In Billing
Mar 6th, 2018
Mammography coding for screening mammography furnished to Medicare patients is changed in 2018. The Centers for Medicare & Medicaid Services (CMS) now recognizes three CPT codes, added in 2017. G Codes Out, CPT Codes In Effective for services rendered on or after Jan. 1, 2018, you will no longer use HCPCS Level II codes G0202, G0204, ...
Knowing which services are included and which are separately reportable ensures appropriate reimbursement. By Cindy Hughes, CPC, CFPC In the first years of life, preventive services play an important role in determining if a child is growing and developing as expected. And for these services, payer rules play an important role in being reimbursed appropriately. ...
Diagnosis code descriptions don’t allow split billing for sick patients at your office for a preventive exam. ICD-10-CM strictly limits the circumstances under which a provider may report a same-day preventive visit and sick visit for the same patient. If the patient is symptomatic on arrival for a preventive visit, per ICD-10-CM guidelines, the visit ...
In Billing
Feb 22nd, 2016
The Centers for Medicare & Medicaid Services (CMS) has added Human Papillomavirus (HPV) testing to the list of Medicare covered preventive services, under specific conditions. Conditions for Coverage CMS will cover screening for cervical cancer with HPV testing once every 5 years as a preventive service benefit under Medicare for asymptotic patients age 30 to 65 years old, with a ...
In CMS
Feb 8th, 2016
When reporting the preventive visit (well visit) and a problem-focused visit (sick visit) on the same day, you must append modifier 25 Significant, separately identifiable evaluation and management service by the same physician or other qualified healthcare provider on the same day of the procedure or other service to the problem-focused visit code. For example, ...