UNCOMPLICATED PEPTIC ULCER WITH MCC DRG Code 383
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Official Code Descriptor
Crosswalks & Fee Schedule
Coding Alert(s)
- 2019 E/M Proposals: Prep for These Sweeping CMS-Proposed E/M Changes in 2019 - (Oct 16, 2018)
Get to know how these new CMS proposed rules might affect your practice. Fee schedule changes to most evaluation and management (E/M) services have been relatively safe from CMS intervention over the past few years. As for 2019, however, it’s [...]
- Part B Payment: CMS Proposes Sweeping E/M Changes for 2019 - (Sep 11, 2018)
Hint: Proposal causes one pulmonary practice in our sample to lose $93,000 in one year. Pulmonology practices have been able to rest easy during the past few years’ worth of fee schedule changes, but this year may have thrown a [...]
- Enforcement: HEAT Nets 5-Fold Increase in CMP Recoveries - (Jun 20, 2016)
Enforcements help honest providers flourish, says OIG. Can you prove that every service you’re billing for was actually rendered, is documented, medically necessary, and properly coded? The HHS Office of Inspector General (OIG) means business and is not letting up [...]
- Compliance: OIG Crackdowns Yield Major Results in the Fight Against Medicare Fraud - (Jun 06, 2016)
Big cash recoveries expected for CMS this year, says the OIG Semiannual Report. With bells and whistles in place, if you abuse the system, OIG usually finds out. “We pursue enforcement where appropriate, which helps honest providers flourish [...]
- Allergy Testing: Breeze Through Spring With Denial-Proof Allergy Coding - (Apr 17, 2014)
Counting units, not scratches, is key with 95004. Springtime pollen is upon us, which means your otolaryngologist could be seeing more patients to test for specific allergies. Refresh your knowledge of reporting one of the most common tests – the [...]
- Industry Notes: - (Oct 30, 2012)
One State Just Says 'No' to OIG RecoveryThe OIG wants New Mexico to recover $11 million from a Medicaid home care provider, but the state isn't going along with the idea. Coordinated Home Health claimed at least $11 million improperly [...]
- Physician Note: Vaccines Receive Booster Shots for 2013 - (Oct 04, 2012)
Plus: Consider these lab tests officially 'CLIA-waived.'Good news for physicians who administer flu shots -- CMS seems inclined to give practices a break with some of its recent updates to the seasonal influenza vaccines pricing, which CMS announced on Sept. 28. [...]
- 2012 Physician Fee Schedule: Good News: Expect More Flu Vaccine Reimbursement in 2012 - (Feb 16, 2012)
Pay for 3 of your most common vaccine codes will rise. Your physician should be smiling about the vaccine reimbursement amounts for 2012 -- CMS gave practices a break with updates to its seasonal influenza vaccine pricing. CMS payment changes related [...]
- CPT® 2012 Primer: Rejoice the Addition of a New Flu Vaccine Code, New Preventive Services Modifier - (Nov 17, 2011)
Caveat: You're already using both the code and the modifier. You may be cheering the addition of a new flu vaccine code and a new modifier in CPT® 2012, but once you read the fine print, the "new" code may [...]
- CPT® 2012: Say Hello to Car Seat Testing Codes Effective Jan. 1 - (Nov 11, 2011)
Plus: You'll find clarification on developmental testing codes 96110-96111. Last year, coders received a good dose of updates--and confusion--with the addition of several new vaccine administration codes. This year CPT® takes it easier on pediatric practices with a few changes [...]