It’s Deductible Season! The end of one year brings the beginning of a new one and that means annual deductibles have been reset for 2023. As a result, patients will be responsible for higher balances and insurance payments will be lower for the first quarter of the year. To better understand what a patient may […]
November Bulletin – Medicare Part B & Tetanus Vaccines
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 […]
August Bulletin – National Coverage Determination Updates
National Coverage Determination Updates Effective October 1, 2022, there will be several updates to the National Coverage Determination (NCD) guidelines that are implemented by the Centers for Medicare & Medicaid Services (CMS). The following NCDs are being updated to include changes for the 2023 fiscal year: NCD 150.3 Bone Density Studies NCD 160.18 Vagus Nerve […]
August Bulletin – Monkeypox Outbreak – What to Know
New Monkeypox Codes American Medical Association has published new CPT Codes in response to the Monkeypox virus outbreak. These codes are to be used to report lab testing and vaccinations and are effective as of July 26, 2022. Lab Code: When testing for monkeypox, labs should use code 87593 – Infectious agent detection by nucleic […]
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 […]
July Bulletin – COVID-19 CPT Code Updates
July Bulletin – COVID-19 CPT Code Updates In mid-May, the U.S. Food and Drug Administration (FDA) approved use of the Pfizer-BioNTech COVID-19 vaccine booster for children ages five through eleven. The CPT code to be used for this booster is: 0074A – Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) […]
June Bulletin – UnitedHealthcare Updates
UnitedHealthcare Updates UnitedHealthcare released plan updates for June 2022. All plan updates can be found here: UnitedHealthcare Community Genetic testing for hereditary cancer Cardiovascular disease risk tests More than a dozen medication updates UnitedHealthcare Commercial Macular degeneration treatment procedures Ambulance services Liposuction for lipedema UnitedHealthcare Medicare Advantage Cardiac procedures, including pacemakers and defibrillators Urinary and […]
June Bulletin – COVID-19 Vaccine Updates
COVID-19 Vaccine Updates On June 17, 2022, the Food and Drug Administration (FDA) authorized COVID-19 vaccines for children as young as 6 months old. The Centers for Disease Control and Prevention (CDC) approved the vaccine for children under five a day later, making approximately 20 million children eligible for daycare or preschool. Both the Moderna […]
May Bulletin – Infectious Disease in the U.S. – Part 2 Monkeypox
The Massachusetts Department of Public Health has confirmed that a man who recently traveled to Canada has been infected with monkeypox virus. This is the second case in the US, with the first being in Texas. Other monkeypox cases have been identified in the U.K., Spain and Portugal. Most of the cases are among men […]