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CPT® 2013: 38243 Will Bring a New Option for HPC Boost Starting January 1

Posted on 12. Dec, 2012 by .

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‘Stem cell’ makes way for ‘hematopoietic progenitor’ cell terminology.

The CPT® 2013 updates aren’t final quite yet, but that doesn’t mean you can’t start your preparations now. We’ll get you on your way with a look at the expected changes to codes in the 3824x range.

Plan Ahead for This Transplant Coding Overhaul

Your old codes for bone marrow or blood-derived peripheral stem cell transplantation will look a lot different in 2013. But that’s not all. CPT® is adding a new code for hematopoietic progenitor cell boost after transplant, says Jodi Good, CPC-I, CCS-P, PCS, Manager of Professional Coding Services for Altegra Health Inc.

rel=”nofollow”>Code Connect
Take advantage of the must-have AMA guidance revealed in the latest CPT® Assistant newsletter, easily accessible on SuperCoder.com. Simply search for the codes to get the most up-to-date articles on these topics. rel=”nofollow”>Click here to buy.

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Get HCPCS Level II 2013 Code Changes Plus Retain 2012 Fees into the New Year – only on Your Specialty Physician Coder

Posted on 10. Dec, 2012 by .

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Now is the time to review your super bills to update them in preparation for more than 150 new and deleted HCPCS level II codes. Otherwise, you could be facing denials for drugs and other supplies come Jan. 1, 2013.

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CMS: Report to Medicaid and Medicare? 2 Issues You Need to Know Now

Posted on 29. Nov, 2012 by .

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Keep up with the latest on NDCs and the OIG Work Plan.

Crossover areas for Medicare and Medicaid are in the news. Here are the details on following CMS’s new rule on adding NDC codes on Medicare claims and the OIG Work Plan’s focus on Part B drug savings.

rel=”nofollow”>Part B InsiderKeeping pace with Medicare’s never-ending roller coaster of reimbursement and compliance changes is no easy feat. But Part B Insider simplifies your work by putting the most important Part B coding info at your fingertips – every week! rel=”nofollow”>Click here to buy.

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Scope Out AMA’s Latest Lung Coding Examples

Posted on 27. Nov, 2012 by .

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Lung and pleural procedures are in the spotlight in the just released September 2012 CPT® Assistant. Whether you want details about how thoracotomy and thoracoscopy codes changed for 2012 or you’re longing for VATS clinical examples, this authoritative AMA resource has you covered.

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Top Takeaways from AMA 2013 Symposium

Posted on 20. Nov, 2012 by .

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The AMA’s annual CPT and RBRVS Symposium took place November 14-16 in Chicago, with experts from more than a dozen medical specialties sharing glimpses into what coding and reimbursement will be like for 2013. As a first time attendee, here are my top takeaways:

  • I have a fresh admiration and respect for people who code for cardiology services. It’s such a complex specialty, and their coding goes through major changes every year. New codes, interim codes, bundled services, updated definitions, new technology that needs reconsideration and re-valuation — it’s enough to hopefully ensure job security for cardiology coders everywhere.
  • I would never survive as a molecular pathology coder. Aside from the fact that I don’t know enough to understand the code descriptors, the entire codeset in CPT® 2013 has been restructured. As presenter Mark S. Synovec, M.D., explained, Tier 1 consists of 105 codes (13 of which are new)

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New Code Woes, Old Code Deaths, and Payment Celebrations

Posted on 20. Nov, 2012 by .

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 Day 2 of the AMA Symposium gave rundowns of 2013 changes for neurology, cardiothoracic surgery, and pathology. Read on for some top predictions and black-and-white facts.

 “There’s going to be gnashing of teeth over the new chemodenervation codes,” Gregory L. Barkley, M.D., predicted when referring to new code 64615. “Providers have been used to reporting multiple codes when they treat different nerves during an encounter, but the new code changes that. Providers will take a big hit for that.”

Code Search  2013 code overhauls giving you jitters? Stay up to date on the latest code changes for neurology, cardiothoracic surgery, and pathology with SuperCoder’s Code Search. Get it Now.

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AMA 2013 CPT® and RBRVS Symposium: 5 Need-to-Know Points for MPPS Changes in 2013 and Beyond

Posted on 19. Nov, 2012 by .

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 If you’re wondering what the most important changes are for the 2013 Medicare Physician Payment Schedule (MPPS), look no further. Kathy Bryant, deputy director of the department of physician services at CMS, gave a rundown of salient points at the AMA’s annual CPT® and RBRVS Symposium in Chicago. Here are five that apply to the majority of providers:

 Payment rates: Medicare rates are scheduled to take a 26.5 percent hit in 2013 unless Congress takes action to avert the cut. “The President’s budget calls for an aversion of the cut and a permanent fix,” Bryant told attendees. “They seem to be working on it, but we haven’t heard yet where it’s going.”

rel=”nofollow”>Part B Coder Need to stay up-to-date on the MPPS changes for 2013? Let Part B Coder keep you focused on MPPS changes and

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AMA 2013 Annual Symposium: Attendees Ask for CMS Answers to EHR Upcoding Glitches

Posted on 19. Nov, 2012 by .

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The AMA’s 2013 CPT® and RBRVS Symposium kicked off on November 14, with attendees demanding answers to widespread problems with electronic health records (EHR) systems.

“I’m bringing back an issue that was asked about during this meeting last year and we were told that some things would be put in place to correct problems,” one attendee said during an open Q&A time. “And that issue is: CMS is giving a two-sided message regarding electronic records. You offer incentives for physicians to purchase electronic systems for meaningful use, yet those systems are promoting inaccurate E/M levels that lead to inaccurate billing.”

TCI’s Chart Auditing Service Electronic systems can overcode E/M visits, leading to problems internally and beyond. But you can stay away from EHR glitches with TCI’s Chart

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Compliance: 88305: Is 4 the New Prostate Biopsy Maximum for Medicare?

Posted on 12. Nov, 2012 by .

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Palmetto GBA policy sets the tone.

“I’m concerned that payers may interpret the NCCI Policy Manual to be distinguishing 88305 vs. G0416-G0419 on sample number alone,” states William Dettwyler, MTAMT, president of Codus Medicus, a laboratory coding consulting firm in Salem, Ore.

That’s what we published earlier this year in “Mark 5 Prostate Biopsies as the Magic Cutoff for 88305″ (Pathology/Lab Coding Alert Volume 13, Number 5). Now it seems that the concern is becoming reality.

That was Then – 88305 x 10

In 2009, CMS implemented HCPCS Level II codes for pathology exam of specimens from a prostate saturation biopsy (55706 – Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance), which often yields 20 or more specimens, as follows:

  • G0416 – Surgical pathology, gross and microscopic examination for prostate needle saturation biopsy sampling; 1-20 specimens
  • G0417 – … 21-40 specimens
  • G0418 – … 41-60 specimens
  • G0419 –

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CPT® 2013: 32555 and 32557 Promise a Simpler Path to Pleural Aspiration and Drainage Coding

Posted on 12. Nov, 2012 by .

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Catheter aspiration will have an obvious code choice.

The preliminary list of CPT® 2013 code changes is out, and you may be glad to have some extra time to prepare. There are numerous changes affecting radiology, starting with new ways to report thoracentesis and pleural drainage.

Keep in mind, these changes aren’t yet final, so they may change before the codes become official this fall.

rel=”nofollow”>Code Search Next year you’ll have new ways to report thoracentesis and pleural drainage. Be the first to get code updates as 2013 CPT Code Changes are now live on SuperCoder’s Code Search. rel=”nofollow”>Click here to buy.

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