CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC DRG Code 261

Choose different codes for atherosclerosis of bypass grafts vs. native arteries. If you find peripheral artery disease (PAD) and peripheral vascular disease (PVD) coding confusing, you’re not alone. Read on for some helpful insight on how best to maneuver this [...]

Plus, don’t let Specialty Measure Set limit your physician’s maximum payment adjustment. It’s imperative that coders, physicians, and even practice managers are on the exact same page when it comes to Merit-based Incentive Payment System (MIPS) reporting. That’s because the [...]

Question: In our ASC, we are have seen some denials for our 66982 claims. Could you walk us through the proper use of this code? Georgia Subscriber Answer: The code you mention is 66982 (Extracapsular cataract removal with insertion of [...]

Question: My orthopedist performed the following knee procedure: “Examination of the patient’s right knee with the scope showed the effusion to be serous and this was washed free. Patellofemoral tracking was good with chondromalacia, grade III and IV on the patellar [...]

Denials will start May 1 for claims that fail Medicare’s ordering/referring provider edits. When reporting radiology services, be sure to take these three recent Medicare announcements into account. 1. Check Both National and Local PET RP Coverage Medicare has decided [...]

National Medicare may offer more leeway for local coverage. You may see your PET local coverage determination getting an update in the near future. CMS is considering allowing local MACs to determine coverage within their jurisdictions for oncologic PET imaging [...]

National Medicare may offer more leeway for local coverage. You may see your PET local coverage determination getting an update in the near future. CMS is considering allowing local MACs to determine coverage within their jurisdictions for oncologic PET imaging [...]

Question: Medicare denies our claims for B12 injections. Do they only allow one unit, or are there changes we should know?Arkansas Subscriber Answer: Check your Medicare carrier's website and policies, because some (such as New Hampshire) will pay for one unit [...]

Question: Medicare denies our claims for B12 injections. Do they only allow one unit, or are there changes we should know?Arkansas Subscriber Answer: Check your Medicare carrier's website and policies, because some (such as New Hampshire) will pay for one [...]

Don't forget about giving notices for hospital stays. You may have until March 2009 to implement the new advance beneficiary notice for hospice, but you should start working toward implementation well before that to ensure compliance. Hospices may be tempted [...]