Medicare Part B & Tetanus Vaccines Did you know that Medicare Part B only covers a tetanus vaccine when it’s given as the result of an injury or direct exposure? Medicare Part B does not cover tetanus vaccines when given preventatively. In fact, Medicare Part B doesn’t cover most preventative vaccines, so coding is important […]
November Bulletin – 2023 E/M Coding Updates
2023 E/M Coding Updates On January 1, 2023, several new updates to the Evaluation and Management (E/M) section of the CPT code book will take effect. 25 codes are being deleted, there are revisions to five different coding categories’ introductory guidelines and prolonged services received a complete revision. The codes that are being deleted are […]
July Bulletin – CPT Code Updates Coming Fall 2022
CPT Code Updates Coming Fall 2022 Effective 10/1/2022, more than 300 new ICD-10-PCS codes will go into effect. The updates include 331 new codes and 64 code deletions. Among them are new technology codes, including a code for computer-assisted transcranial magnetic stimulation of the prefrontal cortex. The 2023 fiscal year (FY) updates are available for […]
October Bulletin – 2022 CPT Code Updates Announced
2022 CPT Code Updates Announced The American Medical Association made more than 400 changes to the Current Procedural Terminology (CPT) Code Set for 2022. The changes take effect January 1, 2021 and include 249 new codes, 63 deletions and 93 revisions. The 2022 CPT Code Set also includes 15 vaccine codes. These codes were created […]
APRIL BULLETIN – AN IN DEPTH LOOK AT THE NEW 2021 E&M CODING GUIDELINES
As of January 1, 2021, the American Medical Association and the Centers for Medicare and Medicaid Services implemented changes to evaluation and management services. The changes are meant to decrease the amount of required documentation and increase the amount of time spent with patients. The E&M codes affected are 99201-99215 and all other E&M codes […]
March Bulletin – Coding Updates for 2021
Coding Updates – 2021 The continued development of COVID-19 treatments and vaccines has prompted updates in CPT coding and billing guidelines. In addition to the updated E&M code requirements, the American Medical Association developed COVID-19 codes for each of the four coronavirus vaccines and their administrations. 91300: this is for the Pfizer vaccine only. For […]
It’s Flu Season – What you need to know!
It’s Flu Season! The 2020 – 2021 flu season is here and with COVID-19 still circulating, it’s more important than ever to get a flu vaccine. Since both the flu and COVID-19 have some similar symptoms, the Center for Disease Control and Prevention recommends that all persons 6 months and older receive a flu vaccine. […]
New CPT Code Issued for Influenza Billing
The American Medical Association has issued a new Current Procedural Terminology (CPT) code for influenza vaccine Flucelvax. The code — CPT 90674 — went into effect on August 1, 2016, for Medicare claims. However, as the Centers for Medicare & Medicaid Services states, Medicare claims processing systems will not be able to accept the new […]
CMS Revises JW Modifier Use Policy
The Centers for Medicare & Medicaid Services (CMS) has issued a change in policy regarding the use of the -JW modifier for discarded Part B drugs and biologicals. The -JW modifier identifies “Drug amount discarded/Not administered to any patient.” Effective Jan. 1, 2017, providers will be required to: use the -JW modifier for claims with […]
Do You Understand the New Modifier -CT Reporting Guidelines?
In an MLN Matters article published late last year, the Centers for Medicare & Medicaid Services (CMS) discussed the creation of modifier -CT (computed tomography services furnished using equipment that does not meet each of the attributes of the National Electrical Manufacturers Association (NEMA) XR-29-2013 standard). Effective for claims submitted on or after January 1, […]