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Cardiology Coding Alert
Cardiology Coding Alert
Cardiology Coding Alert - 2016; Volume 19, Number 12
CPT® Updates:
6 Steps Speed Your Mastery of New Dialysis Circuit Intervention Codes
Study the guidelines to discover lower extremity dialysis circuit definitions. It’s...
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CPT® Update:
Need to Know New Codes 37246-37249 on a Deeper Level? Try This Angioplasty Q&A
Finally solve the mystery of which vessels these codes apply to. If you asked the CPT&...
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ICD-10-CM:
Take Your Cardiology ICD-10-CM Compliance to the Next Level With 3 Tips
Do you know where to find the Excludes1 note for congenital aorta malformations? At this ...
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Reader Question:
Embolization or Stent? Know the Code
Question: When an encounter includes both coil embolization and coronary stent plac...
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Reader Question:
Seek Out Scope of Practice for Moderate Sedation
Question: We’ll be reporting moderate sedation separately in 2017 thanks to t...
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Reader Question:
See Where to Add Clinical Trial Number
Question: Where do I report a clinical trial number on an 837P form? New York Sub...
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Reader Question:
Distinguish Lead From Electrode for PM Coding
Question: For pacemakers, I hear the terms lead and electrode used like they’...
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You Be the Coder:
Decide Coumadin Management Risk
Question: In the E/M Table of Risk, where does prescription drug management of Coum...
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Cardiology Coding Alert - 2016; Volume 19, Number 11
CPT® Updates:
Relearn Angioplasty Coding to Prepare for 2017 CPT® Code Changes
Yet another group of intervention codes will bundle in S&I. When the calendar flips t...
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CPT® Updates:
Cozy Up to These New Moderate Sedation Codes — You'll Need to Know Them in 2017
Remember to count to 15 instead of 30. Last month’s Cardiology Coding Alert brok...
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ICD-10-CM:
Not Rheumatic, Rheumatic, or Unspecified? Clip and Save This Valve Disorder Job Aid
Be sure you catch the mitral valve insufficiency twist. Coding for chronic heart valve...
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Reader Question:
End Your Search for Endoleak Dx Code
Question: What diagnosis code should I use for an endoleak after an aortic endograf...
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Reader Question:
Eye I47.2 for Nonsustained VT
Question: Is I47.2 correct for nonsustained ventricular tachycardia? Georgia Subs...
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Reader Question:
Pair Elevated Creatine Kinase With 'Other' Code
Question: How do I report elevated creatine kinase? Utah Subscriber Answer:&nbs...
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Reader Question:
Know Nuclear Stress Test Coding Essentials
Question: I’m getting back into coding stress tests again after not coding th...
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You Be the Coder:
ID ICD-10 and CPT® for Generator Change
Question: I’m reporting replacement of a pacemaker battery (multiple lead), w...
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Cardiology Coding Alert - 2016; Volume 19, Number 10
CPT® Changes:
Take Charge of CPT® 2017 Updates With a Cardiology Overview
Overlooking this moderate sedation news could cost you. From angioplasty to coronary IVUS...
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ICD-10:
Get Up to Speed on ICD-10-CM 2017 Official Guidelines for Hypertension
Don’t miss this game changer for the causal relationship requirement. You may have ...
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Ask the Expert:
Want to Reduce Myocardial SPECT Denials for Medicare Beneficiaries? Here's How
Replacing standard stress tests with SPECT won’t fly. Audits of myocardial SPECT...
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Reader Question:
Focus on PC for MPPR Change
Question: I heard there was a change in the MPPR reduction. Does that apply to both...
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Reader Question:
Watch Global for 93660 With E/M
Question: Do I have to append modifier 25 to 93660 for an E/M on the same date as a...
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Reader Question:
Apply I24.0 for Embolism Without MI
Question: Which ICD-10 code applies to an acute embolism in a coronary artery if th...
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Reader Question:
Unlock the Meaning of Diagnostic Coronary Angiography
Question: I was at a seminar that said not to code diagnostic angiography for plann...
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Reader Question:
74715 Remains the Best Renal CTA Option
Question: I found an old Reader Question that said to use 74175 for interpretation ...
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You Be the Coder:
Decide Whether to Code Lead Repositioning in Global
Question: If an ICD lead dislodges during the global period of the insertion, can I...
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Cardiology Coding Alert - 2016; Volume 19, Number 9
CCI:
Add These 4 New Groups of Code Edits to Your Cardiology Coding Know-How
Discover which two groups of bundles you can never break. When Correct Coding Initiative ...
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CMS Update:
Angioplasty of 4 Major Coronary Arteries? Get Your Appeal Ready
Brush up on the difference between line item and date of service MUEs. Starting July 1...
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Quiz:
3 Questions Help You Determine Your ICD-10 Prep Score
Are you ready to code hypertensive crisis, stent stenosis, and congenital cases? Your ...
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Reader Question:
Check Code, POS, and Mod 26 for Inpatient TEE
Question: If the cardiologist performs inpatient TEE, do I report that with 93312, 93...
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Reader Question:
2 Visits,1 Code for Same-Group Observation
Question: How do I report observation services by two of our cardiologists on the s...
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Reader Question:
Spot Counseling E/M Coding Opportunities
Question: Can you explain when to code E/M based on time for counseling? New Mexi...
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Reader Question:
Aim for Accurate AV Shunt Coding
Question: I code for certain dialysis AV shunt services like angioplasty and stenti...
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Reader Question:
Require Specifics for Doppler Coding
Question: Can +93325 for color flow be done without +93320 for spectral when the pr...
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You Be the Coder:
How Many Codes Does This PCI Add Up To?
Question: How should I report this procedure? Atherectomy in the prox...
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Cardiology Coding Alert - 2016; Volume 19, Number 8
Medicare:
Nix 93042 Rhythm Strip Errors With These Audit Insights
Reporting this ECG code for an inpatient? Check our tips first. If you’ve got pl...
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ICD-10-CM:
Get Ready for Medicare's 'Code Family' Clemency to End This Fall
Denials could skyrocket if your specificity isn’t up to scratch. CMS and the CDC...
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CMS Update:
Move Medicare's Modifier JW Change From July to January
Use the extra time to check your documentation and coding skills are ready. In the last i...
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Reader Question:
Apply This Primary Code List to +37252
Question: Is there a list of appropriate primary codes for IVUS code +37252? Mass...
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Reader Question:
Choose 78 for OR-Treated Complication
Question: A patient returned to the operating room to treat a complication within the...
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Reader Question:
Don't Stop at Default Dyspnea and PHTN Codes
Question: What are the codes for dyspnea and pulmonary hypertension? Codify Subsc...
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Reader Question:
Keep Clinical Trial in Mind for LAAC
Question: We’re researching how to report percutaneous LAAC services. Can you...
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Reader Question:
Tread With Care for Inpatient Modifier 24 Use
Question: Can you use modifier 24 when the surgery and the E/M with 24 have the same ...
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You Be the Coder:
How Do You Code Coronary Aspiration Thrombectomy?
Question: There’s a note with +92973 that says not to use the code for aspira...
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Cardiology Coding Alert - 2016; Volume 19, Number 7
Denial Prevention:
80 Percent of Vascular Study Claims Are Wrong, Reveals NGS Review
Would your duplex scan coding pass the test? If you report non-invasive vascular studies,...
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ICD-10-CM:
Sequence Z Code First on These CABG Mapping Claims for NGS
Linking scans to preprocedure encounter codes is the key to compliant coding. You alre...
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Code Edits:
Need Another Reminder You Can't Report INR Codes? CCI 22.1 Answers the Call
Reporting 99363, 99364, or G0250 with these inpatient E/Ms will trigger a denial. Medi...
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Modifier:
Turn to Modifier 32 When Outside Party Has Power to Mandate a Service
Don’t assume this modifier is for E/M only. In some cases, your cardiologist may...
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Reader Question:
Prep for New National JW Rule
Question: I heard there's finally a single rule about how to use modifier JW. What is...
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Reader Question:
Make Room for New Echo Cat. III Code
Question: Are there any Category III codes expected for cardiology this July? Sou...
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Reader Question:
Check 93641 Modifier 51 Exempt Status
Question: I have a question from the May 2016, vol. 19, no. 5, Cardiology Coding Aler...
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Reader Question:
Base POS on Face-to-Face Setting, Usually
Question: If I’m coding for the PC of a test performed in an outpatient hospi...
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You Be the Coder:
Put Prolonged QTc Question to Rest
Question: Which ICD-10-CM code should I use for a prolonged QTc interval? Indiana...
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Cardiology Coding Alert - 2016; Volume 19, Number 6
Cardiac Devices, Part 1:
Reconcile CMS Frequency Guidelines With CPT® Reporting Guidelines to Avoid 93293 Mistakes
Beware of PC/TC issues for transtelephonic PM monitoring, too. After a pacemaker is in...
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Cardiac Devices, Part 2:
Combine NCD Frequency Guidelines With LCD Details for Pacemaker Clinic Services
When the national policy doesn’t define applicable codes, your local policy may be...
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Documentation:
Reporting Add-On Code With PVI? Check Mechanism First
Then be sure you understand the difference between +93655 and +93657. In Cardiology Codin...
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CPT® 2016:
Deepen Your Understanding of TPVI With Expert Insights
Discover when you can report additional codes with this $1,345 procedure. We're almost ha...
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Reader Question:
See G0278 for Non-Selective
Question: When did G0278 start specifying it was for non-selective services? Codify ...
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Reader Question:
Keep an Eye Out for KX Pacemaker Requirements
Question: What’s the status of the modifier KX requirement for pacemakers? ...
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You Be the Coder:
Pick Subclavian Venography Code
Question: Which code should I use for diagnostic subclavian venography? Wisconsin...
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Cardiology Coding Alert - 2016; Volume 19, Number 5
Coding News:
Size Up These 7 Cardiology Changes Planned for ICD-10-CM 2017
Wishing for a coronary stent stenosis code? You won't have long to wait. The CDC has post...
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Proposed Update:
Does Your Cardiologist Document MI Type 1-5?
This classification may be integral to ICD-10-CM code choice starting in October. ICD-...
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Coding Essentials:
Match Modifier 25 to Your Claim With Confidence When You Know the Rules
Ask yourself 4 questions to help support your choice. A lot of coders have a love/hate re...
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Reader Question:
Add 'If Present' to 'Code First'
Question: “Succeed at Heart Failure Coding With ‘Code First’ and ...
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Reader Question:
Count Negative HPI Finding Under Symptoms
Question: If the documentation shows a negative finding for HPI, can I count that? ...
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Reader Question:
Break Programming Out of Global
Question: If we see a patient for pacemaker or AICD programming during the global p...
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Reader Question:
Pick Apart Tibial Guidelines
Question: How should I report atherectomy in the posterior tibial and tibioperoneal...
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Reader Question:
Capture Both Pro Codes for Facility Stress Test
Question: If the cardiologist supervises a stress test at the hospital and performs...
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You Be the Coder:
Append Modifier 24 to This Inpatient Claim?
Question: Suppose the cardiologist sees a patient in the hospital and performs a pace...
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Cardiology Coding Alert - 2016; Volume 19, Number 4
Part 2:
Here's What's New in the 2016 CCI Manual for Angiography and Stress Tests
Changes are playing catch up to CPT® manual and edit rules. In the last issue of Ca...
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NCD News:
LAAC Coverage Update Brings New Importance to 0281T
NVAF diagnosis requirement points you to I48.- category. If your cardiologist performs...
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MPFS News:
Did You Catch the Change to the 2016 Conversion Factor?
Time to start counting pennies. CMS recently announced a $.02 adjustment to the 2016 p...
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E/M:
2 Chest Pain Examples Show How Documentation Changes HPI Level
Don't let counting duration drag you into error territory. To succeed at E/M coding, you ...
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Reader Question:
Ask If Problem Is New to Practice
Question: I want to be sure I’m coding correctly for E/M. If our new cardiolo...
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Reader Question:
Reopen Rather Than Resubmit for Mod 25
Question: If I submit a claim for an office visit and then later receive documentat...
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Reader Question:
Factor Modifier 52 Into iFR Reporting
Question: Should I use an unlisted code or +93571 for iFR (Instant Wave-Free Ratio)? ...
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Reader Question:
Double Up for This Graft Scenario
Question: The cardiologist placed a stent in the LAD first diagonal through a venou...
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Reader Question:
Aim for Angioplasty/Atherectomy Accuracy
Question: My cardiologist performed cutting balloon atherectomy. Services were for th...
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Reader Question:
Take Stress Test in Stride
Question: How should I code this case performed at our office? The patient received...
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You Be the Coder:
Pick Paroxysmal Atrial Fibrillation Case Codes
Question: In a patient with paroxysmal atrial fibrillation, the EP performed cathet...
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Cardiology Coding Alert - 2016; Volume 19, Number 3
2016 News:
2 CCI Manual Updates to Know Before You Code Your Next Cardiology Claim
All new wording appears for RHC and EP. The Correct Coding Initiative (CCI) manual has an...
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Cardiac Procedures:
Take Your RHC and Endomyocardial Biopsy Savvy Up a Notch
Find out what the OIG is watching for this procedure pair. Rules for coding an abbreviate...
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ICD-10-CM:
Succeed at Heart Failure Coding With 'Code First' and Payer Policy Answers
Watch for Index hints to help with etiology/manifestation codes. How did you fare when...
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CPT® 2016:
Know When to Use 93050 for Central Arterial Pressures
Knowing when NOT to use the new code is just as important. AMA CPT® Editorial Pane...
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Reader Question:
Think Twice Before Reporting H&P With E/M
Question: Our physician performed an endovenous ablation procedure three days after...
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Reader Question:
Return to 92943 for Retrograde CTO
Question: If the cardiologist uses retrograde access, such as advancing a wire thro...
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Reader Question:
Don't Count 36556 in 99291 Time
Question: The physician provides 84 minutes of care to a critically injured patient...
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You Be the Coder:
Consider Reporting 75710 With LHC
Question: Documentation shows a left heart catheterization and a lower-extremity angi...
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Cardiology Coding Alert - 2016; Volume 19, Number 2
ICD-10-CM:
New Proposed Codes Could Change Your Heart Failure Coding in October
End stage, right ventricular, ejection fraction, and high output are the ones to watch. A...
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ICD-10-CM:
See How ICD-10 2017 May Shake Up Coding for A-Fib and More
Pulmonary hypertension and the index could see changes, too. Heart failure coding coul...
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CPT®2016;:
3 Tips Shore Up Your Noncoronary IVUS Coding in 2016
For these add-on codes, you get a list of which codes you can NOT use as primary. The ...
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Reader Question:
Look Beyond Descriptor for Shunt Detection
Question: I’m coding cardiac shunt detection by echocardiography. I found cod...
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Reader Question:
Put to Rest When Payers Will Accept POS 19
Question: I’ve seen the news about new outpatient POS 19. Is the start date based ...
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Reader Question:
Watch for 'Gated' to ID MUGA
Question: I read an article that said not to report MUGA with MPI. I’m new to nucl...
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Reader Question:
Distinguish Mod 52 Requirements by Type
Question: I’ve seen conflicting advice about whether I need to send in documentati...
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You Be the Coder:
Know Codes for Emergent NSTEMI Intervention
Question: The emergency department sent an AMI patient (NSTEMI) through to the cath lab ...
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Cardiology Coding Alert - 2016; Volume 19, Number 1
HCPCS 2016:
Know What's New for Lumason, Kengreal, and CT Scans for Shiny Clean Claims in the New Year
Plus: Get Varithena coding tips from the HCPCS committee preliminary decision. With al...
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ICD-10-CM:
Tuck Cardiovascular Symptoms, Chest Sounds, and More Into R09.89
Arterial bruit and rales now fall under the same code. Given the increased specificity...
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News:
Look for a National Policy on LAAC Coverage Coming Down the Pike
National requirements for FDA-approval and local requirements for code use could affect ...
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CMS:
Keep Tabs on Conversion Factor and Advance Care Planning Updates With 2016 MPFS Overview
Find answers to questions about ‘incident to’ and global periods. The 2016 Me...
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Reader Question:
Follow Latest Guidance on Excludes1 for ICD-10
Question: When a cath is done and the patient has CAD in a native vessel that was n...
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Reader Question:
Capture Codes for 2 PCI Services
Question: The cardiologist performed a PTCA in the LIMA graft to the first diagonal...
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Reader Question:
Check Global and Policies for Modifier 25
Question: The cardiologist interpreted an echo for a hospital patient in the morning ...
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You Be the Coder:
Handle Congenital Left Heart Cath Question
Question: How should we report left heart catheterization in an adult patient with ...
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