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Billing updates aim to help physician offices get paid for CAR T-cell therapy. The latest round of updates to HCPCS Level II coding clarifies outpatient billing requirements for chimeric antigen receptor (CAR) T-cell therapy, an often curative treatment that uses a patient’s own genetically modified immune cells to fight cancer. The key takeaway is that […]
The post Check Out These Changes to Outpatient CAR-T Coding appeared first on AAPC Knowledge Center.
Don’t assume the codes you’ve been using to report drugs and biologicals still apply. The January 2023 update to the HCPCS Level II code file from the Centers for Medicare & Medicaid Services (CMS) includes 184 new codes for reporting services and supplies. Approximately 36 of the new codes were created to separately identify products […]
The post Check Out All the New Codes for Reporting Services and Supplies to Medicare appeared first on AAPC Knowledge Center.
Did you know that tetanus vaccines are only covered under Medicare Part B when given for treatment? Preventative tetanus vaccinations are non-covered. I found this hard to believe, so I looked it up. Sure enough, the Centers for Medicare & Medicaid Services Internet-Only Manuals Pub. 100-02, Chapter 15, Section 50.4.4.2 states, “Vaccinations or inoculations are […]
The post Billing for Tetanus Vaccine? Check the Diagnosis appeared first on AAPC Knowledge Center.
When ICD-10-CM is updated Oct. 1, so are these National Coverage Determinations. Are you wondering which National Coverage Determinations (NCDs) will be affected by the thousands of diagnosis code changes going into effect Oct. 1? A Centers for Medicare & Medicaid Services (CMS) transmittal tells all. CMS Transmittal 11546, issued Aug. 4, is a one-time […]
The post Check NCDs for Medical Necessity Code Changes appeared first on AAPC Knowledge Center.
Novitas Solutions issued a reminder March 10 about billing for temporary implantable female urological prostheses, reported with CPT® codes 0596T and 0597T. If your claims for these services are being denied, it’s no wonder, what with all the policy changes in recent years. The service coding isn’t the problem; it’s the device coding. Coding Insertion […]
The post Coding InFlow Device? Check Date of Service appeared first on AAPC Knowledge Center.
Refreshed tool fails to jettison some unnecessary items, trade group says. A reminder that you need to be on top of OASIS training this year has arrived. In 2020, the Centers for Medicare & Medicaid Services bumped OASIS-E from its Jan. 1, 2021 start date to give agencies a break during the COVID-19 public health […]
The post Check Out Updated OASIS-E Draft Instrument appeared first on AAPC Knowledge Center.
How to bundle cam and pincer lesions when coding.
The post Check Bundles When Coding Cam/Pincer Lesion Encounters appeared first on AAPC Knowledge Center.
MACs may be applying the multiple endoscopy rule incorrectly. In the 2020 Medicare Physician Fee Schedule (MPFS) Final Rule, the Centers for Medicare & Medicaid Services (CMS) finalized the proposal to apply the special rule for multiple endoscopic procedures to the family of functional endoscopic sinus surgery (FESS) codes. Real-world Scenario Practices are now getting […]
The post Check Your FESS Claims for Improper Payment Adjustments appeared first on AAPC Knowledge Center.
Changes to diagnosis codes mean NCD coding changes. Diagnosis codes changes went into effect Oct. 1, as usual, and the Centers for Medicare & Medicaid Services (CMS) is updating National Coverage Determinations (NCDs) to reflect those changes. NCDs Affected by Updates to Diagnosis Codes CMS notes the following NCD coding changes in Change Request (CR) […]
The post Check NCDs for ICD-10-CM Code Updates appeared first on AAPC Knowledge Center.