Part B News | Part B News

Almost 400 new ICD-10-CM codes proposed for October

04/17/2023

by: Megan Herr with additional reporting by Laura Evans, CPC, and Julia Kyles, CPC

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.

Pinpoint requirements for trigger point injections, watch your MAC

04/17/2023

by: Julia Kyles, CPC

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.

Examine 2023 E/M updates for ED services

04/17/2023

by: Hamilton Lempert, M.D., FACEP, CEDC

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.

You don’t need ‘health care cleaners,’ but you do need to meet standards

04/17/2023

by: Roy Edroso

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?

59 v. X[EPSU]: Practices see mixed results when using X modifiers

04/17/2023

by: Richard Scott

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.

Login

User Name:
Password:
Remember me Forgot password
Welcome to the new Part B News Online. If you are a returning user having trouble logging in, please click here.