Cardiology Coding Alert
CMS:
Ordering/Provider Edit Implementation Is on Hold
Published on Thu May 09, 2013
You have a little more time to verify that providers are eligible to order Medicare tests.
CMS has announced that “Due to technical issues, implementation of the Phase 2 ordering and referring denial edits is being delayed.”
This announcement came not long before the planned May 1 implementation, which would have triggered denials for certain claims, including Part B claims from labs and imaging centers, if the ordering provider was not appropriately listed or was not eligible to order the service. A new implementation date has not been announced as of publication time.
You can read the announcement at www.cms.gov/Outreach-and-Education/Outreach/FFSProvPartProg/Downloads/2013-04-25Enews.pdf
Other Articles in this issue of
Cardiology Coding Alert
- ECG:
93010 Is Sometimes the Right Choice on Cardiac Cath Day
The trick is pinpointing diagnostic electrocardiography. ECGs are bundled into cardiac catheterizations. But if you [...] - Category III:
0180T Steps In for 64+ Lead ECG
The definitions for routine ECG codes 93010-93015 state “at least 12 leads.” So you have [...] - HCPCS:
J0152 May Be Ditched in 2014 for Adenosine
A new J code appears to be on the horizon. The way you report units [...] - CMS:
Ordering/Provider Edit Implementation Is on Hold
You have a little more time to verify that providers are eligible to order Medicare [...] - ICD-10-CM:
I49.3 Gives Ventricular Premature Beats Their Own Code in 2014
Term swap: ICD-10 uses ‘depolarization’ instead of ‘beats.’ A quick search of payer policies reveals [...] - Cardioversion:
92960 Won't Fly for Emergency Defibrillation
CPR and cardiac cycle synchronization offer key clues to proper coding. Cardioversions and defibrillations can [...] - You Be the Coder:
Signs and Symptoms Support This Heart Cath
Question: The patient had a left-sided heart catheterization, selective coronary angiography, and left ventriculography. For [...] - Reader Question:
Calculate Sequester Reduction Properly
Question: Does the 2 percent sequestration cut apply to claims with dates of service on/after [...] - Reader Question:
E/M May Cover MD's Role in Procainamide Challenge
Question: What code would I use for procainamide challenge used to rule out Brugada syndrome? [...] - Reader Question:
36556 Use Depends on Termination Point
Question: My physician noted that he inserted a central line through the right femoral vein [...]
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