Not displaying correctly? Click here
To ensure future delivery of the AAPC EdgeBlast add info@aapc.com to your Address Book or Known Senders list.
AAPC October 3, 2007
Edge Blast Header

Issue #86

Top Stories

Contrast Medium No Longer Included in MRI Procedure

CMS Awards WPS as Third MAC

Capitalize on PSA Bonuses While You Still Can

Latest NCD for PTA Clarifies Who Qualifies for Coverage and When


Test Yourself - Earn .5 CEUs


Workshops AMA CodeManager 2008

Attend a remaining 2007 workshop and get a free copy of the AMA's CodeManager 2008. Click here for a schedule and details.

Audio Conferences

Audio Conferences are the perfect way to stay informed of coding issues without leaving home.

Visit our Audio Conference page for details or contact AAPC at 800-626-2633.

 

Michelle Dick

Michelle Dick
EdgeBlast Editor

Renée  Dustman

Renée Dustman
EdgeBlast Author

Top News

Contrast Medium No Longer Included in MRI Procedure

The cost of the contrast media used in magnetic resonance imaging (MRI) procedures is no longer included in practice expense (PE) relative values units (RVUs) of CPT® imaging codes. Therefore, if your physician performs MRIs, you may be able to separately report the contrast media used. In addition to the CPT® code representing the imaging procedure, you may be able to additionally bill an HCPCS Q code (Q9945-Q9954, Q9958-Q9964) for the contrast medium used in performing the service.

More

Back to Top

CMS Awards WPS as Third MAC

Wisconsin Physicians Service Health Insurance Corp. (WPS) is the third carrier to be selected as a Medicare Administrative Contractor (MAC) with the CMS.  WPS signed a five-year contract with CMS to administer Part A and Part B Medicare claims payment in its four-state jurisdiction (A/B jurisdiction 5)—Iowa, Kansas, Missouri, and Nebraska—beginning no later than Sept. 9, 2008.

More

Back to Top

Capitalize on PSA Bonuses While You Still Can

The Code of Federal Regulations (CFR) citation numbers have changed. What were once known as 405.11-405.14 and 405.16, are now 486.100 (a)-(d), 486.110 (a)-(b), 486.104 (a)-(b12) and (c), 486.106 (a)-(c), 486.108 (a)-(k), and 486.10 (a)-(b).

More

Back to Top

Latest NCD for PTA Clarifies Who Qualifies for Coverage and When

The Centers of Medicare and Medicaid (CMS) recently reaffirmed the NCD for percutaneous transluminal angioplasty (PTA) of the carotid artery. In the CMS Manual System, Pub 100-03 Medicare NCD, Transmittal 77 released Sept. 12, CMS clarifies coverage of PTA. The NCD states that PTA coverage continues to be limited to procedures performed by certified facilities using Federal Drug Administration (FDA) approved carotid artery stents and embolic protection devices.

More

Back to Top

Test Yourself - Earn .5 CEUs

By answering the following questions, you can earn .5 continuing education units to apply toward your annual AAPC CEU renewal every two years. Simply answer the questions and list this as one of your itemized CEUs on your CEU form. If you are chosen for verification, we will then ask you to send in a copy of your work.  Please put the number of each EdgeBlast included in your submission. The number is available at the top of the page.

Answers to the questions are not always found directly (word for word) in the EdgeBlast in which they appear. While often related to the EdgeBlast content, they require additional resources such as your ICD-9-CM, CPT® and HCPCS manuals.

1. Name the act of Congress that ensures fiscal intermediaries and carriers will be replaced by 15 MACs by 2011.

Answer:

2. For qualifying physicians providing services on or after Jan. 1, 2005 to receive a 5 percent PSA bonus, which modifier must they report when submitting claims?

Answer:

3. Does CMS allow FIs and carriers to apply the payment criteria for low osmolar contrast media in 30.1.2 to billings for Q9952?

Answer:

4. If deployment of the distal embolic protection device is not technically possible, will Medicare still cover PTA?

Answer:

5. Which CPT® code should you use in order to bill separately for the double dose of contrast material used in a high-dose contrast MRI procedure?

Answer:

Back to Top

AAPC Member Area
Member Area Login
Login

AAPC National Conferences
AAPC Anaheim National Conference
AAPC Orlando National Conference


Ingenix Essentials 7th Annual Conference

PhySourceEdu offers AAPC-approved CEU programs

BC Advantage - Medical Billing and Coding magazine




Copyright ©2006 AAPC

CPT® codes copyright 2006 American Medical Association. All Rights Reserved.
CPT® is a trademark of the AMA.
CPC® is trademark of AAPC
No fee schedules, basic units, relative values or related listings are included in CPT®.
The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS Restrictions Apply to Government Use.


The AAPC EdgeBlast is offered as a benefit to our members. We hope you find the information useful. However, if you'd rather not receive future EdgeBlast issues, please log in to our members area and change your EdgeBlast preferences.

AAPC
2233 S Presidents Dr.
Salt Lake City, Utah 84120