In 2015, the CPT® codebook separated joint injections and aspirations into services “with” and “without” image guidance. This year, CPT® has taken a similar approach with spinal injection services. As of Jan. 1, 62310-63219 are deleted, and replaced with: 62320 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including ...
Amyloid imaging in the Imaging Dementia — Evidence for Amyloid Scanning (IDEAS) Study is a Medicare-approved coverage with evidence development (CED) procedure. This nuclear medicine procedure uses positron emission tomography (PET) imaging to examine how amyloid plaques (a core feature of Alzheimer’s disease) in the brain help to guide doctors in patient treatment, and whether ...
In Coding
Dec 12th, 2016
Question: Can a physicians code separately for reading X-rays or imaging studies taken elsewhere? For instance, could we report the appropriate X-ray CPT® code with modifier 26 Professional component attached? Answer: If another provider (e.g., hospital radiologist) previously read/interpreted the image, and has issued a report, your physician cannot separately code or be paid for ...
In Billing
Jul 19th, 2016
In a proposed rule, the Centers for Medicare & Medicaid Services (CMS) outlines plans to revise Medicare Physician Fee Schedule (MPFS) payment policies for 2017, and make several other policy changes related to Medicare Part B payment. Key Provisions Section II of the MPFS proposed rule focuses on practice expense relative value units (PE RVUs), malpractice relative ...
Oct 30th, 2015
Noridian Healthcare Solutions is initiating a service specific probe review for CPT® 70553 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contract material, followed by contrast material(s) and further sequences in jurisdiction E (California, Hawaii, Nevada, American Samoa, Guam, and the Northern Marian Islands). This is a perfect time for your practice, regardless ...