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PubMedDate not supplied

Echocardiography "add-on" codes.

Doppler pulsed wave or continuous wave and color-flow velocity services are reported with add-on codes in addition to the basic echocardiography study. To be reimbursed, payor medical necessity guidelines must be met, and documentation in the echography report must clearly support all services performed.

Current Procedural Terminology↗
PubMedDate not supplied

Know your APCs: data analysis made simple.

You've adapted processes to the APC system, but do you really understand the financial impact of APCs on your organization? The author shows you how to analyze your billing data to assess the impact of APCs on your facility's bottom line.

Ambulatory Care↗
PubMed2005

New coding and billing opportunities for 2005--Part I.

Part I of this series will highlight several changes in coding and billing for 2005. Medicare has established new preventive medicine services and screening tests for beneficiaries, but they have certain qualifications and documentation rules that must be followed. New codes have been established for using the Internet or similar electronic communications in response to a patient's request. There are additional revisions for pediatricians, orthopedists, endoscopists and surgeons performing transplants and bariatric surgery. All new CPT codes must be activated and deleted codes must be discontinued effective January 1, 2005. From that date forward, the patient's date of service must reflect current diagnosis (ICD-9) and procedure/services (CPT and HCPCS) codes. The Health Insurance Portability and Accountability Act (HIPAA) mandated a January 1, 2005, date compliance for all new and deleted diagnosis (ICD-9-CM) and physician service codes (CPT and HCPCS). Physicians no longer are allowed the 90-day grace period to update their coding systems to reflect the changes. The new 2005 CPT book contains many revisions within the codes themselves along with revisions found in the specific "guidelines" at the beginning of many sections. The CPT codes for 2005 contain 26 deleted codes and 130 new codes, thus providing a challenge to update all coding systems by the January 1, 2005, compliance date for CPT codes.

Current Procedural Terminology↗
PubMed2005

New wound care codes.

Explore the source record for details and available documents.

Current Procedural Terminology↗
PubMedDate not supplied

The 2005 coding update.

Keep in mind that this is not the end of the 2005 coding changes; there are also new HCPCS level II codes to contend with the advent of the Medicare Final Rules for physician and outpatient hospital-fee schedules. For now, we can prepare for the CPT changes by verifying charge master updates, ensure that fee tickets were corrected, and review any other documents or electronic systems where procedures are captured for billing purposes.

Current Procedural Terminology↗
PubMed2005

New coding and billing opportunities for 2005--Part II.

Part I of this series highlighted several changes in preventative care services and additional revisions for pediatricians, orthopedists, endoscopist and surgeons performing transplants and bariatric surgery. Part II addresses several new codes in gynecology, orthopedics, neurosurgery, and ophthalmology. It also includes wound care along with many revisions within chemotherapy for Medicare patients. All new CPT codes should have been activated and deleted codes discontinued effective for dates of service on or after January 1, 2005. From that date forward the patient's date of service must reflect current diagnosis (ICD-9) and procedure/services (CPT and HCPCS) codes.

Current Procedural Terminology↗