Home | News & Analysis
Part B News
The proposed ICD-10 code changes — released with the FY2024 Hospital Inpatient PPS (IPPS) proposed rule on April 10 — include new codes to enhance the tracking and progression of Parkinson’s disease, including codes for Parkinson’s disease with and without dyskinesia and Parkinsonism, unspecified.
Take your staff through the guidelines for trigger point injections (20552-20553) during your next compliance session. This pain treatment procedure has a 13% denial rate according to the latest Medicare Part B claims data, received a 98% denial rate during a medical review, and is frequently controlled by strict local coverage determinations (LCD) and private payer policies. These factors can combine to make receiving proper reimbursement for trigger point injections a painful undertaking.
E/M coding guidelines for emergency department (ED) services (CPT codes 99281-99285) were left unchanged for decades. However, the 2023 update to the CPT code set updated these requirements, along with coding requirements for many other E/M services.
Question: We frequently see ads for “medical cleaning” and “health care cleaning” companies that suggest we need to use their specialty services to meet official guidelines. Is there a law requiring this?
Instead of modifier 59 (Distinct procedural service), medical groups regularly turned to the CMS-approved series of X modifiers for distinct procedural services in 2021 – and found success with them.


User Name:
Welcome to the new Part B News Online. If you are a returning user having trouble logging in, please click here.
Back to top