Tag Archives: supervision
CPT 2010 Update: Urogynecology Coding
Posted on 05. Jan, 2010 by Editor.
Remember, supervision requirements still apply to new codes.
CPT 2010 brings some big changes to urogynecology coding. Your urodynamics coding — and income — changes drastically as of Jan. 1.
Get to Know These 3 New Complex Cystometrogram Codes
You will have three new urodynamics codes to learn starting Jan. 1. CPT 2010 adds the following codes:
• 51727 — Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique.
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Cardiology Coding Question: Separate Reporting for 37204
Posted on 08. Nov, 2009 by sanjay.aikat.
Question: Should I separately report right and left bronchial artery embolization?
Answer: You should report 37204 (Transcatheter occlusion or embolization [e.g., for tumor destruction, to achieve hemostasis, to occlude a vascular malformation], percutaneous, any method, non-central nervous system, non-head or neck) twice for right and left lung embolization at the same encounter.
In addition, if the cardiologist provides supervision and interpretation (S&I), you should report 75894 (Transcatheter therapy, embolization, any method, radiological supervision and interpretation) twice.
Support: CPT Assistant (October 1998) states you should report 37204 once “for each operative field addressed.” When the cardiologist embolizes the right and left bronchial arteries, he addresses two separate operative fields (right and left lung). CPT Assistant suggests appending modifier 59 (Distinct procedural service) to the codes for the second and subsequent fields.
Bonus tip: You should report one pair of codes (37204, 75894) per field even if the physician treats multiple vessels in that field or uses many coils or other embolic materials in a single vessel, states CPT Assistant (September 1998).
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Stop Wasting Time Searching for Supervision Definitions
Posted on 27. Jan, 2009 by Editor.
Quick quiz: Is level 1 general or direct supervision?
You can finally crack the Medicare Physician Fee Schedule code — and know when you can report certain services — by keeping this list of physician supervision levels close by.
The lowdown: The MPFS notes supervision levels in number format (such as 1, 2 and so on). You can find supervision level explanations in the Medicare Benefit Policy Manual, Chapter 15, Section 80.
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Physician Supervision/Diagnostic Indicator (Phys Supv)
0 — Procedure is not a diagnostic test, or procedure is a diagnostic test which is not subject to the physician supervision policy.
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