In Coding
Nov 24th, 2015
During an intracapsular cataract extraction (ICCE), the entire natural lens and capsule that holds it in place are removed. Code 66983 Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) includes ICCE and the insertion of the lens prosthesis. During an extracapsular cataract extraction (ECCE), the natural lens is removed, leaving in ...
In CMS
Sep 1st, 2012
The modifier is critical to telling the story of your medical coding claim. Just as words with similar definitions convey distinct meanings (“plan” versus “scheme,” for instance), so do modifiers with similar descriptors. We’ll discuss three that require precise application: modifiers 58, 78, and 79. Modifier 58 Modifier 58 Staged or related procedure or service by ...
In CMS
Sep 16th, 2011
The Centers for Medicare & Medicaid Services (CMS) recently released October 2011 updates of the hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgery Center Payment System (ASC PS). The updates include two new device pass-through categories, a new C code, and a payment rate correction for an injection code. Providers and billing staff submitting ...
Mar 1st, 2011
Ensure billing staff members are diligent and adequately skilled in claims administration. By Dorothy Steed, CPC-H, CHCC, CPC-I, CEMC, CFPC, CPMA, CPUM, CPUR, CPHM, CCS-P, ACS-OP, RCC, RMC, PCS, FCS, CPAR The purpose of facility billing is to submit timely, clean claims to the payer; but the processes that go into filing in a facility ...
In Coding
Mar 1st, 2009
From A-scans to YAG. By Kim Ross, CPC, OCS, and Sue Vicchrilli, COT, OCS Remember the pirate’s often-lost wooden eye in “Pirates of the Caribbean?” Or Tom Cruises’ eye transplant in “Minority Report?” Movies showing eye injuries intrigue us. Although it is a challenge to code these incidents, an even greater challenge is correctly coding ...