Tag Archives: CPT 2011
Posted on 06. Feb, 2011 by dchandhok.
2011 brings a new coding option when reporting the middle day of observations that last longer than two days. Check out this expert advice on how CPT additions will affect your FP’s observation care services coding starting on Jan. 1, 2011.
Until this point, coding for the “middle days” of an observation service caused problems. Although not the norm, there are times when a physician admits a patient to observation and she remains in that status for three or more days. CPT 2011 addresses these middle days between admission and discharge by introducing three new E/M codes. The additions parallel the hospital subsequent care series in terms of
Posted on 04. Feb, 2011 by dchandhok.
Coding is all about applying standardized code sets to situations that don’t always qualify as “standard.” The good news is that authoritative coding resources sometimes address even those encounters you don’t handle on a daily basis. Test your skills with these two scenarios and see whether your responses match the official rules.
Challenge 1: Staff administers a non-chemotherapy therapeutic drug via one IV infusion site, and then following oncologist orders based on protocol, administers chemotherapy intravenously via a second IV site. Should you report the chemotherapy admin or the non-chemotherapy admin as the initial code?
Posted on 31. Jan, 2011 by dchandhok.
Capture additional pay by separating wound care management codes 97597-97602 from the newly revised debridement codes.
Every year, just when you’re trying to get used to new CPT codes, the Correct Coding Initiative (CCI) comes along and limits how and when you can use the new codes you’ve been given. This year is no exception with CCI 17.0 adding edits involving new Renessa and posterior tibial neurostimulator (PTNS) codes, among others.
The CCI released version 17.0, revealing 19,822 new active pairs and 9,778 code pair deletions, said Frank D. Cohen, MPA, MBB, senior analyst with The Frank Cohen Group, LLC, in a Dec. 14 announcement.
Many of the new code pair additions involve CPT codes that debuted on Jan. 1, 2011 with CCI getting ready to halt payment if you report
Posted on 18. Jan, 2011 by dchandhok.
Remember to check for updated or revised guidelines when preparing to use your new code books for 2011, not just code descriptors. CPT 2011 includes new details for coding some common injection procedures, as pointed out at the AMA’s CPT and RBRVS 2011 Annual Symposium in Chicago. Read on for a few pointers to help stay on the right track.
The introduction of new codes for paravertebral facet joint injections in 2010 (64490-64495) meant changes to how you reported related codes. During the CPT and RBRVS Symposium, Douglas G. Merrill, MD, MBA, of the American Society of Anesthesiologists, pointed out two revised guidelines dealing with paravertebral facet (spinal) joint procedures.
Instructions in CPT 2010 directed you to report 64999 (Unlisted procedure, nervous system) if the provider used ultrasound guidance during paravertebral facet joint injections. The AMA released a correction later in 2010, and the CPT 2011 clarifies the situation. If your provider used ultrasound guidance when administering paravertebral facet joint injections, report the
Posted on 07. Jan, 2011 by jennifer.godreau.
How to count components for Boostrix, Pediarix – and other immunizations.
Excited by the new vaccine administration codes’ payment per component but not sure how many components specific vaccines have? This chart does the work for you.
Find the product name for a quick cross reference to how many components the vaccine includes
Posted on 29. Dec, 2010 by jennifer.godreau.
Raise your glass to the new year without worries of 2011 medical code changes. SuperCoder’s got you covered with new CPT codes, CCI edits, and supply coding revisions.
Starting Dec. 31, SuperCoder.com will offer the complete codesets for CPT 2011, HCPCS Level II 2011, and
Posted on 16. Dec, 2010 by jennifer.godreau.
600 coders, physicians, and office managers gathered in Orlando, Fla. for one and a half jam-packed days of education, networking, and shopping at the December 2011 Coding Update and Reimbursement Conference. Coders’ biggest struggle was absorbing all the information – and not overdoing the holiday buying. Experts offered the inside scoop on medical coding changes for 2011 and beyond. Here are my top picks:
- E-prescribing is here to stay – and is about to be more strictly enforced. Physicians need to e-prescribe at least 10 medications for patients during the first 6 months of 2011, or they’ll be added to the list for a 1% penalty hit in 2012. “The prescriptions can be for one patient ten different times, or can be spread out among different patients,” said Marvel Hammer, RN, CPC, CCS-P, PCS, ACS-PM, CHCO, in “Take Steps Now to Prepare for 2011 Pain Management Changes”. “For pain management practices, the prescriptions can be for any type of pain meds.”
- Three PQRI measures apply to anesthesia providers: timing of prophylactic antibiotic (measure 30); maximal sterile barrier technique (measure 76);
Posted on 29. Nov, 2010 by jennifer.godreau.
Pediatricians who were thrilled with CPT 2011′s move to paying vaccines per component got a setback from Medicare’s rejection of the recommended RVUs for new vaccine administration codes 90460 and 90461.
The Relative Update Committe recommended that the 2011 Medicare Physician Fee Schedule and Resource Based Relative Value Scale assign 0.20 practice expense (PE) RVUs to 90460 and 0.16 PE RVUs to 90461. But CMS disagreed with the proposal. “We disagree with the recommendations and will
Posted on 23. Nov, 2010 by jennifer.godreau.
When reporting diabetic foot ulcer treatment involving tissue cultured skin substitutes to the lower extremity for a Medicare beneficiary in 2011, you’ll use two temporary G codes.
Providers were concerned about the different global periods for two tissue cultured skin substitutes codes causing financial incentive to use one product over another. “General surgeons, podiatrists, plastic surgeons, and wound care specialists were concerned that Apligraf had a 90 day global period versus Dermagraft, which had a 30 day global period,” explained Marc Hartstein, Deputy Director for the Hospital and Ambulatory Policy Group for the Center for Medicare in “Medicare Physician Payment Schedule 2011 Changes and Beyond” at the CPT and RBRVS 2011 Annual Symposium in Chicago on Nov. 10, 2010.
Apligraf (which for 2010 is coded with 15430 or 15431) application involves up to 5 treatments over a 12-week period, where as Dermagraft (CPT 2010 codes 15360, 15361, 15365, and 15366) is applied weekly, up to 8 treatments over 1 12-week period.
During 2011, new codes will be worked on and valued. This will pave the way for
Posted on 16. Nov, 2010 by jennifer.godreau.
Revascularization, heart catheterization, and more all have new looks in CPT 2011. Here’s an overview of what you can expect.
• 37220-37235: Endovascular revascularization, open or percutaneous
The codes in this range are distinguished by the vessels involved: iliac, femoral/popliteal, and tibial/peroneal. Other distinguishing features include whether the physician performs angioplasty, stent placement, and/or atherectomy. For example, the definition of 37231 will be