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Basics of CPT code 33276, 33277, 33278, 33279, 33280, 33281, 33287, 33288 For the CPT 2024 code set, eight new codes (33276-33281, 33287, 33288) were established in the Heart and Pericardium Pacemaker or Implantable Defibrillator subsection of the Cardiovascular System section to report insertion, removal, repositioning, and replacement of a phrenic nerve stimulator system and/or … Read more
For the CPT 2024 code set, Category I code 75580 and two parenthetical notes were established to report a noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography (CCTA). Category III codes 0501T-0504T and three associated parenthetical notes were deleted to … Read more
For the CPT 2024 code set, codes 64590 and 64595 were revised. Because both these codes are used to report programming of neurostimulators, similar to codes 95971 and 95972, it is important to know the intent and reporting differences of these four codes. Therefore, the purpose of this article is to highlight the differences and … Read more
Basics of GY and GZ modifier The Center for Medicare and Medicaid Services (CMS) created two modifiers (GY and GZ modifier) that allows you to distinguish between services that are statutorily not covered or otherwise not a Medicare benefit because Medicare does not consider them “reasonable and necessary”. G modifiers are a specific set of … Read more
Basics of CPT code 36569 A central venous catheter, also called a central line, is a long, thin, flexible tube used to give medicines, fluids, nutrients, or blood products over a long period of time, usually several weeks or more. In this procedures, a catheter is often inserted in the arm or chest through the … Read more
Today, I came across a scenario where three modifiers are used together which is very rare. So, I would like to share that scenario which will surely help to use the modifier wisely. Below is the question with the answer as well. Question :An ophthalmologist performs cataract surgery on a patient’s right eye two weeks … Read more
CMS published its HCPCS Quarterly Update in March, which heralded the sum of 94 HCPCS Level II code additions, discontinuations, and definition revisions. The changes became effective April 1. 62 added codes 21 discontinued codes 11 revised codes Below are the Newly added HCPCS codes effective 1st April 2024 A2026 Restrata minimatrix, 5 mg A4271 Integrated lancing … Read more
CMS created 2 new service codes describing CHI services that auxiliary personnel, including community health workers (CHWs), may perform incidental to the professional services of a physician or other billing practitioner, under general supervision. The billing practitioner initiates CHI services during an initiating visit where the practitioner identifies unmet SDOH needs that significantly limit their … Read more
Begining Jan. 1, 2024, qualified healthcare providers can bill an add-on HCPCS Level II code to report the extra time, effort, and associated practice expense involved with caring for Medicare patients across the continuum of healthcare. G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal … Read more
Percutaneous procedures are little difficult to code. We have seen some of the procedures like Fine needle aspiration, arthrocentesis, Breast biopsy, myelogram etc. always have a primary procedure code followed by a imaging guidance or Radiological supervision and interpretation (RS&I) code. Since, interventional radiology charts includes multiple CPT codes for most of the procedures, hence the … Read more