Diagnosis code choice relies on a thorough understanding of the four classifications of abnormal cell growth severity. The good news about cancer coding is that it is generally straightforward. If you can familiarize yourself with a few key pathology words, you’ll be headed in the right direction. Stages of Cancer Cancer is not a disease ...
In Billing
Dec 11th, 2014
December 9, the American Medical Association (AMA) released the 2015 Errata and Technical Corrections, some of which may affect how you report certain CPT® codes on claims. The most recent entries include: Removal of moderate sedation symbol from 45399 Unlisted procedure, colon Removal of code 45399 from Appendix G Evaluation and Management (E/M), Care Management ...
May 1st, 2013
Constant changes in colonoscopy guidelines make it essential to stay current with new reporting requirements. By Denis Rodriguez, CPC In the past few years, there have been adjustments in the way colonoscopies are reported in the ambulatory surgery center (ASC), as well as clarifications for the intent of individual codes. Proper payment for this outpatient ...
Oct 1st, 2012
By Sarah W. Sebikari, MHA, CPC Colorectal cancer is the second leading cause of death in the United States. According to the American Cancer Society, if all adults 50 and older were screened for colon cancer, we could cut the death rate from this disease in half, saving approximately 25,000 lives each year. Colonoscopy is ...
In Billing
Oct 28th, 2011
The Oncotype DX® Colon Cancer Assay meets criteria for analytical and clinical validity and clinical utility as a reasonable and necessary Medicare benefit, Palmetto GBA announced after completing a recent assessment. Effective Sept. 18, 2011 the jurisdiction 1 Part B Medicare administrative contractor (J1-B MAC) says it will reimburse Oncotype DX® Colon Cancer Assay services ...