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The 2023 CPT® errata and technical corrections released by the American Medical Association (AMA) go into effect Jan. 1, 2023. Make sure to mark these upcoming changes in your CPT® code book to stay on top of correct coding procedures in the new calendar year. Surgery In the Surgery/Urinary System section under the Bladder, Transurethral […]
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Every year we take direction from the most recent CPT® code book, but it’s important to recognize that it doesn’t have the final say on how to document and code evaluation and management (E/M) visits. For the latest guidance, you need the 2021 CPT® Errata and Technical Corrections. Following the implementation of the updated E/M […]
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CPT® 2020 Category I errata and technical corrections released by the American Medical Association (AMA), are effective Jan. 1, 2020. If you have a CPT® 2020 code book, get out your marker. You’ll need to know these changes to ensure correct coding for procedures with dates of service on or after Jan. 1. Evaluation and […]
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In preparation for the surgery, many patients are seen in the hospital’s Women’s Health Center for ultrasound placement of guide wires. After the placement, the surgery is performed at an Ambulatory Surgery Center (the surgery centers have no business relationship with the hospital).
Medicare consistently denies claims for the AP technical component because the patient was seen in an outpatient hospital setting and the surgery center on the same date. We are expected to bill the hospital for our technical services.
We typically bill the technical component with POS 81 and Modifier TC. Is there an additional modifier or explanation we can use to facilitate reimbursement?
I’m a newer billing and still learning so much. The sleep center that my doctor always used just closed and he is wanting to start his own. He is looking into getting a HST machine and hiring a sleep tech to manage it right from our office.
My question is being a physician office and not a facility are we still able to do modifier TC so we can get reimbursed for the technical component?
Most radiology services or procedures, although described by a single CPT® code, are comprised of two distinct portions: a professional component and a technical component. The professional component is provided by the physician, and may include supervision, interpretation, and a written report. To claim only the professional portion of a service, CPT® Appendix A (“Modifiers”) […]
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