Coding News

Attention IL, MN, and WI Members: Diagnostic US & US Guidance May Have Been Denied by NGS

National Government Services (NGS), the Part B Medicare Administrative Contractor for Illinois, Minnesota, and Wisconsin has been made aware that some claims for diagnostic ultrasounds CPT® code 76536 and ultrasound guidance CPT® 76942 may be been denied ...



HGBA1C National Coverage Policy Reminder

Members of AACE and their staff should be familiar with Medicare’s National Coverage Policy for HGA1C policy number 190.21...



CMS recently posted an E/M documentation policy change regarding the use of both 95 and 97 E/M guidelines.

For billing Medicare, a provider may choose either version of the documentation guidelines, not a combination of the two, to document a patient encounter. However, beginning for services performed on or after September 10, 2013 physicians may use the 1997...



Attention Florida, Puerto Rico and US Virgin Island AACE Members

First Coast Service Options (FCSO), the Medicare Administrative Contractor for FL, VI, and PR, has provided additional guidance on CPT® code 76942 (Ultrasound Guidance for needle placement)....



Florida Blue Update to “In House Laboratory” Policy for Adequacy Testing

As a result of a hassle factor submitted to the Socioeconomics & Member Advocacy Department, effective July 1, 2013, Florida Blue has added CPT ® codes 88172 and 88177 to their “In Office Laboratory Services” listing as allowed services available for reim...



CMS Updates Effective or Implemented April 1, 2013

Effective April 1, 2013, CMS converted some claim line MUEs (Medically Unlikely Edits) to date of service (DOS) MUEs. The total units of service (UOS) from all claim lines for a HCPCS/CPT code with......



Frequently Asked Coding Questions in regards to the new Consultation Services Payment Policy

Coding Disclaimer Here is a list of Frequently Asked Coding Questions, in regards to the new Consultation Services Payment Policy. Print...



Revisions to Consultation Services Payment Policy

Coding Disclaimer ...



New, Revised, Deleted Codes for 2013

This is a partial list of all new, revised, and deleted CPT and HCPCS codes pertinent to endocrinologists for 2013. There is a code freeze on ICD-9-CM codes. ICD-10-CM is scheduled to be implemented on October 1, 2014....



FAQs for Transitional Care Management Coding

CMS' FAQs for transitional care managment (TCM) coding....



CMS Identified Technical Issues

The Centers for Medicare & Medicaid Services (CMS) has identified technical issues with certain parts of the April 2013 quarterly systems release. ...



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