2018 Change to Bone Marrow Biopsy Coding
On January 1, 2018, long-utilized HCPCS code G0364, Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date aof service, will be retired.
On January 1, 2018, long-utilized HCPCS code G0364, Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date aof service, will be retired.
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.
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.
May 2016 Q & A #2
Question: Drug Coated Balloons
NCCI Edit Manual Revised in 2016 to Allow Billing Mammography Post Breast Intervention Performed with Stereotactic Guidance.