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

ZHealth Special Edition Newsletter

Jan 20, 2017 2:22:00 AM

Special Edition Newsletter: Moderate Sedation

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

In the physician RVU file there is a column labeled “PCTC IND” which designates when a code is technical-only or professional-only. The add-on code for each additional 15 minutes of moderate sedation by the physician performing the procedure (99153) is indicated as technical-only (3) in this field. In addition, there is an NA in the RVU file column titled “FACILITY NA INDICATOR”. The NA indicates “that this procedure is rarely or never performed in the facility setting”. Since code 99153 is technical only, a physician cannot report this code when performed in the facility setting.  

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Posted in Free Newsletters By Sondra Dunn

ZHealth Coding Newsletter - May 2016 #2

May 29, 2016 2:20:00 PM

May 2016 Q & A #2

Question: Drug Coated Balloons

When doing an angioplasty with the drug coated balloons, do you bill the procedure as an angioplasty or artherectomy?
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Posted in Free Newsletters By Sondra Dunn

2016 NCCI Revision Announcement

Jan 13, 2016 12:01:28 AM

NCCI Edit Manual Revised in 2016 to Allow Billing Mammography Post Breast Intervention Performed with Stereotactic Guidance.

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Posted in News By Sondra Dunn

September 2014 Q & A

Question: Vertebral Artery Stenting

Rt. vertebral artery origin has severe flow-limiting stenosis at level of C-6 and intracranially 50% and 40%. Procedure codes used are 0075T, 76937 x2, G0269, 36140. Impression: Rt. vertebral artery origin severe stenosis reduced to minimal residual after balloon mounted stent placement. Basilar artery flow is improved with lower blood pressure after the intra-arterial administration of vasodilator and rt. vertebral artery origin stent placement. Lt. superficial femoral artery arterial monitoring catheter placement.

Medicare is denying 0075T for modifier incompatibility. ...

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Posted in Free Newsletters By Sondra Dunn

We've launched a new ZHealth Consulting website!

You know and love our ZHealth Publishing products, but did you know that we also offer consulting services such as outsourced codingon-site education (by Dr. Z himself!), and coding audits?

Our new consulting site features:

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Posted in News By Sondra Dunn

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