ED Coding and Reimbursement Alert

CPT® 2012 Update:

Prepare For These Key Changes in Observation and Prolonged Services Codes

And check out new guidance on wound, burn and ultrasound services that could affect your revenue. ED coders can look to the E/M section of their 2012 CPT® manual for most of the relevant changes and additions. But beware: Most of these are subtle references to time in applicable E/M code ranges, often hidden in preambles and parenthetical references that are easy to miss. Read on for guidance on identifying the ED specific changes that could affect your claims, come Jan. 1, from Michael A. Granovsky, MD, FACEP, CPC, President of LogixHealth, a coding and billing company in Bedford, MA. Heed Revised Definitions of New and Established Patients 2012 brings new wording to the New and Established Patient section in the E/M services guidelines in the front of the CPT® book. The underlined passages in the text below show the revisions: "The definition of a new patient is one who [...]
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