The Complexity of Endocrinology Billing – Why It Is Complex
Patient Return Visit – The Patients’ Preponderance
Patients seen in the field of endocrinology are mostly chronic disease patients and need to be followed up on every month or quarter. Hence, it is very necessary to properly monitor the visits and correctly code the E/M.
Single Encounter / Multiple Services
Visitors can come in expecting E/M service, diagnostic imaging, hormone tests, and counseling — all of which are subject to appropriate billing that does not result in bundling and duplicate billing mistakes.
Specialty PC Particular
CGM, insulin pumps, DEXA scans, and some hormone replacement therapies may require pre-approval, and a delay in receiving them may delay treatment and payment.
Disputed CPT Coding + ICD-10 Coding
4.It is imperative to name diagnosis codes correctly when covering procedures, particularly diseases such as: oE10 to E14 – Diabetes mellitus (type and with complication) oE03–E07 – Thyroid disorders oE22–E27 – Adrenal and pituitary disorders oOther disorders of the endocrine glands, endocrine-related conditions, and non-endocrine disorders
