Effective January 1, 2017, the Centers for Medicare & Medicaid Services (CMS) proposed that add-on code G0501 could be billed with new and established patient office/outpatient E/M codes (99201-99205 and 99212-99215), as well as transitional care management codes (99495, 99496), when the additional resources described by the code are medically necessary and used in the ...
In Billing
Aug 17th, 2016
Incision and drainage of an appendiceal abscess through an open incision is coded 44900. CPT’s parenthetical note tells us to use 49406 Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous for a percutaneous image-guided drainage by catheter of an appendiceal abscess. Reported as an Open Approach An ...
In Coding
Mar 21st, 2016
All add-on codes are exempt from the “multiple procedure” concept, per CPT® instructions. As such, you never would append modifier 51 multiple procedures to a designated add-on code. Other important points to remember about add-on codes include: They are denoted in CPT® with a “+” to the left of the code The CPT® code descriptor ...
In Billing
Apr 1st, 2015
Add-on codes describe procedures or services that are always provided “in addition to” other, related services or procedures. A persistent problem with add-on codes is identifying which code(s) may be reported as primary with a particular add-on. The Centers for Medicare & Medicaid Services (CMS) Manual System provides a handy reference to allow you to ...
Feb 3rd, 2014
President Obama signed into law on Dec. 26, 2013 the Pathway for SGR [Sustainable Growth Rate] Reform Act of 2013 (H.J. Res. 59), narrowly preventing a scheduled Medicare payment reduction for physicians and other practitioners from taking effect on Jan. 1, 2014. The new law extends several provisions of the Middle Class Tax Relief and Job ...