Neurology & Pain Management Coding Alert
Assign a Single Date to Medicare Claims
Question: Our neurologist performed subsequent hospital care over the course of four days, so we listed a date range on our claim, but Medicare denied the claim. Why is the date range not appropriate? Answer: Although most Medicare carriers accepted date ranges in the past, you can no longer list date ranges on your CMS-1500 form. - Clinical and coding expertise for You Be the Coder and Reader Questions provided by Neil Busis, MD, chief of the division of neurology and director of the neurodiagnostic laboratory at the University of Pittsburgh Medical Center at Shadyside, and clinical associate professor in the department of neurology, University of Pittsburgh School of Medicine; and Laureen Jandroep, OTR, CPC, CCS-P, CPC-H, CCS, director and senior instructor for CRN Institute, an online coding certification training center based in Absecon, N.J.
New York Subscriber
Medicare will not accept date ranges, according to CMS Change Request 3337, effective Oct. 1. Therefore, if your neurologist performs subsequent hospital care four days in a row, you should bill 99232 (Subsequent hospital care, per day, for the evaluation and management of a patient ...) on four separate claim lines with the separate dates listed.
Visit www.cms.hhs.gov/medlearn/matters/mmarticles/2004/MM3337.pdf to see the full change request.
Neurology & Pain Management Coding Alert
- Take a Closer Look at Digital EEG Analysis
You can report 95957 with 95951/95953, but meeting the requirements may be tougher [...] - Reporting t-PA? Don't Forget E/M Codes
37195 isn't enough for payment Unless your neurologist wants to give her services away, you [...] - No Admission for t-PA? Look Instead to Consults
If another physician provides initial care for the stroke victim (in the emergency department or [...] - Red Flag Alert! CMS Puts Modifier -59 Claims Under Scrutiny
If documentation won't support a separate service, don't unbundle If you're using modifier -59 indiscriminately, [...] - You Be the Coder:
Myobloc Isn't Botox
Question: How should I report Myobloc injections? Is Myobloc just another name for Botox?
California Subscriber
Answer: [...] - Reader Questions:
Use Physician Coding for Tech Testing
Question: How should we bill if a technician, rather than the neurologist, conducts diagnostic tests [...] - Reader Questions:
Choose 99235 for Physician Who Examines Patient
Question: Dr. Smith was on-call and admitted a patient to the hospital. On the same [...] - Reader Questions:
Select Unlisted-Procedure Code for QST
Question: Which is the proper code to describe quantitative sensory testing?
Vermont Subscriber Answer: CPT does [...] - Reader Questions:
Assign a Single Date to Medicare Claims
Question: Our neurologist performed subsequent hospital care over the course of four days, so we [...]
