2015 New CPT Coding Changes for General Surgery Practice
Nov30

2015 New CPT Coding Changes for General Surgery Practice

I have been a coder for General Surgery for almost 10 years now changes are not new to me. In 2015 we need to know that we have new, revised and deleted codes for General Surgery and this will affect our reimbursement if we are not aware of these changes. 2015 New CPT Coding Changes for General Surgery Practice Effective January 1, 2015 We have 2 deleted Codes for transendoscopic stent placement and ablation of lesion: 45339 – Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique) and 45345 … with transendoscopic stent placement (includes predilation).   Effective January 1, 2015 the Flex Sigmoidoscopy procedure will have 4 Additional New Codes:   45346 — Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) 45347 — with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) 45349 — with endoscopic mucosal resection 45350 — with band ligation(s) (e.g., hemorrhoids) Wound Therapy is also a part of 2015 New CPT Coding Changes for General Surgery   97605 — Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters 97606 — total wound(s) surface area greater than 50 square centimeters 97607 — Negative pressure wound therapy, (e.g., vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters 97608 — total wound(s) surface area greater than 50 square centimeters. Anoscopy Procedures 2015 New CPT Coding Changes for General Surgery   46600 — Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) 46601 — diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when performed 46607 — with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple.       Colonoscopy 2015 New CPT Coding Changes for General Surgery       Colonoscopy 2015 New CPT Coding Changes for General Surgery 44401 – Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed). 44402 – Colonoscopy through stoma; with transendoscopic stent placement (includes predilation); *** 44402 will replace 44397 44408 Colonoscopy through stoma; with decompression; for pathologic distention...

Read More
Medical Billing Coding Hernia Repair Laparoscopic or Open Surgery
Nov30

Medical Billing Coding Hernia Repair Laparoscopic or Open Surgery

Here are the medical billing codes that you can review for HERNIA Repair. Find what medical billing codes fits your need. Medical Billing Coding Hernia Repair Laparoscopic or Open Surgery I am hoping this information can help and save you time finding your medical billing codes for hernia repair. I have also embedded some videos… Please LOGIN HERE to view this content. Or, REGISTER HERE Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...

Read More
2015 CPT Code Changes for Vertebroplasty or Kyphoplasty
Nov30

2015 CPT Code Changes for Vertebroplasty or Kyphoplasty

The 2015 CPT Code Changes for Vertebroplasty or Kyphoplasty will change the way we code and bill for our physician’s service for Vertebroplasty or Kyphoplasty. Let’s make sure we are aware of these changes that will take effect on January 1st 2015.  2015 CPT Code Changes for Vertebroplasty or Kyphoplasty You have a 6 New Codes for Vertebroplasty or Kyphoplasty Procedure 22510 – Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic 22511 – … lumbosacral +22512 – … each additional cervicothoracic or lumbosacral vertebral body (List separately in addition to code for primary procedure) *** (Use 22512 in conjunction with 22510, 22511) (Do not report 22510, 22511, 22512 in conjunction with 20225, 22310, 22325, 22327 when performed at the same level as 22510, 22511, 22512) 22513 – Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (e.g., kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; thoracic 22514 – … lumbar +22515 – … each additional thoracic or lumbar vertebral body (List separately in addition to code for primary procedure). *** (Use 22515 in conjunction with 22513, 22514) (Do not report 22513, 22514, 22515 in conjunction with 20225, 22310, 22315, 22325, 22327 when performed at the same level as 22513, 22514,22515) You must remember that: 1. These codes will replace your Codes 22520 to 22525 2. These codes are billed and coded unilateral or bilateral. Modifier 50 (Bilateral), Modifier LT, RT (Left and Right) will apply. 3. Modifier 51 does not apply to your “add-on” codes +22512, +22515 4. All these 6 codes are inclusive with “moderate sedation” represented by a red “bullseye”, that means, you cannot bill separately for moderate sedation. 5. Code 22510 with “cervicothoracic” means you can now bill the cervical region rather than choosing the unlisted code in 2014 Code 22899 – “unlisted procedure, spine”. 6. Since the new codes are “inclusive of all imaging guidance” – in 2015, you can no longer bill the radiological codes for guidance – Forget these 2 radiological codes in 2015! 72291 – Radiological supervision and interpretation, percutaneous vertebroplasty, vertebral augmentation, or sacral augmentation (sacroplasty), including cavity creation, per vertebral body or sacrum; under fluoroscopic guidance 72292 – … under CT guidance. References: CPT Changes 2015, CPT Code Book 2015 According to the Guidelines of the American Medical Association (who owns CPT): “Codes 22510, 22511, 22512, 22513, 22514, 22515 describe procedures for percutaneous vertebral augmentation that include vertebroplasty of the cervical, thoracic, lumbar, and sacral spine and vertebral augmentation of the thoracic and lumbar spine.” “For the purposes...

Read More
2015 CPT Changes for Joint Injection Aspiration Codes
Nov30

2015 CPT Changes for Joint Injection Aspiration Codes

For 2015 CPT Changes for Joint Injection Aspiration Codes, we will be seeing some changes and revision on how we will be coding for Joint Injection services provided by your physician. They are now includes in the descriptors, “without ultrasound guidance” or “with ultrasound guidance” – we should make sure we are guided on these… Please LOGIN HERE to view this content. Or, REGISTER HERE Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...

Read More
2015 Coding Changes New Codes for Pain Management
Nov30

2015 Coding Changes New Codes for Pain Management

Here comes your 2015 Coding Changes New Codes for Pain Management. Get to know them to avoid denials in the coming year. You will see these codes are no longer billable with imaging guidance as a separate service. 2015 Coding Changes New Codes for Pain Management 6 New Codes for Vertebroplasty or Kyphoplasty Procedure  22510 – Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic 22511 – … lumbosacral +22512 – … each additional cervicothoracic or lumbosacral vertebral body (List separately in addition to code for primary procedure) *** (Use 22512 in conjunction with 22510, 22511) (Do not report 22510, 22511, 22512 in conjunction with 20225, 22310, 22325, 22327 when performed at the same level as 22510, 22511, 22512) 22513 – Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (e.g., kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; thoracic 22514 – … lumbar +22515 – … each additional thoracic or lumbar vertebral body (List separately in addition to code for primary procedure). *** (Use 22515 in conjunction with 22513, 22514) (Do not report 22513, 22514, 22515 in conjunction with 20225, 22310, 22315, 22325, 22327 when performed at the same level as 22513, 22514 ,22515) Keypoints: 1. These codes will replace your Codes 22520 to 22525 2. These codes are billed and coded unilateral or bilateral. Modifier 50 (Bilateral), Modifier LT, RT (Left and Right) will apply. 3. Modifier 51 does not apply to your “add-on” codes +22512, +22515 4. All these 6 codes are inclusive with “moderate sedation” represented by a red “bullseye” 5. Code 22510 with “cervicothoracic” means you can now bill the cervical region rather than choosing the unlisted code in 2014 Code 22899 – “unlisted procedure, spine”. 6. Since the new codes are “inclusive of all imaging guidance” – in 2015, you can no longer bill the radiological codes for guidance –  72291 – Radiological supervision and interpretation, percutaneous vertebroplasty, vertebral augmentation, or sacral augmentation (sacroplasty), including cavity creation, per vertebral body or sacrum; under fluoroscopic guidance 72292 – … under CT guidance. 2015 Coding Changes New Codes for Pain Management Myleography Coding: In 2015, we have a revised 62284 – “Injection procedure for myelography and/or computed tomography, spinal (other than C1-C2 and posterior fossa)” *** Revised Description in 2015 62284 – “Injection procedure for myelography and/or computed tomography, lumbar (other than C1-C2 and posterior fossa).” (Do not report 62284 in conjunction with 62302,62303,62304, 62305, 72240, 72255, 72265, 77270) Your 4 New Codes via Lumbar Injection Myleography 62302 Myleography via lumbar...

Read More