Coding News

The correct way of using Modifier L1.   Modifier L1 Separately payable lab test was implemented in 2014 by the Centers for Medicare & Medicaid Services (CMS) as part of the July Outpatient Prospective Payment System (OPPS) package updates (CMS 2014). Under the 2014 OPPS packaging edits, if a laboratory service with status indicator A Services furnished to a … [Read more...] about Correct way of using Modifier L1

Coding For Hepatitis Screening.   Medicare has added Part A and Part B coverage for HBV screening, effective Sept. 28, 2016.   However, there are conditions for coverage: The screening must be performed using the appropriate FDA-approved laboratory test, used consistent with FDA-approved labeling and in compliance with the Clinical Laboratory … [Read more...] about Coding For Hepatitis Screening

Reporting Mental Health in Drug Screening.   Major changes have occurred in mental health coding and drug screen services.The evolving public awareness of mental health, parity laws, revisions to CDC guidelines, and HCPCS Level II dual coding for drug screen services prompted more changes in 2017. In 2013, CPT(R) created separate reporting guidelines for … [Read more...] about Reporting Mental Health in Drug Screening

New changes to E/M service may clear up the confusion.   Under the current 1995 Documentation Guidelines for Evaluation and Management (E/M) Services, 2-7 body parts and/or organ systems are examined for both the expanded problem-focused visit and detailed physical exam visit. Effective for dates of service on or after July 1, 2017, (and applicable only to … [Read more...] about New changes to E/M service may clear up the confusion.

Latest changes in Otorhinolaryngology.   Latest changes in Otorhinolaryngology: CPT(R) 2017 brings several code changes for Otorhinolaryngology, a specialty that has seen few, if any, code changes in the past several years. The changes are primarily new codes, with some code revisions, to keep the codes up to date with contemporary clinical practice. The … [Read more...] about Latest changes in Otorhinolaryngology