General Question for the Week of June 19, 2017
Question:
My question is a follow-up to last week’s question and answer about Medicare’s definition of a new patient. Would a patient still be considered “new” if only a diagnostic test was performed?
Question of the Week
Respiratory Question for the Week of June 19, 2017
Question:
What code is reported for aspiration/drainage procedures?
Pharmacy Question for the Week of June 19, 2017
Question:
What is the outpatient PPS packaging threshold for this year?
Laboratory Question for the Week of June 19, 2017
Question:
Does CMS permit a hospital to bill for lab services delivered to an ESRD patient?
Cardiology Question for the Week of June 19, 2017
Question:
Can we bill for a temporary pacemaker (33210) and permanent pacemaker (33208) performed on the same day but at different sessions if modified appropriately?
Radiology Question for the Week of June 19, 2017
Question:
If lymphoscintigraphy is performed in both breasts, I report 78195 and A9520 x 1 each. Code 78195 has a medically unlikely edit (MUE) of 1. A9520 is per study dose, but bilateral breasts are considered one study, not two. However, if both breasts are injected but imaging is not performed, I report 38792 x 2 and A9520 x 1. I don’t understand why they aren’t reported the same number of times. Can you explain?
General Question for the Week of June 12, 2017
Question:
What is Medicare’s definition of “new patient” for billing evaluation and management (E&M) services?
Respiratory Question for the Week of June 12, 2017
Question:
What code do we use to bill Medicare for demonstration of a nebulizer or inhaler device or for demonstrating chest-percussion techniques?
Radiology Question for the Week of June 12, 2017
Question:
What is the appropriate CPT® code to report for a limited hepatic magnetic resonance imaging (MRI) of the liver, which is performed to quantify hepatic fat content?
Pharmacy Question for the Week of June 12, 2017
Question:
Do you know whether CMS has announced any new pass-through codes for the next quarter?