In Billing
Oct 29th, 2018
Remember back in 2015 when CPT® changed the definition of an incomplete colonoscopy from one that does not evaluate the colon past the splenic flexure to one that does not evaluate the entire colon? The Centers for Medicare & Medicaid Services (CMS) is responding to that change, albeit rather lethargically. Incomplete Colonoscopies, by Definition CPT® 2015 ...
The 2018 CPT® code book introduces two new codes to report anesthesia during colonoscopy, one of which is applicable specifically for a screening exam. But if a screening colonoscopy reveals diagnostic findings, proper coding for the anesthesia service may differ, depending on the payer. CPT® Sticks with Screening Code 00812, Regardless of Findings CPT® 2018 deletes ...
In CMS
Mar 2nd, 2018
What better time to refresh your coding know-how for colorectal cancer screening than National Colorectal Cancer Awareness month? Of cancers that affect both men and women, colorectal cancer is the second leading cause of cancer-related deaths in the United States, according to the Centers for Medicare & Medicaid Services (CMS). Screening can help find this cancer ...
In CMS
Jan 24th, 2018
When reporting anesthesia for a screening colonoscopy, the appropriate code is 00812 Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy. When reporting 00812 for a Medicare beneficiary, Medicare will waive the deductible and coinsurance, for the patient. On occasion, a service that begins as a screening colonoscopy will reveal the ...
In CMS
Jan 24th, 2018
The Centers for Medicare & Medicaid Services (CMS) no longer requires use of dedicated G codes when reporting breast imaging services for Medicare beneficiaries, per MLN Matters Number: MM10181. In 2017, the CPT® codebook deleted breast imaging codes 77051-77057 and replaced them with three new codes: 77065 Diagnostic mammography, including computer-aided detection (CAD) when performed; ...