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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
The first quarterly release of Coding Clinic focused on the changes and new codes effective April 1, 2024. If you wish to review the updated Official Guidelines for Coding and Reporting, they can be accessed here. Notable changes to the ICD-10 CM coding guidelines include: Section C.1.d.5.b, which speaks to the reporting of sepsis due to a post-procedural infection. This … Read more
What are Signs and Symptoms? Many times we get confused with signs and symptoms and considered them as same by defination. But, if you see their is a very slight difference in both of them. Symptom can be only found out by patient. For example, if a patient is having some pain, that can be … Read more
Coding for Commode HCPCS or cpt code is quite confusing for coders since their are different variety of commode used by old age patients depending on their requirement. If coders can understand the which type of commode of used by the patient then it will be easy to assign the correct and right code. … Read more
Four new vaccine product codes and two new immune globulin codes were established in the Current Procedural Terminology (CPT) 2024 code set. This article provides an overview of these new codes. Immune Globulins, Serum or Recombinant Products 90380 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use 903811 mL dosage, for … Read more
Two new Category III codes (0811T, 0812T) were added to the CPT 2024 code set for reporting remote multi-day complex uroflowmetry services. Uroflowmetry is the measurement of urine flow during urination. Other existing uroflowmetry codes describe simple uroflowmetry using nonautomated (eg, stop-watch flow rate, mechanical uroflowmeter) equipment (51736) and complex uroflowmetry using automated (eg, calibrated … Read more
For the CPT 2024 code set, a new code (52284) was established in the Bladder subsection of the Urinary section to describe cystourethroscopy with mechanical urethral dilation and therapeutic drug delivery via coated balloon. In addition, a new code (58580) was added to the Female Genital System subsection of the Surgery section to report radiofrequency … Read more
Under the Medicare Physician Fee Schedule, surgical services are valued and paid for as part of “global periods” that include the procedure and the services furnished in the periods immediately before and after the surgical procedure. Surgical services are grouped into Minor Surgery (10 day post-operative period) and Major Surgery (90 day post-operative period). CMS will be … Read more