Tag Archive for ‘CPT’
Update: PQRS reporting of the perioperative care measures group
This column focuses on the Centers for Medicare & Medicaid Services’ Physician Quality Reporting System perioperative care measures group because it is the one surgeons use most frequently. First steps in reporting a claim along with denominator, frequency, and numerator topics are also covered.
Coding for damage-control surgery
This column explains how to correctly code for damage-control surgery using the current CPT manual including recommended CPT codes, codes to avoid, and clinical scenarios.
The inpatient list
This column describes the Centers for Medicare & Medicaid Services’ (CMS) inpatient list and CMS’ policies for payment of services that are either included or not included on this listing. Although the inpatient list directly affects Medicare reimbursement to hospitals and other patient care centers, surgeons should be aware of the inpatient list, because the inclusion of services on the list could affect their interactions with their hospitals.
Effectively using E/M codes for trauma care
This column provides coding guidance and clinical scenarios on the appropriate use of E/M codes during the care of injured or critically ill patients, including the use of critical care codes, the coordination/counseling guide as a coding alternative to the tradition documentation guidelines (“bullets”), and modifiers for coding during the global surgical period.
CPT 2012 brings with it new codes and code changes
The Current Procedural Terminology (CPT)* 2012 manual comprises several new codes and code changes pertaining to general surgery and its closely related specialties. This article summarizes these modifications. New modifier The Affordable Care Act (ACA) requires all health care plans to begin covering immunizations and preventive services without any cost sharing. Modifier 33 has been […]