Author Archives | deborahm

deborahm - who has written 123 posts on SuperCoder Blog.

Deborah concentrates on coding and compliance for radiology and cardiology, including the tricky world of interventional procedures, as well as oncology and hematology. Since joining The Coding Institute in 2004, she’s also covered the ins and outs of coding for orthopedics, audiology, skilled nursing facilities (SNFs), and more.

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Yea or Nay? See Which QPP 2018 Proposals Came Through in the Final Rule

Thursday, December 14, 2017

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Back in July, TCI SuperCoder blog had a post about the proposed 2018 Quality Payment Program (QPP) rule, a program established under MACRA. Now that the final rule (with comment period) is out, let’s see how some of those proposals fared. Small Provider Exemption/Low-Volume Threshold Proposal: The proposed rule included adjusting the 2017 low-volume threshold […]

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Compare and Contrast 94620 and Its Replacement Codes for Pulmonary Testing

Friday, December 8, 2017

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Pulmonology coders are saying goodbye to a common pulmonary stress testing code on Jan. 1, 2018. Here’s what’s replacing it, along with some Medicare Physician Fee Schedule details to help you get a better handle on the new codes. Compare the Code Descriptors In 2017, you use 94620 (Pulmonary stress testing; simple (eg, 6-minute walk […]

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Can’t-Miss Corrections to CPT® 2018 Available Now!

Monday, December 4, 2017

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Time to bring out the red pen and take your CPT® 2018 preparations to the next level! Every detail counts in coding, and that means that after you’ve taken a look at the initial announcements about code changes, you need to dig deeper to make sure you’re aware of corrections, too. The AMA released several […]

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Know What’s New for Neuro Coding in CPT® 2018

Thursday, November 30, 2017

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Nerve repair, neurostimulators, and visual evoked potential testing all face some changes when CPT® 2018 becomes effective Jan. 1, 2018. Give your neurology and neurosurgery coding prep a jumpstart with these tips. Watch for Allograft Nerve Repair Option If your practice is on the cutting edge and using nerve allografts for repair, you’ll need to […]

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5 Fast Facts About 1 Payer’s 50 Percent Fee Reduction for Modifier 25

Monday, November 6, 2017

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A payer’s big modifier 25 payment reduction has been getting a lot of attention, both from providers affected and those concerned other payers will adopt the policy. Don’t miss this overview of what the policy is all about. 1. Which Payer Implemented the Policy? Independence Blue Cross, which primarily serves Philadelphia and southeastern Pennsylvania, updated […]

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‘Hoo’ Is Performing Photodynamic Therapy? CPT® 2018 Says You’d Better Know

Tuesday, October 31, 2017

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Hope you can forgive that bit of Halloween headline fun before we get down to serious coding business! Maybe “‘Witch’ Team Member” would have been more to your liking than “Hoo.” Either way, I bet you are ready for more CPT® 2018 news now. Here’s what you need to know about the photodynamic therapy update […]

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INR Monitoring Code Changes Coming (But Old Faves Could Stick Around, Too)

Thursday, October 19, 2017

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If you code for anticoagulant management — and a lot of folks do — you’ll need to get a handle on some changes headed our way when CPT® 2018 is effective on Jan. 1, 2018. Here’s the scoop. Let’s Start With What’s In and What’s Out for CPT® Out: In CPT® 2018, these two codes […]

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For World Anesthesia Day, Here’s What’s New in CPT® 2018 for 00000-Range Codes

Friday, October 13, 2017

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October 16 is World Anesthesia Day because the first successful demonstration of ether anesthesia occurred on that date in 1846. Boston dentist William Morton administered the ether to a patient undergoing removal of a neck tumor. Mark me down in the glad-anesthesia-is-available column. In honor of World Anesthesia Day on Monday, let’s look at what’s […]

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Observe National Breast Cancer Awareness Month With Increased Neoplasm Coding Know-How

Monday, October 9, 2017

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October is National Breast Cancer Awareness Month. You may be familiar with the statistic that roughly one in eight women will develop invasive breast cancer. For men, the lifetime risk is about 1 in 1,000. The expansion of male breast cancer diagnosis codes to be as specific to site as female breast cancer codes was […]

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Get the Big Picture With CPT® 2018 Radiology Deletions and Revisions

Wednesday, October 4, 2017

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We’ve already talked about new CPT® 2018 codes in an overview (Part 1 and Part 2) and a more specific path/lab post. Now let’s start digging in a little more. Today we’ll look at some of the radiology chapter revisions and deletions related to code additions in CPT® 2018, which is effective on Jan. 1, […]

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