Internal medicine billing and coding
Capture the care-management revenue internal medicine already earns
Internists manage complex, chronic patients. Much of that work, from care management to post-discharge follow-up, is billable if it's documented and coded.
What makes internal medicine billing hard
Care-management codes
Chronic care management and transitional care have time, consent and timing rules that must be met.
Annual wellness visits
Medicare AWVs are different from preventive physicals and are often billed incorrectly.
Complex E/M
High-complexity visits need documentation that supports the level billed.
Codes we see every day
Examples of the codes and modifiers our coders handle for this specialty.
| Code | What it describes |
|---|---|
| 99490 | Chronic care management, first 20 minutes of clinical staff time in a month |
| G0438 / G0439 | Medicare annual wellness visit, initial / subsequent |
| 99495 / 99496 | Transitional care management after discharge, moderate / high complexity |
| 99215 | Established-patient office visit, high complexity |
CPT codes and descriptions are summarised for readability. Always code from the current code set and payer policy.
How we help
- Track CCM time and consent so monthly claims are supportable
- Bill AWVs, not preventive physicals, for Medicare patients
- Flag discharges so TCM contact and visit windows are met
- Support high-level E/M with documentation feedback
Related services: Medical billing, Medical coding, Medical transcription, AI clinical documentation, Revenue cycle management