BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC DRG Code 410

CMS changes will enable providers to detect problems earlier, when treatment is most effective. In November, the Centers for Medicare & Medicaid Services (CMS) finalized the 2025 Medicare Physician Fee Schedule (MPFS) final rule, which went into effect January 1. [...]

Question: Does the Centers for Medicare & Medicaid Services (CMS) cover medication for prophylactic transmission prevention of human immunodeficiency virus (HIV)? Washington, D.C. Subscriber Answer: On Sept. 30, 2024, CMS released the Pre-Exposure Prophylaxis (PrEP) to prevent HIV national coverage [...]

Use them to paint the patient’s complete picture … most of the time. You’re probably familiar with the ICD-10-CM guidelines for reporting external cause. In part, they state that “there is no national requirement for mandatory ICD‐10‐CM external cause code [...]

Question: When we perform tumor immunohistochemistry for ER/PR status for breast tissue, how should we report the procedure and the hormone status findings? Nevada Subscriber Answer: To select the appropriate procedure code for breast tissue immunochemistry for estrogen receptor (ER) and/or progesterone [...]

And know why the changes are going to matter for Medicare billing. On Oct. 1, 2024, the Centers for Medicare & Medicaid Services (CMS) will add and/ or expand over 250 new ICD-10-CM diagnosis codes, affecting almost every chapter. Of [...]

And know why the changes are going to matter for Medicare billing. On October 1, 2024, the Centers for Medicare & Medicaid Services (CMS) will add and/or expand over 250 new ICD-10 diagnosis codes affecting almost every category. In medical [...]

Plus: See the latest fee schedule proposals on the MDPP. With a third of Medicare beneficiaries diagnosed with diabetes, it shouldn’t surprise anyone that the feds continue to double down on prevention and management policymaking. Here’s a look at four [...]

Draw the line between diabetes before pregnancy and gestational diabetes. So you know that a diabetic pregnant patient requires services that are separate from the global package and demand a higher level of management skill — but does your patient’s [...]

Are you familiar with the term eFAST? Trauma patients are a given in the ED setting, and a number of the patients who report with traumatic impact injuries are candidates for a FAST exam. There are several components to a [...]

Plus: Post-COVID telehealth options may get extended. Ob-gyn practices have been anticipating the Medicare Physician Fee Schedule (MPFS)—and for good reason. You’ll find several changes suggested in the proposed rule that could affect billing, payments, and care plans for your [...]