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Significant changes to the Current Procedural Terminology (CPT) codes and guidelines for 2024 were announced, affecting OB/GYN medical specialties. Let’s delve into the key modifications: 2024 Gynaecology CPT Changes Overview: Additions: The majority of additions pertain to laboratory medicine, reflecting advancements and expansions in diagnostic procedures. Revisions: Notably, revisions have been made to office visit […]
In the quest to enhance financial performance in medical practices, especially in small settings, the implementation of robust small practice billing strategies is a game-changer. Recognizing the unique challenges independent practitioners face, effective revenue cycle management for independent practitioners is not simply an administrative task; it is critical to the sustainability and growth of their […]
CMS now has requirements, in 38 states, for providing trigger point injections, effective April 1st, 2024. Depending on your Medicare intermediary a highlight of the new rules are: Initial and follow-up treatments. After an initial injection, subsequent treatments are medically necessary if the patient experiences a minimum of 50% pain relief that is consistent for at […]
Over the years, private practices, especially those with 7 or less providers, have struggled with which compensation model to use when contracting new Physicians and Physician Extenders. The very popular model of Straight Salary, which has commonly been used since the 1990’s, is proving not to be the best model for either the practice or the provider. Straight Salary models, and those that […]
Colorectal Cancer Screening For CY 2023, we are finalizing, as proposed, two updates to expand our Medicare coverage policies for colorectal cancer screening in order to align with recent United States Preventive Services Task Force and professional society recommendations. First, we are expanding Medicare coverage for certain colorectal cancer screening tests by reducing the minimum […]
Surgery: Urinary System Codes for percutaneous nephrolithotomy or pyelolithotomy (50080 and 50081) are revised to clarify which services are included when performing the procedure, so they can be properly valued. Code 50080 is reported for a simple procedure that involves stones up to 2.0 cm. Stones greater than 2.0 cm, branching stones, stones in multiple […]
Remote therapeutic monitoring (98975-98978, 98980 and 98981). CPT has revised the description for remote therapeutic monitoring code 98975 to accommodate the addition of a new CPT code, 98978, specifically for monitoring for cognitive behavioral therapy. (The description’s parenthetical section now includes only “therapy adherence” and “therapy response.” References to respiratory and musculoskeletal systems have been removed.) […]
Behavioral Health Services In light of the current needs among Medicare beneficiaries for improved access to behavioral health services, CMS has considered regulatory revisions that may help to reduce existing barriers and make greater use of the services of behavioral health professionals, such as licensed professional counselors (LPCs) and Licensed Marriage and Family Therapists (LMFTs). […]
Ob-Gyn Coding Alert There are three new codes in the integumentary system section that could affect your practice, plus one deletion and one revision. New mesh code: 15778 (Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma). Two new […]
New Prostatectomy Code First, CPT adds a new code for laparoscopic prostatectomy that joins the existing surgical codes addressing the prostate. When a physician uses robotic assistance to remove the prostate, use 55867 (Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robotic assistance, when […]
