95992: CRP Code Wins Payable Status

Posted on 14. Nov, 2010 by jennifer.godreau.

Medicare still won’t reimburse audiologist-billed Epley.

After two years of battles with CMS over canalith repositioning procedure (CRP) coding, physicians will finally get paid for these specific codes.

CPT® 2009 excited ENT coders with new CPT code 95992 (Canalith repositioning procedure[s] [e.g., Epley maneuver, Semont maneuver], per day) . The 2009 Medicare Physician Fee Schedule cut coders’ applause short. CMS assigned the codes ‘B’ status or always bundled making payment for CRP or the Epley menauever using the new code impossible to obtain.

The 2011 Medicare Physician Fee Schedule ends the fight for payment of CRP. At the beginning of next year,

Continue Reading

Critical Care Coding FAQ: Become a Master of Time

Posted on 09. Feb, 2010 by Editor.

Beware: CPT, CMS differ on ‘family discussion’ parameters.

When the physician treats a patient with a critical illness or injury, you need to know when to start and stop the critical care clock in order to avoid miscoding. Check out this FAQ to find out what’s part of critical care, what’s not, and how to correctly count the minutes to ensure the most accurate and profitable 99291-+99292 claims.

Q. What Must I Carve Out of Critical Care Time?

Be careful when considering critical care minutes; many services that you might think are part of the 99291 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes) package are actually separately billable procedures, pointed out Caral Edelberg, CPC, CCS-P, CHC, president of Edelberg Compliance Associates in Baton Rouge, La., during her recent presentation on ED trauma coding at The Coding Institute’s multi-specialty conference in Orlando, Fla.

Continue Reading

Does CPR Count Toward Critical Care Time?

Posted on 15. Jan, 2009 by .

No–even in cases when the CPR went on for awhile. If the same provider performed the critical care and the CPR, you can’t count the CPR time as part of critical care.

Plus … doctors can actually share critical care time. Jill Young shows you how.

Continue Reading