Author "Barbara Cobuzzi"

By Barbara Cobuzzi
In Coding
Jan 29th, 2018
When I last wrote “Modifier 59 – To Use or Not to Use”, I promised to follow it up with some real-life examples of when we should be using the 59 or the new Medicare X[ESPU] modifiers. Let’s look at some clinical examples and first determine if the ...
By Barbara Cobuzzi
In CMS
Jan 29th, 2018
Other than the FESS CPT® changes for 2018, there are a few more CPT® updates to note for the upcoming year. The first changes have to do with Flaps (skin and/or deep tissues). Additional instructions were added to these codes, stating: “The regions ...
By Barbara Cobuzzi
Jan 16th, 2018
I often call Modifier 59 the prednisone of modifiers. That is because it is very powerful and can do a lot for you, like prednisone is for the patient. But at the same time, it is a two-edged sword, the modifier 59 is exceptionally dangerous when used...
By Barbara Cobuzzi
In Coding
Jan 10th, 2018
2018 brings us new functional endoscopic sinus surgery codes (FESS) which bundle a total ethmoidectomy with both a frontal sinusotomy and a sphenoidotomy with and without removal of tissue.  2018 CPT® also provides a new bundled code for a frontal and...
By Barbara Cobuzzi
Jan 9th, 2018
AAPC’s Knowledge Center welcomes Barbara Cobuzzi as a regular contributor.  Nasal Sinus Endoscopy According to the American Rhinologic Society, several nasal sinus endoscopy services were identified as potentially misvalued because billing patt...