2013 CPT Coding Changes – Nerve Conduction Studies

A lot of confusion has existed among providers who do nerve conduction studies and try to bill for them.  Choosing the appropriate units, differentiating between motor and sensory nerves, with or without F-wave and H-reflex testing has generated a lot of questions over the years.  For 2013, hopefully the confusion will diminish.  CPT codes 95900, […]

Ob-Gyn Coding for Laparoscopic Hysterectomy

Do you sometimes get confused on what CPT code to use when a laparoscopic hysterectomy has been performed?  Here is some information that helps provide structure to the codes available.  Laparoscopic Hysterectomy can be divided into three major code sets.  Aside from CPT code 58548, the CPT codes in each code set are differentiated by […]

2013 CPT Coding Changes for Cardiologists

The trend continues in 2013 for modifications to the cardiology CPT codes.  Of particular interest are the changes to the coronary angioplasty, stenting, and atherectomy codes.  CPT codes 92980, 92981, 92982, 92984, 92995, and 92996 will no longer be used.  They will be replaced with 13 new codes which will help classify your services as […]

Billing for Transcatheter Aortic Valve Replacement (TAVR)

  Background Transcatheter Aortic Valve Replacement (TAVR) is a new technology for use in treating certain patients with aortic stenosis.  As an alternative to open heart surgery, a bioprosthetic valve is inserted percutaneously using a catheter and implanted in the orifice of the native aortic valve.  Potential benefits of this procedure are that it’s less […]

Intensive Behavioral Therapy for Obesity

Did you know that Medicare now has coverage provisions for behavioral therapy for obesity? Effective with dates of service November 29, 2011 and forward, Medicare beneficiaries with obesity are eligible for a series of face-to-face visits with a primary care physician. For these services, the Medicare Part B deductible and coinsurance are waived. MedLearn Matters […]

Changes in Health Professional Shortage Areas

Significant changes have been made in the areas categorized as  Health Professional Shortage Areas (HPSA’s). The Health Resources and Services  Administration (HRSA) published an updated Federal Register Notice on November  3, 2011, that contains important information about new and withdrawn HPSA  designations. These changes will take effect for services provided on or after  January 1, […]

CPT Code Changes for 2012

There are several key changes in CPT codes that will affect cardiothoracic and vascular surgeons, as well as cardiologists.  Here’s a summary of those key changes. Lungs and Pleura Changes have been made to this series of CPT codes in order to reflect current medical practice.    The terminology “Video Assisted Thoracoscopic Surgery (VATS)” has been […]

Atherectomy for Supra-Inguinal Arteries

The CPT coding changes in 2011 presented many challenges, especially for those physicians performing endovascular procedures. Cardiologists saw a complete overhaul of the right and left heart catheterization codes. Those cardiologists and surgeons who perform peripheral interventions saw a new series of CPT codes referred to as Endovascular Revascularization. This new series eliminated the component […]

Flu Shots for 2011

Fall is almost here and with it comes flu season.  As you begin to provide flu shots, please remember that Medicare has created a series of Level II HCPCS codes for reporting the specific brand of vaccine supplied.  When you are selecting your billing codes, remember that you can bill for both the administration and […]