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GI Coding: Why Is Modifier 53 on the Medicare Physician Fee Schedule?

30. January 2020

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The Medicare Physician Fee Schedule (MPFS) includes special pricing for four colonoscopy codes when you append modifier 53 (Discontinued procedure). Here’s what you need to know about appending modifier 53 to these codes and the payment you can expect. Compare Rates for Total and Discontinued Colonoscopies Below are the four codes on the 2020 first […]

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E/M 2021: Grasp the Future Roles of Time and MDM for Accurate Coding

13. January 2020

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Evaluation and management (E/M) code descriptors for office and other outpatient visits will look a lot different in the 2021 CPT® code set. One of the first steps in preparing for this major overhaul is understanding how medical decision making (MDM) and time will affect 99202-99215 in 2021. Quick background: The American Medical Association (AMA), […]

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99473 and 99474: Focus on 2020’s New Self-Measured BP Monitoring Codes

9. January 2020

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The clinical setting may not be the best place to get an accurate blood pressure reading, and two new CPT® 2020 codes are here to help. Medical codes 99473 and 99474 apply to self-measured blood pressure services. Here’s what you need to know. 1. Review the Codes and Descriptors Getting to know any new codes […]

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Know What’s New in the 2020 Medicare NCCI Manual

6. January 2020

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Medicare has posted the 2020 National Correct Coding Initiative (NCCI) manual, with the updates helpfully marked in red, as usual. Here are some hints on what you’ll find in the latest version. Review Radiology Section’s SPECT/Planar and Oncology Updates First up are changes in the radiology services section of the NCCI manual, which you’ll find […]

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Take the CPT® 2020 5-Question Challenge

30. December 2019

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January 1 is bringing roughly 400 CPT® code changes. See if you’re ready with this quick medical coding quiz, including links to previous SuperCoder blog posts where you can find the answers. Start Here With the Questions for 2020 Code Changes Question 1: CPT® 2020 is introducing new online digital evaluation and management (E/M) codes […]

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5 Tips to Keep Your CPT® Category III Coding on Track

9. December 2019

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Category III CPT® codes are separate from the more commonly used Category I codes, making it all too easy to overlook these important codes. Follow the five tips below to help ensure your coding is accurate for Category III codes. 1. Update Cat. III Codes Twice a Year Consider this question: When are CPT® codes […]

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Translate CPT® 2020 Tissue Grafting Code Descriptors for Accurate Claims

5. December 2019

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“Other” tissue graft code 20926 turned into a sort of catch-all code over the years, but that will change with the CPT® 2020 code set. On Jan. 1, 2020, you’ll have five new medical codes to use in place of 20926. Be ready with these helpful pointers. Look at 15769-15774 Instead of 20926 In the […]

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Prepare for 2020 GI CPT® Codes With a Radiology Focus

25. November 2019

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Many of the CPT® 2020 changes that affect gastroenterology medical coders relate to radiological services. Don’t let these imaging updates slow you down when the codes change Jan. 1, 2020. Which Hemorrhoidectomy Code Is Moving From Cat. III to Cat. I? The first series of gastro code changes are for internal hemorrhoidectomy by ligation other […]

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Meet the Latest Modifier-Related RAC Topics

21. November 2019

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You may know that medical coding modifiers can affect payment and bundling rules for your claims, but did you know modifiers are on the radar for Recovery Audit Contractors (RACs), too? Here are some of the recently added audit issues that have links to modifier use. Quick background: Medicare’s RAC program is used to identify […]

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How Do You Code Sinuva Placement for NGS Medicare? Find Out Here

4. November 2019

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A new HCPCS Level II code lets you report the SinuvaTM implant for nasal polyps, but coding for placement may vary based on the encounter. Medicare Administrative Contractor (MAC) National Government Services has some advice for its providers. Here’s what you need to know if you perform coding for otolaryngology. Update HCPCS Coding for Oct. […]

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