Part B Insider (Multispecialty) Coding Alert
Four New Category II Codes For PVRP
The American Medical Association has come up with Category II codes that Medicare can accept in place of "G" codes in the Physician Voluntary Reporting Program.
You can use 3046F-3049F, 3076F-3077F, or 4006F, 4009F in place of "G" codes to report measures relating to beta blocker use and ACE inhibitor or ARB therapy for heart-attack patients--and for hemoglobin level testing and cholesterol testing for diabetic patients
Medicare unveiled three new "exclusion" modifiers, which you can use with these Category II codes to signify that a patient wasn't eligible for a particular intervention or test: 1P, 2P and 3P. You attach these modifiers to the codes above to explain why they didn't apply in a particular case.
Part B Insider (Multispecialty) Coding Alert
- TESTING:
Know The Difference Between G0107 And 82272--Or Lose Money
Medicare won't cover 82270 for diagnostic testing anymore
If you're still using the same code for [...] - CONSULTS:
Don't Let Poor Documentation Thwart Your Consult Reimbursement
5 timely tips will help you avoid consult paybacks
The feds are coming to look into [...] - Sample Letter For Confirmation Of Consultations
Dear Dr. ______________,
It is our understanding that you have requested Dr. ________________ to perform a [...] - CONSULTS:
Create Your Own Decision-Making Chart For Consults
Pay attention to ROS and exam, or your level 5 could turn into a level [...] - PAY FOR PERFORMANCE:
Give P4P A Test Run--With No Pay At Stake, Suggests CMS
Start now, and you'll receive a confidential report by December
Medicare's Physician Voluntary Reporting Program (PVRP) [...] - Four New Category II Codes For PVRP
The American Medical Association has come up with Category II codes that Medicare can accept [...] - PATHOLOGY:
Keep Alert--No Pathologist, No Pay For Array Testing Codes
New molecular probe codes sow confusion among providers
If you don't have a pathologist supervising your [...] - PODIATRY:
Ward Off Wound Care Coding Denials With 15340
Learn which common podiatry products line up with new skin graft codes
[...] - OB-GYN:
Discover How V Codes Signify Patient's History
Helpful hint: List disease signs and symptoms first
Personal and family history V codes can help you [...] - GASTROENTEROLOGY:
Using 46221 To Report Hemorrhoid Removal? Not So Fast
Suture ligations may require another code--depending on the circumstances
Hemorrhoid location should influence the codes you [...] - UROLOGY:
Sharpen Your Vasectomy Coding Skills With This Guidance
Find out when it's appropriate to add 80 or 82 modifiers to the mix
One code [...] - RADIOLOGY:
Reader Question--Ace Abdominal Aortic Aneurysm Coding
Question: I am having trouble coding percutaneous abdominal aortic aneurysm (AAA). Could you help me [...] - NEUROSURGERY:
2 Scenarios Show Effective B Code Use For Neurosurgery Aftercare
Explore your options to indicate follow-up exams
Don't be surprised when you see a V code [...] - OTOLARYNGOLOGY:
Reader Question--Pinpoint Exam Area--Not Insertion Location--For Proper ENT Coding
Question: I'm trying to understand how to distinguish between nasopharyngoscopy and laryngoscopy. What role does [...] - Part B Coding Coach:
Confused About Coding Diabetic Manifestations? 4 Tips Show You How
First step: Check the physician's documentation for diagnosis cause
Remember this rule [...] - Beware:
Avoid These Diabetes Coding Pitfalls
When coding for diabetes, if you're listing the manifestation first, you're making a mistake. Here [...] - PHYSICIAN NOTES:
Stent Placement, Gastric Bypass No Longer Covered
Medicare Advantage plans win 4-percent pay hike next year
Medicare will no longer pay for transcatheter [...]
