General Billing & Coding Guidelines

Contents on these pages can be viewed by hovering over the icon to the left of the links with your mouse. They can also be printed.

They can also be downloaded directly, by right-clicking on the link with your mouse and opening to a new window.

1995 E&M Guidelines

1997 E& M Guidelines

2010 ICD-9-CM Official Guidelines for Coding and Reporting - Effective Oct. 1, 2009

CMS - Grace Period - Notice from Medicare - 90 day Grace period for using previous year's CPT will ends on Dec. 31 (in .pdf format)

USC Compliance Manual. HIPAA Guidelines - From CMS

HIPAA Summary - From Don Self's Documents Page (visit there anyway to see the great things he has there!)

Lab, Pap Smear & Screening Guidelines - From CMS

Medicare Preventive Services Chart From Jan 2009. See below for previous years' charts.

Medicare Preventive Services Chart From Jan 2007 - this is an updated form to the below; a quick reference chart (cheat sheet) from CMS for coding various preventive procedures for Medicare recipients

Medicare Preventive Services Chart From July 2006 - this is a quick reference chart (cheat sheet) from CMS for coding various preventive procedures for Medicare recipients 

Present on Admission Guidelines From the CDC

Risk Assessment Data Training For Medicare Advantage Organizations - Participant Guide for 2007-2008 by CMS.

RVU 2010 with a twist - This contains only Globals & modifier use with Status Indicator Meanings. You can tell allowed bilateral procedures, co-surgeon-allowed procedures & Global days for procedures. Just a little tool that LJ created for when you don't need the entire RVU information.

Taxonomy Codes - From CMS