Feb 3rd, 2014
In a decision memo released Jan. 9, the Centers for Medicare & Medicaid Services (CMS) announced its national coverage determination for percutaneous image-guided lumbar decompression (PILD) for lumbar spinal stenosis (LSS). PILD for LSS remains a non-covered service for Medicare beneficiaries. However, CMS will cover the procedure for Medicare patients with LSS when performed in ...
Apr 1st, 2012
Part 1: Make room for the latest in CPT® coding. By Marvel J. Hammer, RN, CPC, CCS-P, PCS, ACS-PM, CHCO, and G.J. Verhovshek, MA, CPC CPT® 2012 brings important changes to pain management coding. In the first of this two-part series, we’ll: Review the revised coding guidelines for sacroiliac (SI) joint injection. Clarify the methodology ...
Apr 1st, 2012
2012’s bundling of procedures and assigning of “experimental” T codes can hamper provider reimbursement. By Barbara Cataletto, MBA, CPC Changes to CPT® 2012 spinal codes and coding guidelines have an important impact on reimbursement, new technologies, and the advancement of patient care. Let’s review the changes you’ll need to know to properly document and code ...
Mar 1st, 2012
Use of two Category III codes depends on newly-revised CPT® code 62287 By G.J. Verhovshek, MA, CPC As of July 1, 2011 you have two added Category III codes from which to choose to describe decompression of the spine. The additions required the revision of an existing decompression code in CPT® 2012, also. Here are ...
In Billing
Jun 10th, 2011
In a transmittal release May 27, the Centers for Medicare & Medicaid Services (CMS) describes the July 2011 update of the hospital Outpatient Prospective Payment System (OPPS). Added codes include: C9730 Bronchoscopic bronchial thermoplasty with imaging guidance (if performed), radiofrequency ablation of airway smooth muscle; 1 lobe C9731 Bronchoscopic bronchial thermoplasty with imaging guidan...