In Coding
Oct 1st, 2010
Look to NCCI policy for the two-specific conditions that call for unbundling. By Brad Ericson, CPC, COSC A biopsy performed on the same date of service as a more extensive procedure—such as an excision, destruction, or removal—generally is bundled into that more extensive procedure. But, under two-specific conditions for Medicare and most other payers, a ...
In Coding
Oct 1st, 2010
To claim correctly consider the codes that should be assigned for these cases. Nancy G. Higgins, CPC, CPC-I, CIRCC, CPMA, CEMC Determining correct selective catheter placement codes is an integral part of coding any interventional procedure. For a better understanding, code these two operative (op) reports demonstrating common coding scenarios. Example 1: PATIENT: John Doe ...
In Coding
Oct 1st, 2010
Here’s how to report catheter placement from puncture to journey’s end. By Kimberly Engel, CPC When deciding the “order” of a vessel for catheter placement, first ask yourself, “Where did the provider access the vessels for this catheter?” Femoral, brachial, jugular, and iliac are common access sites; other vessels also may be accessed. For puncture ...
In Billing
Oct 1st, 2010
Medicare no longer accepts 99241-99255, but other payers may. By Lindsey H. Daly, MSHA, CPC As I write this, it has been over six months since the Centers for Medicare & Medicaid Services (CMS) stopped accepting CPT® consultation codes 99241-99245 (outpatient) and 99251-99255 (inpatient); however, not all payers have followed suit. Many non-Medicare payers still ...
In Billing
Oct 1st, 2010
Take a stand when patients are told you can code differently. By Pam Brooks, CPC, PCS I was very interested to read the article, “Just Change the Code” by Simone Tessitore, CPC, COBGC, in the May 2010 Coding Edge. Our facility owns multiple primary and specialty care practices, and recently this issue has come to ...