[B]I work the cpt coding for the ED accts. A lot of times the pt will leave the Ed with no stop time for the infusion. We will push since one can’t verify if it stopped, got kinked, fell out etc.Wo... [ Read More ]
NCCI didn't allow separate reporting closure with the old biopsy code so i'm not surprised they still bundle it with the new codes. How the procedure is performed has not change with the new codes. Th... [ Read More ]
3. CPT codes 76942, 77002, 77003, 77012, and 77021 describe radiologic guidance for needle placement by different modalities. CMS payment policy allows one unit of service for
any of these codes at a ... [ Read More ]
She is welcome to write into the group responsible for NCCI. They are both column 2 codes to the new scoliosis eval codes and have an indicator of 0 so no modifier will bypass the edits
National Corr... [ Read More ]
I would ask for the link to their set of Medicaid edits that states this. From an NCCI perspective, there is no bundling issue and typically Medicaid NCCI is also identical Medicare NCCI. But I was su... [ Read More ]
I'm guessing you sent the appeal here? :
National Correct Coding Initiative
Correct Coding Solutions LLC
P.O. Box 907
Carmel, IN 46082-0907
Attention: Niles R. Rosen, M.D., Medical Director and Lin... [ Read More ]
36556 76942 20040101 * 1
CPT Manual or CMS manual coding instructions
____________________________________________________
Above is from the PTP coding edits from the NCCI page. It states the edit ... [ Read More ]
NCCI is considering the majority of the time CPT 64450 is performed on anatomical location other than the spine. I believe this is being reported for lateral branch block of nerves innervating the SI ... [ Read More ]
Below is from AMA CPT Changes 2000, which is good description of what the procedure entails. 76005 has been updated to 77003
Rationale
As part of the comprehensive revisions to the spinal injection ... [ Read More ]
. Drug Testing Providers performing validity testing on urine specimens utilized for drug testing should not separately bill the validity testing. For example, if a laboratory performs a urinary pH,... [ Read More ]
Collaboration ensures medical services and supplies are properly documented and coded according to guidelines. There are many nuances associated with injection and infusion coding. Definitions for cod... [ Read More ]
Avoid payer denials by ensuring your provider or supplier follows the rules for allowable MUE units. Understanding why Medically Unlikely Edits MUEs were established how they are organized and the cri... [ Read More ]
The Health IT HIT Policy Committee has approved recommendationson the Department of Health and Human Services HHS proposed rulemaking regarding the establishment of a permanent certification program f... [ Read More ]
The Office of the National Coordinator for Health Information Technology ONC has issued a Notice of Proposed Rulemaking NPRMfor the establishment of two certification programsone temporary and one per... [ Read More ]
A recent review conducted by Trailblazer the AB Medicare Administrative Contractor MAC for jurisdiction four J4 shows hospitals are ultimately confused as to where to draw the line between inpatient a... [ Read More ]
