2013 Orthopedic Surgery CPT Code Changes and Additions

These are the highlights of the seven CPT code changes and a listing of numerous CPT code additions affecting Orthopedic Surgery billing in 2013.  Make sure you review the full CPT manual for complete details of all coding changes to insure you receive your optimum claim reimbursements.                                                          Spine CPT Guideline Change: CPT codes 22633 and 22634 may be appropriately …

Get the Answers on New Payment Rules for 99215

FCSO detailed a new claim reimbursement process in it's December 2012 medical billing newsletter for CPT Code 99215.  See below for details:   What: Prepayment Review of E/M Code 99215 The Medicare fiscal intermediary First Coast Service Options, Inc. (FCSO), will be initiating a pre-payment review of 100 percent of the E/M Service Code 99215. Where: Florida Who: Certain Provider …

Medicare Medical Billing Newsletter Has Important Information for Primary Care Physicians

  As a Primary Care Physician you probably generate numerous claims for Annual Wellness Visits for your Medicare Beneficiaries. If you are an outpatient hospital/facility based provider, you need to be aware of the upcoming changes for the payment of HCPCS G0438 and G0439.                                                                                                       Under current claims reimbursement processes, a preventive service that has been submitted for both a …