CMS PNEUMOCOCCAL VACCINE COVERAGE UPDATE

Excerpt from MedLearn Matters article MM9051, revised 12/31/2014, implementation date 2/2/2015 The Centers for Medicare & Medicaid Services (CMS) is updating the Medicare coverage requirements to align with the updated ACIP recommendations. Effective for dates of service on or after September 19, 2014, (and upon implementation of CR9051), Medicare will cover: An initial pneumococcal vaccine […]

CPT 2014 – Embolization and Occlusion

There are several new and revised CPT codes that will affect cardiologists and vascular surgeons in 2014.  In particular, we will see changes in how we code embolization in certain vessels. The RUC Relativity Assessment Workgroup continues their mission of abandoning the component coding concept and bundling certain services into single codes based on their […]

CPT 2014 – Stent Placement

There are several new and revised CPT codes that will affect cardiologists and vascular surgeons in 2014.  In particular, we will see changes in how we code stenting in certain vessels.  CPT codes 37205-37208 have been deleted. The RUC Relativity Assessment Workgroup continues their mission of abandoning the component coding concept and bundling certain services […]

CPT Changes 2013 – Carotid Angiography

The RUC Relativity Assessment Workgroup continues their mission of abandoning the component coding concept and bundling certain services into single codes based on their 75 percent rule.  For code pairs that are billed together greater than 75 percent of the time, new CPT codes are created that bundle multiple procedures into one single code.  Consolidation […]

CPT 2013 – Coronary Revascularization

As mentioned in my previous post, here are the new CPT codes for coronary revascularization (Table 1).  The new codes will help support reimbursement for treating sidebranches as well as the more complex interventions involving bypass grafts, chronic total occlusions, and ST-elevation myocardial infarction.  Effective January 1, 2013, you will no longer use 92980, 92981, […]

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, […]