Glimpse of CPT 2020 and CPT 2021
A summary of the CPT Editorial Panel’s approved for “Glimpse of changes to come for the CPT 2020 and 2021”...
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Advanced Imaging Claims Require New Modifiers and G Codes
From January 1, 2020, marks the start of the Appropriate Use Criteria (AUC) program educational and operations testing period, at...
Change to NDC Reimbursement Policy for UHC Outpatient Facilities
For dates of service on or after Nov. 1, 2019, the National Drug Code (NDC) policy for UnitedHealthcare Medicare Advantage...
2020 ICD-10 CM Changes Effective from October 1, 2019
New Codes D75.A Glucose-6-phosphatedehydrogenase(G6PD)deficiencywithoutanemia D81.30 Adenosinedeaminasedeficiency,unspecified D81.31 Severecombinedimmunodeficiencyduetoadenosinedeaminasedeficiency D81.32 Adenosinedeaminase2deficiency D81.39 Otheradenosinedeaminasedeficiency I26.93 Singlesubsegmentalpulmonaryembolismwithoutacutecorpulmonale I26.94 Multiplesubsegmentalpulmonaryemboliwithoutacutecorpulmonale I48.11 Longstandingpersistentatrialfibrillation I48.19 Otherpersistentatrialfibrillation...
BCBS Reimbursement Policy Update: Bundled Services-Professional
Beginning with dates of service on or after November 1, 2019, new Inter-professional CPT codes 99451 and 99452 are not...
Upcoming CPT (DELETED) Code Changes
Deleted Codes: 0104U Hereditary pan cancer (eg, hereditary breast and ovarian cancer, hereditary endometrial cancer, hereditary colorectal cancer), genomic sequence analysis...
Chronic Care Management (CCM) Benefits and Guidelines
Chronic care management (CCM) is a critical component of primary care that contributes to better outcomes and higher satisfaction for...
Preventing denials of RPM and related services
First Coast Service Options Inc. (First Coast) wants to ensure you avoid common denials related to “Remote physiologic monitoring (RPM)”,...
New Molecular Pathology Guidelines
The new Molecular Pathology coding guidelines changes will be effective from dates of service on and after Sept. 1, 2019....
Transcatheter Aortic Valve Replacement Transcatheter aortic valve replacement (CPT TAVR – also known as TAVI or transcatheter aortic valve implantation)...
Revised Bundling Guidelines for BCBS of North Carolina
Hernia repair (CPT 43280, CPT Code 43281, CPT 43332, CPT 43334, CPT 43336) is considered an incidental procedure when performed...
The No. 1 claim error for June in 11 states plus the District of Columbia was for non-covered charges, according...