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 Billing
Jan 23rd, 2018
The codes that are considered a laboratory test under Clinical Laboratory Improvement Amendments (CLIA) change each year. These codes require a facility to have either a CLIA certificate of registration (type code 9), a CLIA certificate of compliance (type code 1), or a CLIA certificate of accreditation (type code 3). A facility with a CLIA ...
AAPC National Advisory Board Member Angie Clements CPC, CPC-I, CEMC, CGSC, COSC, CCS, helped bring clarity to three medical coding modifiers that are most problematic to physician practices. The three challenging modifiers include -59, -25, and -24. Clements advises coders to review documentation to ensure it supports the modifier. Read Clements’ tips on the Kareo blog. ...
In Billing
May 31st, 2016
Does your Medicare administrative contractor (MAC) require modifier JW Drug amount discarded/not administered to any patient on claims with discarded drugs or biologicals? Check your policy because, if it doesn’t now, it will soon. MACs have until July 5, 2016, to implement a recent revision to the Medicare Claims Processing Manual, Chapter 17, Section 40, ...
Dec 9th, 2015
Medicare claims processing systems contain edits that identify exact duplicate claims and suspect duplicate claims. Duplicate claims are counterproductive and costly, and they can get you into hot water with your Medicare administrative contractor (MAC): Too many billing errors (of any nature) may result in your MAC imposing program integrity actions against your practice. So ...