Radiology Today: Coding Changes for 2013

Each year the Centers for Medicare & Medicaid Services (CMS) updates the payment system for Medicare services. The final rules have been published and will have a significant impact on physician payments for diagnostic radiology services. Ruth Broek, MBA, RT(R), CIRCC, CCS, CPC-H, CHC, recently published an article in Radiology Today, outlining important radiology-related code changes for 2013.

“Fortunately, for hospital billing, the CMS has not created any new composite APs such as the advanced imaging composite currently in place,” she says. “Unfortunately, for physician billing, the CMS has created two new families of codes that are subject to multiple procedure discounting that will reduce physician payment.”


Read the full article.

2 Responses to “Radiology Today: Coding Changes for 2013”

  1. Lynda says:

    In this article is the below statement however, in the statement further down it seems to contradict it…can someone explain this better to me?

    From the Radiology Today 2013 code changes
    ” Postclip placement mammography may be reported separately when performed on a different piece of equipment than the breast biopsy was. Previously it was modality specific; it is now equipment specific.”

    This is from NCCI edits most recent update.
    11. “If a breast biopsy, needle localization wire, metallic localization clip, or other breast procedure is performed with radiologic guidance (e.g., 76942, 77012, 77021, 77031, 77032), the physician should not separately report a post procedure mammography code (e.g., 77051, 77052, 77055-77057, G0202-G0206) for the same patient encounter. The radiologic guidance codes include all imaging required to perform the procedure”

  2. dblackmer says:

    The newest NCCI edits were actually published just after this article and therefore provide the most current information to follow.

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