In Billing
Jan 16th, 2019
The Centers for Medicare & Medicaid Services (CMS) has released 15 corrections to the 2019 HCPCS Level II code set, all retroactive. Of the 15 codes, five are added, one discontinued, and seven reflect changes to payment or coverage status. One modifier introduced in 2011 CMS ruefully admits was “removed in error” and is reinstated. ...
In CMS
Oct 14th, 2016
Medicare will pay for the newest CPT influenza virus vaccine, 90674, the Centers for Medicare & Medicaid Services (CMS) announced in a recent transmittal. But because 2017 codes won’t go into effect until after the first of the year, payments won’t begin until January 3, 2017. However, claims with dates of services on or after August 1, 2016 will ...
In CMS
Nov 13th, 2014
Many evaluation and management (E/M) service codes distinguish between new and established patients. A patient is “new” if he or she has not received a face-to-face, professional service from the provider, or a provider of the same specialty/subspecialty in a group practice, within the previous 36 months. This is commonly known as the “three year ...
In Billing
Oct 17th, 2014
CPT® 2015 includes nearly 550 new, changed, and deleted codes, as well as added and revised guidelines, parenthetical comments, and terminology. The changes will especially affect family practice, internal medicine, cardiovascular, gastrology, pathology/laboratory, and radiology. Seven changes affect the evaluation and management (E/M) section; E/M services represent the most often reported codes ...