Cardiology Coding Alert
Analyze Medicare's ASC-Covered Procedures
Question: Where can I find a list of the codes Medicare covers when performed in an ASC?
Answer: Medicare posts the lists of procedures for which it will pay an Ambulatory Surgical Center (ASC) at www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ASCPayment/ASC-Regulations-and-Notices.html. Remember that physician services are paid separately.
Addendum AA shows the surgical procedures Medicare will pay the ASC for when performed in the ASC setting. For instance, you’ll find lower extremity revascularization codes on the list, such as 37227 (Revascularization, endovascular, open or percutaneous, femoral, popliteal artery[s], unilateral; with transluminal stent placement[s] and atherectomy, includes angioplasty within the same vessel, when performed).
Addendum BB includes ancillary services the ASC will be reimbursed for. Ancillary refers to non-surgical procedures, such as 75822 (Venography, extremity, bilateral, radiological supervision and interpretation).
You’ll also find quarterly updates at www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ASCPayment/11_Addenda_Updates.html.
South Carolina Subscriber
Cardiology Coding Alert
- CCI Deletions:
CMS Finally Gives a Green Light to +93623 With More EP Study/Ablation Codes
Take action to secure the dollars you’ve earned since January. Good news: Correct Coding Initiative [...] - CCI Additions:
S-ICDs and E/M Dominate Cardiology's July Edit Updates
Thousands of new edits will affect your claims, but common sense should see you through. [...] - CCI Changes:
Hunt Down the Column and Modifier Indicator Swaps in the Latest Edit Update
Additions and deletions aren’t the only game in town. Savvy coders know that Correct Coding [...] - News You Can Use:
Pacemakers May See Revised Coverage Indications
Take the opportunity to review the proposed decision. CMS has posted a proposed decision memo [...] - Arrhythmia:
Take a Quick Tutorial in Chemical Cardioversion Coding
Watch the setting when choosing codes. If your physician performed cardioversion, that service was either [...] - ICD-10-CM:
426.4 Will Divide Into 3 Right Bundle Branch Block Options in 2014
Remember to look to combo codes if the left bundle branch is affected, too. ICD-10 [...] - You Be the Coder:
Can You Report Second EKG Reading?
Question: Is there a modifier or a procedure code for the following? Patient comes into [...] - Reader Question:
Analyze Medicare's ASC-Covered Procedures
Question: Where can I find a list of the codes Medicare covers when performed in [...] - Reader Question:
99201 Is OK With 93925, But Be Cautious
Question: Can 99201 or 99211 be billed with 93925 (ABI)?
Codify Member Answer: [...] - Reader Question:
Seek Pacer Upgrade Codes
Question: Which codes apply to this service? 1) Venography of left subclavian 2) Venogram of [...]
