In CMS
Jul 12th, 2018
What eye services will Medicare cover and how was recently clarified by the Center for Medicare and Medicaid Services (CMS). What Does Medicare Actually Cover? Medicare Part B doesn’t normally cover normal services like exams and glasses, but it will cover services treated illness or injury. There are three requirements for coverage: They must fall within ...
In Coding
Jan 2nd, 2015
Question: I learned that codes 65788 and 65789 applied only when placing an amniotic membrane for wound healing, but I notice that the code descriptors have changed, in recent years. Does the restriction still apply? Answer: The CPT® 2014 codebook introduced new descriptors to eliminate the requirement “for would healing:” 65778 Placement of amniotic membrane ...
The old saying is that the eyes are the window to the soul, right? How important is it for a medical coder to have an eye on detail? “Coders have an eye for spotting every possible codeable word in provider documentation, and then they seek out correct codes to ensure reimbursement,” wrote AAPC member Wendy ...
Dec 1st, 2011
Whether it’s new modifiers, E/M, radiology, or Category II codes, we have the outlook for what’s on the horizon. By Raemarie Jimenez, CPC, CPMA, CPC-I, CANPC, CRHC CPT® 2012 arrives with over 500 code changes, plus minor additions to the Evaluation and Management Services Guidelines. The revised evaluation and management (E/M) guidelines clarify the “three-year ...
In Billing
Feb 11th, 2011
Effective for services rendered on or after Feb. 1, NHIC, Corp. will allow no greater than two units of HCPCS Level II code J9035 Injection, bevacizumab, 10 mg per patient per date of service. This accommodates right and left eyes being treated on the same date of service. Literature indicates, however, that the anticipated dosage is ...