In Billing
Oct 19th, 2018
A beginner’s guide to claims code editing logic. The U.S. healthcare system is highly complicated and extremely expensive. There are many layers between the provider of medical services and the payment for those services. This overly complex system leads to inefficiencies resulting in incorrectly paid claims and the need to spend even more time and ...
In Coding
Oct 19th, 2018
Codes for peripherally inserted central venous catheter (PICC) lines will experience a refresh in the 2019 CPT codebook. Existing codes 36568 (younger than age 5) and 36569 (age 5 and older) are revised to report PICC placement without subcutaneous port or pump, and without imaging guidance. Two new codes (one for a patient younger than age 5, ...
In Coding
Oct 19th, 2018
The 2019 CPT® codebook will include six new codes in the range 111xx to describe tangential biopsy, punch biopsy, and incisional biopsy. Two codes describe tangential biopsy: the first code describes biopsy of a single lesion, and the second (add-on) code describes each additional lesion biopsied, beyond the first. A tangential biopsy is performed with ...
In Coding
Oct 18th, 2018
We’re accustomed to flu season, but acute flaccid myelitis season? What is that? Acute flaccid myelitis (AFM) is a rare and serious condition affecting the nervous system — primarily spinal cord gray matter. The afflicted are usually very young children, with the average age being 4 years old. According to the Centers for Disease Control and ...
In Coding
Oct 17th, 2018
Modifier 54 can be key when reporting a portion of global care All medical procedures that include a “global period” are comprised of three parts: pre-operative services, intra-operative services (e.g., performance of the actual surgery/procedure), and post-operative care (related follow-up visits during the 10- or 90-day global period). If a physician does not perform all ...