In CMS
Aug 12th, 2019
The Centers for Medicare & Medicaid Services (CMS) is proposing major payment changes to sinus endoscopy services. The 2020 Physician Fee Schedule (PFS) proposed rule (page 53) includes the following excerpt: We are proposing to apply the special rule for multiple endoscopic procedures to this family of codes beginning in CY 2020. This proposal would treat ...
In Coding
Dec 4th, 2017
Code changes affect nearly every specialty. CPT® 2018 introduces over 350 new Category I and III codes changes, as well as revised introductory guidelines, and new and revised parenthetical references. Two areas that have been consistently misinterpreted in the past are revised for more concise coding: (1) international normalized ration (INR) monitoring and education; and ...
Dec 7th, 2016
There are times when a physician schedules a laparoscopic/arthroscopic/endoscopic, etc. procedure and, due to many various reasons, a physician may elect to convert to an open procedure to ensure the procedure is completed safely for the patient. In these cases, only the open procedure is coded and billed to the insurance company. The National Correct ...
In Coding
Oct 17th, 2016
Minor procedures (including colonoscopy and endoscopy) have a zero- or 10-day global period and no pre-operative period (other than the day of the procedure). As such, the initial office consultation with the provider to determine the indications and need for an endoscopy, potential risks, type of sedation, preparation, etc., is a billable service, when medically ...
In Coding
Mar 19th, 2015
CPT® and the Centers for Medicare & Medicaid Services (CMS) classify endoscopic procedure codes by “family,” where each family is comprised of related services. Each family has a “parent” code—called the endoscopic base code—that represents the most basic version of that endoscopic service. Usually, the base code is the first-listed code within a sequence of ...