Coding Update: Rhinology
|
|
|
- Gilbert Wiggins
- 6 years ago
- Views:
Transcription
1 Michael J. Sillers, M.D., F.A.C.S Alabama Nasal and Sinus Center Clinical Professor The University of Alabama-Birmingham Birmingham, Alabama
2 Teaching Objectives Understand basic coding principles Recognize new codes available in 2011 Learn to appropriately code for new procedures
3 Coding 101 Common Procedural Terminology (CPT) is owned by AMA CMS assigns value (RVU s) to codes for physician payment (MPFS) and facility/non-facility reimbursement 3 rd party payers may adopt CMS values, usually with a multiplier A code in the book does not guarantee payment by 3 rd party payers!
4 Coding 101 CPT codes have 3 components Physician work-what we do Practice expense-what it costs Malpractice (~3% of total) Site of service differential Hospital (OPPS) ASC Non-facility ( office )
5 New balloon dilation CPT codes-medicare physician fee schedule (MPFS) Proposed rule published in Federal Register 7/10 Final rule published 11/10 Rates/policies effective 1/1/11
6 31295-Nasal/sinus endoscopy, with balloon dilation of the maxillary sinus ostium Nasal/sinus endoscopy, with balloon dilation of the frontal sinus ostium Nasal/sinus endoscopy, with balloon dilation of the sphenoid sinus ostium *these codes are used when no tissue is removedreplace the code; when tissue removed, appropriate existing code is still used (31256,-76, -87)
7 Codes are billable/payable New codes carry 0 global days Are subject to multiple procedure reduction-100, 50, 50, 50 (not 25%) CMS has established Practice Expense (PE) RVU s for non-facility (office) payment Additional work being done for facility reimbursement-ambulatory payment classification (APC s); compensate for device-dependent procedures
8 61795-deleted as of January 1, 2011 Subdivided into 3 codes stereotactic computer-assisted (navigation) procedures for the cranial, intradural region stereotactic computer-assisted (navigation) procedures for the cranial, extradural* stereotactic computer-assisted (navigation) procedures for the spinal region *61781 and should not be reported by the same provider in the same session (AMA 2011 CPT Changes: An Insider s View)
9 55 yom with medically refractory CRS without polyps Septoplasty, bilateral partial ethmoidectomy, bilateral maxillary antrostomy, left sphenoidotomy, ballon dilation of the left frontal sinus followed by formal frontal sinusotomy; surgical navigation employed How do you code? 9
10 balloon dilation of the frontal sinus was incident to the frontal sinusotomy (31276 vs.31296); cannot use 2 codes for same sinus 10
11 Patient returns 1 week post-op. Post-op course and pathology discussed, ethmoid cavities debrided, and treatment plan outlined. How do you code? , 473.0, ,25 Do not include 470 (deviated nasal septum); this may inadvertently kick this into global period for septoplasty 11
12 Coding for Endoscopic Skull Base Surgery 58 yo male with several month h/o progressive nasal obstruction, intermittent epistaxis, and headache. Examination reveals obstructing left nasal mass CT/MRI-5 cm soft tissue mass with destruction of CP and apparent dural but no brain parenchymal invasion. Biopsy shows ENB
13 Coding for Endoscopic Skull Base Surgery Endoscopic transnasal approach with complete spheno-ethmoidectomy, septectomy and MT resection. 3 hand technique with 2 surgeons (ENT/Neuro) Cribriform plate resected on each side along with dural margin. Brain parenchymal margins are clear by frozen section Multilayered skull base reconstruction performed
14 Coding for Endoscopic Skull Base Surgery Modifiers -62 Two surgeons -52 Reduced services appended to existing open codes Some advocate the use of this with the approach code Some will append modifier to all codes-approach, definitive and repair Least coding compliant Add-on codes 61781,-82 Steroetactic computer-assisted volumetric (navigational ) procedure, intracranial, -extracranial
15 Coding for Endoscopic Skull Base Surgery *Unlisted Procedures Otolaryngologist submits Unlisted procedure, accessory sinuses can append modifiers and add-on code (-62, 61782) Neurosurgeon submits Unlisted procedure, nervous system - can append modifiers and add-on code (-62, 61781) This is the most labor-intensive but also the most coding compliant Requires valuation of services Requires negotiation with payers May not get consistently reimbursed AAO-CPT committee actively pursuing endoscopic skull base codes in cooperation with Neurosurgery *coding recommendations compliments of Mary LeGrand with Karen Zupko and Associates
2017 FACILITY AND PHYSICIAN REIMBURSEMENT GUIDE
2017 AND PHYSICIAN REIMBURSEMENT GUIDE NASAL/SINUS ENDOSCOPIC SURGERY Some of the Current Procedure Terminology (CPT ) Codes for endoscopic nasal/sinus surgery are listed below. CPT codes 31295, 31296
2019 ACCLARENT REIMBURSEMENT GUIDE. Physician and Facility
2019 ACCLARENT REIMBURSEMENT GUIDE Physician and Facility TABLE OF CONTENTS This guide has been developed to assist you in obtaining physician and facility reimbursement for: Nasal/Sinus Endoscopic Surgery
FOR QUESTIONS PLEASE CONTACT US AT
NASAL AND SINUS ENDOSCOPY PROCEDURES EFFECTIVE JANUARY 2018 Medtronic provides this information for your convenience only. It does not constitute legal advice or a recommendation regarding clinical practice.
PRINCIPLES OF ENDOSCOPIC MANAGEMENT OF NASAL AND. Frontier Steven D. Schaefer, MD, FACS
PRINCIPLES OF ENDOSCOPIC MANAGEMENT OF NASAL AND SKULL : A New Frontier Steven D. Schaefer, MD, FACS Professor and Chair Department of Otolaryngology New York keye and dear Infirmary New York Medical College
Hitting the Jackpot Sinuses, Scopes, and Surgery
Hitting the Jackpot Sinuses, Scopes, and Surgery Candice Fenildo holds an Associates Degree in Health Sciences and is Certified in Healthcare Compliance (CHC), a Certified Professional Coder (CPC), a Certified
Outpatient Billing Expert. A complete guide to APC and ASC daily billing requirements
Outpatient Billing Expert A complete guide to APC and ASC daily billing requirements Contents Introduction... Introduction 1 Outpatient Billing Expert Website... Introduction 2 Outpatient Billing Expert
Balloon Sinuplasty: Indications and Cost-Effectiveness
Balloon Sinuplasty: Indications and Cost-Effectiveness Marilene B. Wang, MD Professor, Department of Head and Neck Surgery David Geffen School of Medicine at UCLA Chief of Otolaryngology VA Greater Los
Medtronic ENT Transnasal Endoscopic Procedures Coding Guide. Effective January 1, 2009
Medtronic ENT Transnasal Endoscopic Procedures Coding Guide Transnasal Esophagoscopy Laryngeal Sensory Testing FEES FEEST Transnasal Fiberoptic Laryngoscopy Stroboscopy Disposable Sheaths Effective January
1. BRIEF DESCRIPTION OF TRAINING
RHINOLOGY 1. BRIEF DESCRIPTION OF TRAINING Exposure to clinical rhinology is provided in each of the four ORL years over the course of several rotations in a graduated approach. MEE General Otolaryngology
2015 Otolaryngology Survival Guide
2015 Otolaryngology Survival Guide Chapter 10: Sinus Surgery Sinus Surgery in ASC Includes Stereotactic Guidance You cannot report add-on codes +61781-+61783 (Stereotactic computer-assisted (navigational)
Diagnostic and interventional venous procedures (lower extremity)
2017 Coding and Medicare payment guide Diagnostic and interventional venous procedures (lower extremity) All coding, coverage, billing and payment information provided herein by Philips Volcano is gathered
Diagnostic and interventional venous procedures (lower extremity)
Coding and Medicare national payment guide 2018 Diagnostic and interventional venous procedures (lower extremity) All coding, coverage, billing and payment information provided herein by Philips is gathered
CODING SA Soc ORL-HNS Conference Johannesburg
CODING 2016 SA Soc ORL-HNS Conference Johannesburg Coding: What you need to know CODES COMMENTS COMMENTS New Codes Tiered Codes Discharge Code Rule G Strobe and Flexible Scope STR / NSR Cosmetic vs Functional
Reimbursement Information for Diagnostic Musculoskeletal Ultrasound and Ultrasound-guided Procedures 1
GE Healthcare Reimbursement Information for Diagnostic Musculoskeletal Ultrasound and Ultrasound-guided Procedures 1 January, 2013 www.gehealthcare.com/reimbursement This overview addresses coding, coverage,
FRONTAL SINUPLASTY P R E P A R E D A N D P R E S E N T E D B Y : D R. Y A H Y A F A G E E H R 4 16/ 12/ 2013
FRONTAL SINUPLASTY P R E P A R E D A N D P R E S E N T E D B Y : D R. Y A H Y A F A G E E H R 4 16/ 12/ 2013 ANATOMY: FRONTAL SINUS Not present at birth Starts developing at 4 years Radiographically visualized
CODING SHEET HYDROCEPHALUS REIMBURSEMENT. All Medicare information is current as of the time of printing.
CODING SHEET HYDROCEPHALUS REIMBURSEMENT All Medicare information is current as of the January 2014 Hydrocephalus ing Coding Options Commonly Billed Codes for Physicians, Hospitals, and Ambulatory Surgery
Modifier 62 - Co-surgery (Two Surgeons)
Manual: Policy Title: Reimbursement Policy Modifier 62 - Co-surgery (Two Surgeons) Section: Modifiers Subsection: None Date of Origin: 1/1/2000 Policy Number: RPM035 Last Updated: 7/5/2017 Last Reviewed:
Reimbursement Information for Diagnostic Ultrasound and Ultrasound-guided Procedures Commonly Performed by Otolaryngologists
GE Healthcare Reimbursement Information for Diagnostic Ultrasound and Ultrasound-guided Procedures Commonly Performed by Otolaryngologists 1 January, 2013 www.gehealthcare.com/reimbursement imagination
The ORIOS 2 Study: Office-Based Balloon Sinus Dilation A prospective multi-center study of 203 patients
The ORIOS 2 Study: Office-Based Balloon Sinus Dilation A prospective multi-center study of 203 patients Boris Karanfilov, MD, Ohio Sinus Institute, Dublin, OH 1 Stacey Silvers, MD, Madison ENT & Facial
2017 Rhinoplasty Coding and Reimbursement Guide
2017 Rhinoplasty Coding and Reimbursement Guide Profile Costal Cartilage Allograft A Pre-shaped costal cartilage allograft for rhinoplasty procedures HCPCS Description * Status Indicator APC HOPPS¹ ASC¹
2018 Cerebrovascular Reimbursement Coding Fact Sheet
The information contained in this document is provided for informational purposes only and represents no statement, promise, or guarantee by Cordis Corporation concerning levels of reimbursement, payment,
Reimbursement Information for Diagnostic Ultrasound and Ultrasound-guided Vascular Procedures 1
GE Healthcare Reimbursement Information for Diagnostic Ultrasound and Ultrasound-guided Vascular Procedures 1 January, 2013 www.gehealthcare.com/reimbursement This overview addresses coding, coverage,
Reimbursement Information for Ultrasound-guided Procedures Performed by Anesthesiologists 1
GE Healthcare Information for Ultrasound-guided Procedures Performed by Anesthesiologists 1 January, 2013 www.gehealthcare.com/reimbursement This overview addresses coding, coverage, and payment for ultrasound
CD Horizon Spire. CD Horizon Spire Z PHYSICIAN REIMBURSEMENT REIMBURSEMENT GUIDE. Spinal System and. Spinal System
REIMBURSEMENT GUIDE CD Horizon Spire Spinal System and CD Horizon Spire Z Spinal System The CD Horizon Spire Plate is a posterior, single level, non-pedicle supplemental fixation device intended for use
Coronary intravascular ultrasound (IVUS)
2017 Coding and Medicare payment guide Coronary intravascular ultrasound (IVUS) All coding, coverage, billing and payment information provided herein by Philips Volcano is gathered from third-party sources
MedStar Health considers Septoplasty-Rhinoplasty medically necessary for the following indications:
MedStar Health, Inc. POLICY AND PROCEDURE MANUAL MP.038.MH Septoplasty-Rhinoplasty This policy applies to the following lines of business: MedStar Employee (Select) MedStar MA DSNP CSNP MedStar CareFirst
Ultrasound Reimbursement Information for Anesthesiology 1
GE Healthcare Ultrasound Reimbursement Information for Anesthesiology 1 January, 2009 www.gehealthcare.com/reimbursement This overview addresses coding, coverage, and for ultrasound guidance with continuous
Final Rule CMS-1676-F was released on November 2, 2017 and finalized policies first proposed
November 8, 2017 Subject: (CMS 1676 F) Summary of the Centers for Medicare and Medicaid Services Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2018
Fractional Flow Reserve (FFR) and instant wave-free Ratio (The ifr modality)
2017 Coding and Medicare payment guide Fractional Flow Reserve (FFR) and instant wave-free Ratio (The ifr modality) All coding, coverage, billing and payment information provided herein by Philips Volcano
2017 Coding and Reimbursement Survival Guide
2017 Coding and Reimbursement Survival Guide Chapter 14: Otolaryngology CPT 2017: Latest CPT Edition Offers New Code for Injection Laryngoplasty Changes could impact your reimbursement. The New Year is
Tips and Tricks in Ventral Skull Base Dissection Narayanan Janakiram, Dharambir S. Sethi, Onkar K. Deshmukh, and Arvindh K.
05 Tips and Tricks in Ventral Skull Base Dissection Narayanan Janakiram, Dharambir S. Sethi, Onkar K. Deshmukh, and Arvindh K. Gananathan Introduction...75 General Principles...76 Tips and Tricks in Ventral
2017 Coding & Payment Quick Reference
2017 Coding & Payment Quick Reference Select Pulmonary Procedures Payer policies will vary and should be verified prior to treatment for limitations on diagnosis, coding or site of service requirements.
CODING SHEETS CHRONIC INTRACTABLE PAIN MANAGEMENT. Effective January 1, 2009 CODMAN 3000 NEUROMODULATION AND ONCOLOGY REIMBURSEMENT HOTLINE
CODING SHEETS CHRONIC INTRACTABLE PAIN MANAGEMENT Effective January 1, 2009 CODMAN 3000 NEUROMODULATION AND ONCOLOGY REIMBURSEMENT HOTLINE Phone: 800-609-1108 Email: codmanpump@aol.com Fax: 303-703-1572
Uphold LITE Vaginal Support System 2015 Coding & Quick Reference Guide
Hospital Outpatient Coding Scenarios This guide contains specific information for two (2) common coding/reimbursement scenarios related to the use of the Uphold LITE Vaginal Support System when performed
2015 Otolaryngology Survival Guide
2015 Otolaryngology Survival Guide Chapter 12: Scope Procedures Know All Your New Sinus Endoscopy Procedures Choices You have three codes in the CPT manual for sinus endoscopy procedures that are meant
2017 FlexHD Abdominal Wall Reconstruction Reimbursement Coding Reference
2017 FlexHD Abdominal Wall Reconstruction Reimbursement Coding Reference Most Commonly Reported ICD-10-CM Procedure Codes and Descriptors ICD-10-CM Description 0WUF0KZ Supplement Abdominal Wall with Nonautologous
2016 Billing and Coding Reference. Stereotactic Treatment Delivery
2016 Billing and Coding Reference Stereotactic Treatment Delivery This CY 2016 billing and coding reference is intended to be a general resource for physicians and reimbursement professionals and is current
code it EVOLVE EPS HCPCS Device Codes CPT Codes Physician Coding Elbow Plating System HCPCS Code Description C1713 CPT CODE Description RVUs
HCPCS Device Codes HCPCS codes are developed and maintained by CMS and are used to report items such as medical devices, implants, drugs and supplies. C-codes are a special type of HCPCS code designed
2015 Otolaryngology Survival Guide
2015 Otolaryngology Survival Guide Chapter 14: Other Head and Neck Procedures Check Nerve, Time, Equipment Before Reporting Monitoring Combo Your monitoring claim will be incomplete if you forget to look
January th, 2012
Basic Endoscopic Sinus Surgery for Residents & Novices and 1st International Advanced Course in Endoscopic Sinus Surgery & Skull Base Surgery January 17-20 th, 2012 January 17 th, 2012: Basic Endoscopic
National Fee Analyzer. Charge data for evaluating fees nationally. Sample page. Power up your coding optum360coding.com
2019 National Fee Analyzer Charge data for evaluating fees nationally Power up your coding optum360coding.com Contents Introduction...1 Key to Proper Reimbursement... 1 The Medical Coding System... 1 What
Learner Objectives. Overview. Minimally Invasive Sinus Surgery: What is the data for Balloon Catheter Dilation 7/31/2017
Minimally Invasive Sinus Surgery: What is the data for Balloon Catheter Dilation David M. Poetker, MD Christopher M. Long, MD Rhinology and Sinus Surgery Medical College of Wisconsin Thank you to Susan
Dynamic Tissue Systems. Reimbursement & Coding Guide
Dynamic Tissue Systems Reimbursement & Coding Guide Dynamic Tissue Systems Reimbursement and Coding Guide The following information is shared for educational purposes only to help answer common coding
2018 Hysterectomy Reimbursement Fact Sheet
2018 Hysterectomy Reimbursement Fact Sheet The information contained in this document is provided for informational purposes only and represents no statement, promise, or guarantee by Ethicon concerning
2015 Facility and Physician Billing Guide Heart Valve Technologies
2015 Facility and Physician Billing Guide Heart Valve Technologies PHYSICIAN BILLING CODES Clinicians use Current Procedural Terminology (CPT 1 ) codes to bill for procedures and services. Each CPT code
Assistant Surgeon Payments
Assistant Surgeon Payments January 18, 2018 We are seeing payers ask for payment back when we use Modifier 80 for assistant surgeon. Is there a reason why they would take the payment back? We are seeing
2 016 HF10 THERAPY HOSPITAL OUTPATIENT DEPARTMENT AND AMBULATORY SURGERY CENTER REIMBURSEMENT REFERENCE GUIDE
HF10 therapy, delivered by the Nevro Senza System, is a new high-frequency spinal cord stimulation technology designed to aid in the management of chronic intractable pain of the trunk/limbs, including
Moderate Sedation. status; initial 15 minutes of intra-service time, patient age 5 years or older.
Moderate Sedation What do I need to know? The Centers for Medicare and Medicaid Services (CMS) and the American Medical Association s (AMA) Current Procedural Terminology (CPT) Editorial Panel created
REIMBURSEMENT GUIDE. Sovereign. Spinal System
REIMBURSEMENT GUIDE Sovereign Spinal System REIMBURSEMENT GUIDE The Sovereign Spinal System is indicated for use with autogenous bone graft in patients with degenerative disc disease The Sovereign Spinal
Clinical Policy: Balloon Sinus Ostial Dilation for Treatment of Chronic Sinusitis
Clinical Policy: Balloon Sinus Ostial Dilation for Treatment of Chronic Sinusitis Reference Number: CP.MP.119 Last Review Date: 11/17 See Important Reminder at the end of this policy for important regulatory
Corporate Medical Policy Septoplasty
Corporate Medical Policy Septoplasty File Name: Origination: Last CAP Review: Next CAP Review: Last Review: septoplasty 4/1999 8/2018 8/2019 8/2018 Description of Procedure or Service There are many potential
Reimbursement Information for Diagnostic Ultrasound and Ultrasound-guided Procedures 1 Performed by Emergency Medicine Physicians
GE Healthcare Reimbursement Information for Diagnostic Ultrasound and Ultrasound-guided Procedures 1 Performed by Emergency Medicine Physicians January, 2013 www.gehealthcare.com/reimbursement This overview
code it PRO-TOE C2 HCPCS Device Codes CPT Codes Physician Coding Hammertoe Implant HCPCS Code Description C1713 CPT CODE Description RVUs
code it HCPCS Device Codes 2015 Reimbursement Codes The following codes contained within this document are representative of possible services or diagnoses that may be associated with use of Wright products.
Diagnostic and interventional arterial procedures (lower extremity)
2017 Coding and Medicare payment guide Diagnostic and interventional arterial procedures (lower extremity) Page 2 All coding, coverage, billing and payment information provided herein by Philips Volcano
2017 OSTEOID OSTEOMA RADIOFREQUENCY ABLATION MEDICARE REIMBURSEMENT GUIDE
2017 OSTEOID OSTEOMA RADIOFREQUENCY ABLATION MEDICARE REIMBURSEMENT GUIDE Coding Information The final decision of billing for any procedure must be made by the provider of care considering the medical
Who should read these release notes? Medicare 2012 Contract Term Update
January 2012 Contents What s new in INCISIVE MD? Who should read these release notes? Medicare 2012 Contract Term Update Illinois Workers Compensation 2012 Contract Term Update Revised Medicare PQRI tab
Product Name or Headline
Product Name or Headline Subhead goes here Payer policies will vary and should be verified prior to treatment for limitations on diagnosis, coding, or site of service requirements. The coding options listed
2017 Hospital Coding and Payment Guide
Reimbursement Men s Health 2017 Hospital Coding and Payment Guide This coding reference guide is intended to illustrate the common coding and payment groups for male prosthetic urology procedures and related
Top 10 Errors in ENT Coding and Documentation. Candice Fenildo, CPC, CPMA, CPB, CPC-I, CRHC, CENTC, AAPC Fellow
Top 10 Errors in ENT Coding and Documentation Candice Fenildo, CPC, CPMA, CPB, CPC-I, CRHC, CENTC, AAPC Fellow Agenda Surgical Guidelines Nasal Fractures When to add on those grafts When is an E/M code
2018 CODING AND REIMBURSEMENT FOR. Cardiac Surgical Ablation and Left Atrial Appendage Management
2018 CODING AND REIMBURSEMENT FOR Cardiac Surgical Ablation and Left Atrial Appendage Management Introduction This information is shared for educational purposes and current as of January 2018. Healthcare
White Paper: Balloon Sinuplasty for Chronic Sinusitis, The Latest Recommendations
White Paper: Balloon Sinuplasty for Chronic Sinusitis, The Latest Recommendations For Health Plans, Medical Management Organizations and TPAs Executive Summary Despite recent advances in instrumentation
Stone Management Coding & Payment Quick Reference
Payer policies will vary and should be verified prior to treatment for limitations on diagnosis, coding or site of service requirements. The coding options listed within this guide are commonly used codes
Reasons for Failure and Surgical Revisions. Stil Kountakis, MD, PhD Professor and Chief, Division of Rhinology
Reasons for Failure and Surgical Revisions Stil Kountakis, MD, PhD Professor and Chief, Division of Rhinology Medical College of Georgia of Georgia Regents University Department of Otolaryngology / Head
ENT, Dental. Indiana Regional Medical Center Procedures to Labs/Tests June 1, ADENOIDECTOMY Table 1. ASPIRATION NASOPHARYNX Table 1
Indiana Regional Medical Center Procedures to Labs/Tests June 1, 2011 ENT, Dental ADENOIDECTOMY Table 1 ASPIRATION NASOPHARYNX Table 1 ASPIRATION PAROTID MASS Table 1 ASPIRATION SUBMANDIBULAR GLAND Table
CD Horizon Solera 5.5/6.0mm Fenestrated Screw Set
REIMBURSEMENT GUIDE CD Horizon Solera 5.5/6.0mm Fenestrated Screw Set DEVICE DESCRIPTION The CD Horizon Solera 5.5/6.0mm Fenestrated Screw Set consists of a variety of cannulated multi-axial screws (MAS)
Working Smarter. Coding For Orthopaedic Trauma; Receiving Correct Reimbursement for Complex Cases
Coding For Orthopaedic Trauma; Receiving Correct Reimbursement for Complex Cases 1 Presenting the claims for appropriate payment Unless the documentation is clear Coders cannot properly code No basis of
If you need additional information, contact our Service Management Department at or at (toll free long distance calls).
CIRCULAR LETTER #M1801005 December 29, 2017 TO ALL TRIPLE-S SALUD PARTICIPANT PROVIDERS NEW CPT 2018 CODES CCI Integrated Care Center Enclosed is list of new codes, published in the Current Procedure Terminology
Boundaries Septum Turbinates & Meati Lamellae Drainage Pathways Variants
The Fastest 20 Minutes in Michelle A. Michel, MD Professor of Radiology and Otolaryngology Medical College of Wisconsin, Milwaukee Overview Nasal cavity Anterior skull base Ostiomeatal complex Frontal
Lumify. Lumify reimbursement guide {D DOCX / 1
Lumify Lumify reimbursement guide {D0672917.DOCX / 1 {D0672917.DOCX / 1 } Contents Overview 4 How claims are paid 4 Documentation requirements 5 Billing codes for ultrasound: Non-hospital setting 6 Billing
Vascular Plug Procedures 2014 CODING AND PAYMENT REFERENCE GUIDE ST. JUDE MEDICAL - CARDIOVASCULAR DIVISION
Vascular Plug Procedures 2014 CODING AND PAYMENT REFERENCE GUIDE ST. JUDE MEDICAL - CARDIOVASCULAR DIVISION IMPORTANT: St. Jude Medical provides this reference guide for general information purposes only
2016 CPT coding changes and their effects
18 2016 CPT coding changes and their effects by Linda Barney, MD, FACS, and Mark T. Savarise, MD, FACS Significant Current Procedural Terminology (CPT)* coding changes are being implemented in 2016. Notably,
Updates for CPT for 2011 Part I
Updates for CPT for 2011 Part I Presented by Alice Marie Reybitz, RN, BA, CPC, CPC-H, CPC-I H 1 Objectives What codes were added, revised, or deleted Why were these codes added, revised, or deleted How
Dialysis circuit procedures: arteriovenous (AV) fistula repair
Coding and Medicare national payment guide 2018 Dialysis circuit procedures: arteriovenous (AV) fistula repair All coding, coverage, billing and payment information provided herein by Philips is gathered
2018 Endovascular Reimbursement Coding Fact Sheet
The information contained in this document is provided for informational purposes only and represents no statement, promise, or guarantee by Cordis Corporation concerning levels of reimbursement, payment,
MEDICAL POLICY EFFECTIVE DATE: 04/21/11 REVISED DATE: 06/21/12, 05/23/13, 06/19/14, 06/18/15, 06/16/16, 06/15/17
MEDICAL POLICY SUBJECT: SINUS OSTIAL DILATION FOR PAGE: 1 OF: 6 If a product excludes coverage for a service, it is not covered, and medical policy criteria do not apply. If a commercial product, including
2012 Head and Neck Reconstruction/ENT Repair Coding Observations
Health Policy, Economics & Reimbursement Reimbursement Hotline Tel: 888.543.3656 Fax: 866.262.6977 reimbursement@lifecell.com www.lifecell.com 2012 Head and Neck Reconstruction/ENT Repair Coding Observations
Defining Non-Compounded Sclerotherapy
Defining Non-Compounded Sclerotherapy December 14, 2017 I m not sure I understand the new vein surgery codes in the 2018 CPT manual. Can you explain what non- compounded means? The new 2018 coded, 36465,
Consumer summary. Endoscopic modified Lothrop procedure for the. treatment of chronic frontal sinusitis
ASERNIP S Australian Safety and Efficacy Register of New Interventional Procedures Surgical Consumer summary Endoscopic modified Lothrop procedure for the treatment of chronic frontal sinusitis (The report
Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day
Potential CPT Codes 1 CPT CPT Description Physician Work RVU Total RVU (In-Facility) 2018 National Avg. Medicare Physician Payment (In-Facility) Mechanical Thrombectomy 37187 37188 Percutaneous transluminal
HF10 THERAPY 2018 Ambulatory Surgery Center Reimbursement and Coding Reference Guide
HF10 therapy, delivered by the Nevro Senza System, is the high-frequency spinal cord stimulation technology operated at 10,000 Hz designed to aid in the management of chronic intractable pain of the trunk
H F 1 0 T H E R A P Y R E I M B U R S E M E N T R E F E R E N C E G U I D E
HF10 therapy, delivered by the Nevro Senza System, is the high-frequency spinal cord stimulation technology designed to aid in the management of chronic intractable pain of the trunk/limbs without paresthesia.
2009 Pain Coding Update and Pain Industry Business Trends
2009 Pain Coding Update and Pain Industry Business Trends Linda Van Horn, MBA June 13, 2009 2009 Pain Coding Update and Pain Industry Trends Agenda 2009 CPT Coding Updates Pay For Incentives ICD-10 American
Sample page. For the Physical Therapist An essential coding, billing and reimbursement resource for the physical therapist CODING & PAYMENT GUIDE
CODING & PAYMENT GUIDE 2019 For the Physical Therapist An essential coding, billing and reimbursement resource for the physical therapist Power up your coding optum360coding.com Contents Getting Started
Sample page. Neurosurgery/Neurology. A comprehensive illustrated guide to coding and reimbursement CODING COMPANION
CODING COMPNION 2018 Neurosurgery/Neurology comprehensive illustrated guide to coding and reimbursement POWER UP YOUR CODING with Optum360, your trusted coding partner for 32 years. Visit optum360coding.com.
Turbinectomy Turbinate Reduction Surgery
Turbinectomy Turbinate Reduction Surgery Instructions (Septoplasty, Nasal Airway Surgery, Surgical Instructions) Turbinectomy is the surgical reduction or removal of an enlarged turbinate (nasal tissue)
M. PIEMONTE SOC O.R.L. Az. Ospedaliero-Universitaria S.M.M., Udine
M. PIEMONTE SOC O.R.L. Az. Ospedaliero-Universitaria S.M.M., Udine LIMITS OF ENDOSCOPIC RESECTIONS IN ANTERIOR SKULL BASE TUMORS Limiti delle resezioni endoscopiche nei tumori della rinobase anteriore
Coding Companion for Plastics/OMS/Dermatology. A comprehensive illustrated guide to coding and reimbursement
Coding Companion for Plastics/OMS/Dermatology A comprehensive illustrated guide to coding and reimbursement Contents Getting Started with Coding Companion... i Skin...1 Nails...28 Pilonidal Cyst...32 Repair...33
Skullbase Lesions. Skullbase Surgery Open vs endoscopic. Choice Of Surgical Approaches 12/28/2015. Skullbase Surgery: Evolution
Skullbase Lesions Skullbase Surgery Open vs endoscopic Prof Asim Mahmood,FRCS,FACS,FICS,FAANS, Professor of Neurosurgery Henry Ford Hospital Detroit, MI, USA Anterior Cranial Fossa Subfrontal meningioma
SECTION T: OTOLARYNGOLOGY. Visits
Visits Fee Class Anae 5T Initial assessment $112.00 -- of a specific condition includes: pertinent family history, patient history, history of presenting complaint, functional enquiry, clinical examination
Clinical Outcome of Endoscopic Surgery for Frontal Sinusitis
Clinical Outcome of Endoscopic Surgery for Frontal Sinusitis Ralph Metson, MD; Richard E. Gliklich, MD ORIGINAL ARTICLE Objective: To determine the efficacy of endoscopic surgery for chronic frontal sinusitis.
Final MPFS 2014 Summary SIR
Final MPFS 2014 Summary SIR The CY 2014 PFS CF is $27.2006 (p531) Impact Tables (p1285) Refinement Panel Recommendations (p183) Table 23 presents information on the work RVUs for the codes considered by
Men s Health Coding & Payment Quick Reference
Payer policies will vary and should be verified prior to treatment for limitations on diagnosis, coding or site of service requirements. The coding options listed within this guide are commonly used codes
The Orthopaedic Coding Coach 2010 Orthopaedic Coding Tips By Karen Zupko & Associates
The Orthopaedic Coding Coach 2010 Orthopaedic Coding Tips By Karen Zupko & Associates Use of Modifiers October 14, 2010 I was recently told that when applying more than one modifier, they should be listed
Chronic rhinosinusitis (CRS) is a significant health
ORIGINAL ARTICLE The safety and performance of a maxillary sinus ostium self-dilation device: a pilot study Iain Hathorn, MBChB, FRCSEd (ORL-HNS), Al-Rahim Habib, MSc, Rachelle Dar Santos, BSc, CCRP and
Telehealth Billing. April 19, 2018
Telehealth Billing April 19, 2018 We want to offer telehealth in our office as an added service line to our patients. How do we indicate to the insurance company that the visit was a telehealth visit?
2014 CPT Codes: What Your Practice Needs to Know. December 12, 2013
2014 CPT Codes: What Your Practice Needs to Know December 12, 2013 2014 CPT Changes 335 changes, 175 new codes, 107 revisions, 47 deletions Changes to upper and lower GI codes, breast biopsies, peripheral
US Drug Eluting Sinus Stent (DESS) Market: Size, Trends & Forecasts ( ) September 2016
US Drug Eluting Sinus Stent (DESS) Market: Size, Trends & Forecasts (2016-2021) September 2016 US Drug Eluting Sinus Stent Market Report Scope of the Report The report entitled US Drug Eluting Sinus Stent
Conventional Sinus Surgery Vs Fess
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 16, Issue 7 Ver. III (July. 2017), PP 44-51 www.iosrjournals.org Conventional Sinus Surgery Vs Fess *
PROPOSED UPDATES AFFECTING OPPS PAYMENTS
August 29, 2014 Marilyn Tavenner, Administrator Submitted electronically Centers for Medicare & Medicaid Services, Attention: CMS-1613-P, P.O. Box 8013, Baltimore, MD 21244-1850 Re: Medicare and Medicaid
GI Coding Updates. Rhonda Buckholtz, CPC, CPCI, CPMS, CRC, CDEO, CHPSE, CGSC, COBGC, CENTC, CPEDC
GI Coding Updates Rhonda Buckholtz, CPC, CPCI, CPMS, CRC, CDEO, CHPSE, CGSC, COBGC, CENTC, CPEDC Copyright/Disclaimer 2014 AAPC text CPT copyright 2016 American Medical Association. All rights reserved.