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; ...
In CMS
Jul 31st, 2017
The Centers for Medicare & Medicaid Services (CMS) pays 100 percent of the Medicare-approved amount for fecal occult blood tests, flexible sigmoidoscopies, colonoscopies, and multi-target stool DNA tests, and 80 percent for barium enemas. A Part B deductible does not apply, in any case; however, coinsurance applies to colonoscopies and sigmoidoscopies performed in ambulatory surgical ...