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Bone Up on Health Care Reform's Impact on Bone Scan Rate

Published on Sun May 09, 2010

Don't let 2006 DXA code references lead you to use wrong codes.Which codes should you use to reap the benefit of CMS's new calculations for bone scan payment? During an April 13 CMS Open Door Forum, that's what one caller wanted to know. He was delighted that, thanks to the new health care reform legislation, CMS will be raising payment for  bone density tests, but noted that the legislation listed old bone density test codes 76075 and 76077. He asked whether MACs will be requesting those old codes going forward, or whether practices should continue reporting current codes 77080-77082 (Dual-energy X-ray absorptiometry [DXA] ...).Advice: You should use current codes 77080-77082, not the old codes, said CMS's Amy Bassano.Added support: CMS transmittal 700 (www.cms.gov/transmittals/downloads/R700OTN.pdf), effective Jan. 1 and implemented June 1, announces increased payment for DXA scan imaging, making the new non-facility total relative value units (RVUs) 2.70. The original [...]
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