In Billing
May 23rd, 2019
Ten new HCPCS Level II codes for drugs and biologicals will be payable for Medicare, effective for claims with dates of service on or after July 1, 2019. HCPCS Level II is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT code set jurisdiction, such ...
Make a point to learn drug coverage and payer requirements for billing. It’s essential not to confuse vaccine injections with injectable medications. Injectable medications, for example, are reported with HCPCS Level II codes and vaccines are reported with CPT® codes. But that’s not all: In many instances, injectable medications require prior authorization — and the ...
In Coding
May 30th, 2017
During either joint aspiration or injection, imaging guidance may be employed to ensure accurate needle placement. In 2015, CPT® revised existing joint (or bursa) aspiration/injection codes to specify “without ultrasonic guidance,” while adding codes to describe the same procedures with ultrasonic (US) guidance: 20600 Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, t...
In CMS
Mar 7th, 2016
CPT® 20610 Arthrocentisis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance describes aspiration (removal of fluid) from, or injection into, a major joint (defined as a shoulder, hip, knee, or subacromial bursa)—or both aspiration and injection of the same joint. The procedure may be performed for diagnostic ...
In Coding
Jul 1st, 2014
Across the country, in offices and facilities, coders are having trouble with CPT® 96372 Therapueutic, prophylactic, or diagnostic injection, specify substance, or drug; subcutaneous or intramuscular. Providers are not being paid for this injection administration code because it is being applied incorrectly, insurance companies say. Here’s why. The primary intent of an injection as described ...