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Practice Management
Don’t Let the Chart Go Silent
Last week’s Pro Tip discussed communicating and documenting general non-compliance. Today let’s specifically discuss what should be happening when high-risk patients miss appointments.
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Coding
Podiatric E/M Coding: Office vs. Facility/Home Codes for Moderate- Complexity MDM
“Does writing or managing a prescription with moderate-complexity medical decision-making (MDM) for an established patient in a podiatric office qualify for CPT code 99214? Furthermore, if this is correct, do CPT codes 99309 (nursing facility) and 99349 (home or residence visit) apply under the same MDM criteria, and why might those specific site-of-service codes be inapplicable depending on the setting or patient status?”
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Practice Management
Sometimes It’s Appropriate to Say Goodbye
In keeping with our Pro Tip theme from the last two weeks I thought it appropriate to dive further into the fact that not every doctor-patient relationship is going to work.
Repeated failure to follow medically necessary treatment, chronic no-shows, abusive or belligerent behavior toward the doctor or staff, or a complete breakdown in the doctor-patient relationship may eventually make continued care inappropriate.
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FDA Recalls
Coding
Question Regarding Qutenza
“We have a provider who wants to do Qutenza patches for neuropathy affecting a patient’s foot. The vendor suggested CPT code 64632. I cannot find anything official to support that code and most of the carriers that do have policies state that there is no CPT code for the application and to list the J code for the medication. Do you have any insight here or anything official that states that CPT code 64632 would be appropriate?”
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Practice Management
Anthem L3000 Refund Alert
Very recently I have seen multiple practices in different states receiving retrospective Anthem refund requests for previously paid custom orthotics (L3000), including claims from 2024 and 2025.
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