Compliance Question of the Week

For the Week of June 19, 2017

Cardiology

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?

Read the Answer


Posted in Cardiology, Question of the Week
|
Comments Off on Cardiology Question for the Week of June 19, 2017


 

Laboratory

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?

Read the Answer


Posted in Laboratory, Question of the Week
|
Comments Off on Laboratory Question for the Week of June 19, 2017

Pharmacy

Pharmacy Question for the Week of June 19, 2017

Question:

What is the outpatient PPS packaging threshold for this year?

Read the Answer


Posted in Pharmacy, Question of the Week
|
Comments Off on Pharmacy Question for the Week of June 19, 2017

Radiology

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?

Read the Answer


Posted in Question of the Week, Radiology
|
Comments Off on Radiology Question for the Week of June 19, 2017

Respiratory

Respiratory Question for the Week of June 19, 2017

Question:

What code is reported for aspiration/drainage procedures?

Read the Answer


Posted in Question of the Week, Respiratory
|
Comments Off on Respiratory Question for the Week of June 19, 2017

General

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?

Read the Answer


Posted in General, Question of the Week
|
Comments Off on General Question for the Week of June 19, 2017

CPT® copyright 2016 American Medical Association (AMA). All rights reserved. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. CPT is a registered trademark of the American Medical Association.