Anesthesia Coding Alert
New LCD Rules Could Be in the Works
Check out this website for the latest info. Think you have a solid understanding of the Local Coverage Determinations (LCDs) for your primary insurers? CMS used recent Medicare Physician Fee Schedule (MPFS) feedback to revise the LCD process, states MLN Matters 10901. The LCD process revamp includes new timelines, more consultation options, a different request mechanism, and more. Important: Medicare Administrative Contractors (MACs) have a year to finalize or retire all LCD proposals, suggested the MLN Matters release. “Upon further notice from CMS, it will no longer be appropriate to routinely include CPT® codes or ICD-10-CM codes in the LCDs. All codes will be removed from LCDs and placed in billing & coding articles that are linked to the LCD,” CMS stated. Resource: For more information on the LCD changes, visit www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM10901.pdf.
Related Articles
Anesthesia Coding Alert
- Postoperative Coding:
Survey These Scenarios to Score Success With Daily Hospital Management
Once again, documentation will make or break your claim. You can report postoperative services administered [...] - Pain Management:
Keep These Tips in Mind for Post-op Pain Care Coding
Pay attention to laterality and other factors. Code 01996 (Daily hospital management of epidural or [...] - Practice Management:
Follow 4 Tips for Self-Audit Success
Start by spotting possible trends, then expand from that point. Now that you’re a couple [...] - MAC Update:
New LCD Rules Could Be in the Works
Check out this website for the latest info. Think you have a solid understanding of [...] - You Be the Coder:
Pinpoint the Correct Arthroplasty Code
Question: Our pain management physician performed arthroplasty of a patient’s finger joint. What is the [...] - Reader Question:
Reserve +64484 for Different Level of ESI
Question: I have some questions about billing for epidural steroid injections. Patient #1 that I’m [...] - Reader Question:
Episiotomy Work Is Included In L&D Epidural Code
Question: The anesthesiologist administered an epidural during a vaginal delivery. He followed immediately afterwards with [...] - Reader Question:
Submit 'Unlisted' 64999 for Internal Pump Repositioning
Question: A patient has an implanted pain pump. She is not due for a replacement, [...] - Reader Question:
Pay Attention to Guidance When Choosing Between 62322 and 62323
Question: What is the correct way to report a caudal ESI under ultrasound guidance? I’m [...] - Reader Question:
Payers Might Be Looking for Higher Level Comorbidities
Question: During a recent audit in our department, I was marked down for having too [...]
