more accurate and specific in order to increase collections from claims.

  • 25 – indicates a visit is separate from a procedure performed on the same day
  • 310 – not vaccinated against COVID-19
  • 311 – partly vaccinated against COVID-19
  • 39 – indicates any other under-immunized status

Learn more in our Hospitalist medical billing services.

Work with expert medical billing professionals

Ready to get started? Contact us.

Contact us

Dermatology CPT Codes for 2023 + Modifiers

CPT codes, or Current Procedural Terminology codes, allow doctors and medical professionals to report medical services and procedures uniformly, easily, and accurately. Modifiers can be added to CPT codes to describe a procedure further or add extra details. Your dermatology practice can benefit from knowing the most updated CPT codes, as shown below for 2023.

Changes to Codes 2023

The updated CPT codes for 2023, released by the American Medical Association (AMA) at the end of 2022, made a few changes to the current codes. These include establishing one set of evaluation and management services (E/M) guidelines, which should help make coding more streamlined throughout inpatient and outpatient practices. Additionally:

  • Level one consultation codes 99241 and 99251 have been deleted
  • The code 99281 may not require the presence of a physician or other qualified healthcare professional

Common Dermatology CPT Codes 2023

The following are the newest CPT codes for common dermatology procedures.

Evaluation and Management

Consultations

The following are newly updated codes and ranges for consultation codes, according to the 2023 AMA guidelines.

  • 99242: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision-making
  • 99243: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision-making
  • 99244: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision-making
  • 99245: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision-making

Visits and Evaluations

  • 99201: Problem-focused office visit from new patient
  • 99202: Expanded problem-focused office visit from new patient
  • 99203: Detailed office visit from new patient
  • 99204: Comprehensive office visit from new patient with review of 2-9 symptoms
  • 99205: Comprehensive office visit from new patient with review of 10 or more symptoms
  • 99211: Straightforward office visit from established patient
  • 99212: Problem-focused office visit from established patient
  • 99213: Expanded problem-focused office visit from established patient
  • 99214: Detailed office visit from established patient
  • 99215: Comprehensive office visit from established patient

Biopsies

  • 11100: Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; single lesion
  • 11101: Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; each additional lesion
  • 11102: Tangential biopsy of skin; single lesion
  • 11103: Tangential biopsy of skin; each separate/additional lesion
  • 11104: Punch biopsy of skin; single lesion
  • 11105: Punch biopsy of skin; each separate/additioal lesion
  • 11106: Incisional biopsy of skin; single lesion
  • 11107: Incisional biopsy of skin; each separate/additional lesion

Destruction of Lesions

  • 17000: Destruction of premalignant lesions; first lesion
  • 17003: Destruction of premalignant lesions; 2-14 lesions
  • 17110: Destruction of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions

Mohs Surgery

  • 17311: Mohs micrographic technique on head, neck, hands, feet; first stage
  • 17312: Mohs micrographic technique on head, neck, hands, feet; each additional stage
  • 17313: Mohs micrographic technique on trunk, arms, and legs; first stage
  • 17314: Mohs micrographic technique on trunk, arms, and legs; each additional stage

Excisions

  • 11403: Excision, benign lesion including margins; trunk, arms, or legs
  • 11603: Excision, malignant lesion including margins; trunk, arms or legs

Phototherapy

  • 96900: Actinotherapy (ultraviolet light)
  • 96910: Photochemotherapy; tar and ultraviolet B or petrolatum and ultraviolet B
  • 96567: Photodynamic therapy by external application of light to destroy premalignant and/or malignant lesions
  • J7308: Aminovulinic acid HCL for topical administration

Laser Treatment

  • 96920: Laser treatment for inflammatory skin disease
  • 96921: Laser treatment for inflammatory skin disease

Modifiers

Modifiers help modify CPT codes to add more detail or distinguish between repeat codes.

  • 25: Separate evaluation on the same day as another procedure or service
  • 59: Repetition of procedure on a different extremity
  • 91: Repeat tests taken on the same day with different specimens at different times
  • 95: synchronous telemedicine service rendered via real-time Interactive audio and video telecommunications system
  • 310: Not vaccinated against COVID-19
  • 311: Partly vaccinated against COVID-19
  • 39: Indicates any other under-immunized status

Learn more in our Dermatology medical billing services.

Common Mistakes OB/GYNs Make With Their Medical Billing

Medical practices of all kinds, including OB/GYN, lose money yearly from simple medical billing errors. While medical billing errors might seem small initially, they can greatly impact your business over time. Here are five of the most common medical billing errors your OB/GYN practice should avoid.

Mistake #1

Not Using Specific Codes

The list of CPT codes is incredibly extensive. Sometimes using a generic code for a procedure or appointment can be tempting. However, it’s often possible to use a more specific code instead. Certain codes will charge insurance and patients more than others, so it’s important to be as specific as possible.

Solution

Use a professional medical billing solution to stop missing out on lost profits.

Mistake #2

Using Inaccurate Codes

In addition to using unspecific codes, OB/GYN practices sometimes use the wrong code altogether. Using the wrong code can lead to billing errors and lost profits. In fact, if you use the wrong code enough times, your practice could risk getting audited.

Solution

Ensure your employees are trained on the most current CPT codes.

Mistake #3

Not Verifying Insurance Often Enough

Another common billing mistake OB/GYN practices make is not verifying insurance often enough. It’s easy to assume that a patient’s insurance hasn’t changed since their last appointment. But insurance changes all the time for many reasons, such as:

  • Loss of employment
  • Change in employment
  • Employer changed insurance plans
  • Aging out of parents’ insurance

When you don’t verify insurance with your patient, you risk sending claims to the wrong company and missing out on revenue.

Solution

Always ask patients for their current insurance card when they come into the office.

Mistake #4

Filing Claims Late

Not filing claims on time is another easy mistake for OB/GYN practices to make. When you file claims late, you get money late as well. Filing claims on time is the easiest way to avoid headaches for both you and your patients.

Solution

Make sure to file claims at regular intervals to not leave any lingering.

Mistake #5

Underbilling Patients

Sometimes, OB/GYN practices accidentally underbill patients. This can be a result of using an unspecific code or inaccurate code. Sometimes, you may forget to include every part of an appointment or procedure on the claim. Regular underbilling can lead to lost profits.

Solution

Outsource your medical billing to a professional company to avoid underbilling.

Outsource Your Medical Billing to Maximize Profits

The easiest way to avoid these five mistakes and countless others is to outsource your OB/GYN practice’s medical billing to a medical billing service. Outsourcing can help you lower your overhead costs, reduce errors, and decrease A/R time.

Quest National Services provides medical billing to practices of all types. Contact us today to find out how we can help your OB/GYN practice.

Work with an expert medical billing team

Contact us to get started.

Contact us

How to Increase OB/GYN Practice Collections

Your OB/GYN practice can increase collections in several ways. Increasing collections can help you increase revenue, grow your business, and see more patients. Here are four ways to increase your OB/GYN practice’s collections.

#1

See More Patients

The first way to increase your OB/GYN practice’s collections is by seeing more patients. Of course, the more patients you see, the more you can bill and the more you can earn. However, in order to see more patients, you have to free up your time and workload. Identify the tasks you can outsource or delegate to see more patients in a typical workday.

#2

Find Potential Revenue Leaks

Identifying where you might be leaking money is another way to help boost your OB/GYN practice’s collections. For example, maybe you are making the same billing errors repeatedly or not billing on time. Perhaps you don’t have a lot of availability during certain days of the week, which prevents you from seeing patients. Finding these leaks can help you take the next steps.

#3

Streamline Medical Billing

Streamlining medical billing is key to increasing your OB/GYN practice’s collections. To streamline your medical billing, analyze your current billing process and identify opportunities for improvement. Perhaps you can put one employee in charge of coding and another in charge of catching up on claims that have been in A/R for a long time.

#4

Outsource to a Medical Billing Service

Medical billing is commonly at the core of missed revenue due to its complexity and opportunity for errors. Consider outsourcing your OB/GYN’s claims to a medical billing service like QuestNS. These services hire and train professional medical billers that can reduce errors, decrease time in A/R, and increase your collections. Contact QuestNS today to learn how to get started.

Work with an expert medical billing team

Contact us to get started.

Contact us

4 Reasons Why Outsourcing Is Profitable for Radiology Practices

Medical billing is a large part of any radiology practice’s daily operations. Not only can medical billing take up your time and resources, but it can also be the source of errors, missed opportunities, and wasted potential. Outsourcing your radiology practice’s medical billing to a professional organization can help you increase your profits. Here are four ways that outsourcing makes radiology practices more profitable.

#1

Reduce Billing Errors

You can expect fewer billing errors when you outsource your radiology practice’s medical billing. Medical billing companies hire and train the best medical billers who know the ins and outs of coding and billing. Fewer billing errors mean more money in your pocket and less time spent trying to fix mistakes. Billing errors are one headache that your radiology practice does not need.

#2

Lower Overhead Costs

You might assume that outsourcing your radiology practice’s medical billing costs more than having an in-house billing team. However, this is not the case. Working with a professional billing company often costs less than paying employees to do the work. The fewer employees you have, the fewer overhead costs you have. When you lower your overhead costs, you can increase your radiology practice’s profits.

#3

Reduced A/R Time

The longer your claims spend in accounts receivable, the longer you have to wait for the money to come in, and the bigger the chance bills go unpaid. When you outsource medical billing to a professional company, you can reduce the time claims spend in A/R. Professional medical billers can stay on top of claims and keep business moving. As a result, you can expect higher returns.

#4

Increased Time for Patients

The less time you spend on medical billing and overseeing employees, the more time you can spend with your patients. When you remove logistical headaches from your radiology practice, you open yourself and your physicians up to seeing more patients and deepening your relationship with existing patients. Increasing your patient load can mean more profit for your practice.

The Benefits of Outsourcing Medical Claims

Outsourcing medical claims can be very profitable for radiology practices. Not only does outsourcing to professional medical billers open you up to spending more time with patients, but it also reduces errors, decreases A/R time, and lowers your overhead costs.

Quest National Services provides professional medical billing to medical practices nationwide. Our medical billers receive ample training so they can handle your claims with care and ease. See how you can increase collections by up to 15% by contacting us today.

Work with an expert medical billing team

Contact us to get started.

Contact us