ZHealth News

Special Edition Newsletter: Moderate Sedation

Revision to 'Professional Billing of Moderate Sedation by the Physician Performing the Procedure When in a Facility Site of Service'

The codes for reporting moderate sedation performed by a physician or other qualified health care professional other than the one performing the procedure do not have different RVUs for the facility and non-facility sites of service. The RVUs are the same. There is also an NA in the NON-FAC NA INDICATOR column of the RVU file. From the CMS document explaining the NA in this field: An “NA” in this field indicates that this procedure is rarely or never performed in the non-facility setting.

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Posted in Free Newsletters By Sondra Dunn

Pacemaker NCD Implementation Delayed

Jul 7, 2014 5:58:33 PM

Implementation of the Pacemaker NCD has been delayed.

The new National Coverage Determination (NCD) for Single Chamber and Dual Chamber Cardiac Pacemakers has been delayed (it was supposed to go into effect today). The new implementation date has not been announced at this time.

Full Announcement from Novitas Solutions:

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Posted in News By Sondra Dunn

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