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, […]

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 […]