Part B Insider (Multispecialty) Coding Alert
Physician Services Not Bundled in SNFs
Published on Mon Feb 16, 2004
Billing for separate services in a skilled nursing facility can be tricky - especially when Medicare considers them bundled physical therapy services.
But Medicare Transmittal 90, issued Feb. 6, swings the door open for billing for some physical therapy services as long as a physician performs them. When a physician bills for some cast and splint application services, including upper-body and extremity codes 29065-29280, it's considered surgery and separately payable, Medicare instructed its carriers.
Other Articles in this issue of
Part B Insider (Multispecialty) Coding Alert
- Pulmonary Function Tests:
Unbundling Is a Constant Danger With Spirometry Claims
Pay attention to NCCI edits, common sense
Billing for pulmonary function tests, also known as spirometry, [...] - Documentaton:
The Denial Is in the Details for Routine EKGs
Documentation doesn't have to be separate, but it must be identifiable
When an emergency physician interprets [...] - No Time Limit to Change Charts
Some providers believe that they have a limited time, such as 30 days after discharge, [...] - Routine EKGs:
Two Readings, One EKG - Who Bills?
Cardiologists and emergency physicians tussle over payments
A patient comes into the emergency room, and the [...] - Separate but Not Looseleaf
Don't send documentation back just because you're not on the same page
The biggest misunderstanding many [...] - Invasive Line Placement:
Separate Billing for Invasive Line Placement Requires Documentation
Check state laws, carrier policies for 36555, 36620, and 93503
If your anesthesiologist places an invasive [...] - Physician Services Not Bundled in SNFs
Billing for separate services in a skilled nursing facility can be tricky - especially when Medicare [...] - Transmittals:
Kiss Grace Period for New Codes Goodbye
HIPAA kills 90-day safety zone
Feeling tied up in knots by new coding requirements? Now you [...] - Part B Coding Coach - 3 Strategies Guide Your 'Late Effects' Coding
If you're overlooking late effects when assigning ICD-9 codes, you're providing incomplete information and possibly [...] - Physician Notes:
Clinical Studies May Be at Risk for Kickback Attacks
Watch your copayment collection to avoid getting whacked
The intersection of clinical [...]
View All
