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In Coding
May 18th, 2022
Limit this code to administration of the Pfizer-BioNTech vaccine. On May 17, 2022, the U.S. Food and Drug Administration (FDA) amended the emergency use authorization (EUA) for the Pfizer-BioNTech COVID-19 vaccine to authorize the use of a booster dose for patients 5 through 11 years of age. The CPT® code to report administration of this ...
In Billing
May 13th, 2022
Legal actions continue concerning the NSA’s independent dispute resolution process. The second interim final rule (IFR) related to the No Surprises Act (NSA) — legislation that regulates surprise billing in emergency and out-of-network healthcare settings to protect patients from unexpected medical expenses — was released in September 2021 (the September Rule) and, in part, included ...
May 10th, 2022
Adverse side effects make the Janssen vaccine an option of last resort. Emergency use authorization guidelines for Johnson & Johnson’s COVID-19 vaccine, labeled as Janssen, and reported with CPT® code 91303, have changed. The U.S. Food and Drug Administration now limits authorized use of the vaccine to “individuals 18 years of age and older for ...
Recipients still have time to report Provider Relief Fund payments if they can prove extenuating circumstances. The deadline for requesting late Provider Relief Fund (PRF) reporting for Period 1 has passed. But you still have a chance for Period 2. If you’re one of the thousands of providers who missed the Provider Relief Fund (PRF) reporting ...
In Billing
May 5th, 2022
A quarterly update for the Clinical Laboratory Fee Schedule (CLFS), issued May 4, includes nine new CPT® codes for proprietary laboratory analyses (PLAs). Medical coding and billing staff that process claims for lab testing should be aware of these codes and pricing. 9 New PLA Codes The following PLA (type of service 5) codes are ...