Tag Archive | "hcpcs"

See What’s New for HCPCS Level II J and Q Codes in 2020

Monday, November 18, 2019

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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 […]

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Which Medicare Diabetes Prevention Program Code Is Worth $168 in 2020?

Thursday, November 14, 2019

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The 2020 payment rates are now available for the Medicare Diabetes Prevention Program (MDPP). Here’s a quick look at the codes, rates, and program resources. Compare 2019 and 2020 MDPP Payments The goal of the MDPP Expanded Model is to prevent Medicare beneficiaries who have an indication of prediabetes from developing diabetes. Below you’ll find […]

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

Monday, November 4, 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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Get the Facts About Reporting Glaucoma Screening to Medicare

Monday, October 14, 2019

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Before you report glaucoma screenings to Medicare, go through this quick Q&A to be sure you’ve got all the bases covered. The Medicare Benefit Policy Manual, Chapter 15, Section 280.1, is your source for information about glaucoma screenings that you report to Medicare, and we’ve put together the major points for reporting to Part B […]

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HCPCS Level II Update: Make Room for New Monoclonal Antibody Codes

Thursday, September 19, 2019

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The Oct. 1, 2019, update for HCPCS Level II codes is bringing more than 50 changes for J and Q codes, and several of them are for monoclonal antibodies. We’ve already covered updates to trastuzumab coding; now let’s look at some more changes effective soon. J0593: Add Code for Angioedema Treatment Read the full descriptor […]

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Add These AUC-Related Modifiers to Your Imaging Claims in 2020

Monday, August 12, 2019

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At the end of July, Medicare released a set of modifiers that you need to know if you’re involved in ordering or coding for imaging. The modifiers, effective Jan. 1, 2020, are part of Medicare’s changes related to Appropriate Use Criteria (AUC) for advanced diagnostic imaging services. Check out the AUC-related modifiers below and then […]

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Urology: Prevent Claim Problems by Applying New BCG Code

Thursday, August 8, 2019

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Urology coders who report BCG had an important code update July 1, 2019. Make sure you’ve made this important code swap and understand the new rules for accurate reporting of this bacteria-based immunotherapy. Replace J9031 With J9030 for BCG One use of Bacillus Calmette-Guérin, more commonly known as BCG, is bladder cancer treatment. The provider […]

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Reporting Trastuzumab? Here Are All the Codes You Need to Know

Thursday, July 25, 2019

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Trastuzumab HCPCS codes have been multiplying lately. The July 2019 HCPCS updates brought five changes. And there are two more planned for Oct. 1, 2019, implementation. Make sure your coding for this monoclonal antibody is up to date with these tips. Know the Trastuzumab Codes You Have Right Now Oncology coders need to know about […]

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Outpatient Coders: Are These C Codes on Your Procedure Reporting List?

Tuesday, January 22, 2019

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The HCPCS 2019 code set features several new C codes related to reporting procedures. If you use C codes, make sure you’ve got these updates on your radar. Reminder: HCPCS C codes are intended for use by Outpatient Prospective Payment System (OPPS) hospitals. The codes are used to report device categories, new technology procedures, and […]

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HCPCS 2019: Update CROS/BiCROS Hearing Device Codes for a Better Clinical Match

Friday, January 4, 2019

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For those of you who report contralateral routing hearing aid devices (CROS/BiCROS), here’s what you need to know about the big makeover these codes got for 2019. Catch the Little Differences in Code Descriptors As noted in a previous blog post about HCPCS 2019, the hearing aid codes will test your ability to spot tiny […]

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