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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 […]
Continue reading...Monday, December 16, 2019
The 2020 Medicare Physician Fee Schedule (MPFS) final rule states Medicare will apply the special rule for multiple endoscopic procedures to nasal/sinus endoscopy medical codes 31231-31298. In case you don’t have time to wade through the whole long rule, here are the major pointers on this change for otolaryngology coders. The change will be effective […]
Continue reading...Thursday, December 12, 2019
If you report HCPCS Level II C codes for drugs, there are a handful of changes coming Jan. 1, 2020, that you’ll want to know. Here’s what’s being added and deleted for lefamulin, brexanolone, levoleucovorin, and iodine I-131 iobenguane. Reminder: HCPCS Level II C codes, meaning codes that start with the letter C, were originally […]
Continue reading...Monday, November 18, 2019
You’re using ICD-10-CM 2020, and you’ve had some time to prepare for CPT® 2020. But now the HCPCS Level II 2020 code set is out for medical coders to review, too! Let’s take a look at some J and Q code changes coming your way Jan. 1, 2020. The Os Have It! Ophthalmology and Oncology […]
Continue reading...Monday, November 11, 2019
Medicare has released the Medicare Physician Fee Schedule (MPFS) for 2020. Let’s see how it stacks up against some of the proposals from Medicare that we looked at back in August. Expect Separate Payment for E/M Office Levels in 2021 Even though we’re still in 2019, a lot of us have 2021 E/M coding changes […]
Continue reading...Thursday, October 10, 2019
You’ve got Chronic Care Management (CCM) codes when a patient has multiple chronic conditions to manage, but what about when there’s just one? To help solve the problem, Medicare wants to introduce new codes for Principal Care Management (PCM). Here’s more on that from the 2020 Medicare Physician Fee Schedule (MPFS) proposed rule. Start With […]
Continue reading...Monday, October 7, 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...Thursday, October 3, 2019
As of Oct. 1, we are officially applying the 2020 ICD-10-CM code set. Get your diagnosis coding year off to a good start by refreshing your knowledge of some of the not-always-obvious terms essential to accurate claims: NEC, NOS, and, with. If you want full details, check Section I. A of the FY2020 “ICD-10-CM Official […]
Continue reading...Monday, September 16, 2019
A lot of specialties will find relevant updates in the Medicine section of CPT® 2020, and we’ve pulled together the can’t-miss news for you here. Tip: If you report EEG, you will certainly want to read on. Don’t forget: You’ll find the E/M and Surgery section updates in Part 1 and the Radiology and Path/Lab […]
Continue reading...Thursday, September 12, 2019
You’ve gotten a glimpse at the new E/M and Surgery codes in Part 1 of our CPT® 2020 series. Now let’s dive in to the updates for the Radiology section and the Pathology and Laboratory section. Focus on 4 Areas for Radiology Updates Abdomen X-rays, GI imaging, myocardial imaging, and radiopharmaceutical tumor localization are the […]
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Monday, January 6, 2020
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