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 […]
Continue reading...5. December 2019
“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 […]
Continue reading...25. November 2019
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 […]
Continue reading...21. November 2019
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 […]
Continue reading...4. November 2019
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. […]
Continue reading...21. October 2019
Suppose a Medicare patient presents to your ob-gyn practice for a visit scheduled as a follow-up after cervical lesion biopsy, but the doctor also spends time on counseling and coordination of care related to the malignant tumor the biopsy identified. Can you report an E/M with modifier 24 if the visit is during the biopsy’s […]
Continue reading...17. October 2019
In early October 2019, flu activity was low, according to the Centers for Disease Control and Prevention (CDC). But hopefully vaccinations will land in the “widespread” category for this flu season. A high volume of services means a high volume of coding, though, so protect your Medicare reimbursement with this guidance on flu vaccination coding. […]
Continue reading...7. October 2019
CPT® 2020 is overhauling long-term electroencephalography (EEG) coding, as Part 3 of our CPT® update series reported. Read on for more helpful hints to prepare you for the new EEG codes and guidelines, effective Jan. 1, 2020. Tip 1: Replace Resources Featuring These 9595x Codes The 2020 CPT® code set will delete EEG monitoring […]
Continue reading...30. September 2019
On Oct. 1, 2019, there will be 118 new National Correct Coding Initiative (NCCI or CCI) edits for physicians reporting to Medicare. Keep your coding up to date and in compliance with the edits with this quick overview featuring path/lab, allografts, venous procedures, and radiation oncology. Keep in mind: The edits we’re talking about here […]
Continue reading...23. September 2019
When you think of professional component and technical component, Medicare’s division of a single code may spring to mind. But the October 2019 update to the Medicare Physician Fee Schedule (MPFS) has a dermatology example that shows there’s more than one way to think about PC/TC. Here are the details. RVUs for PC + TC […]
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9. December 2019
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