Coding Uncertain Lesion Excisions With Certainty

What to do when the pathology doesn’t correlate to the service provided. The rules for cutaneous (skin) excision coding are straightforward: When the pathology for a lesion is benign, code for excision of benign lesion, 11400-11446; and when the patho… For more, read here: AAPC Blog Related Posts:Medicare Telehealth Coding as of April 30

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Interview on Podcast – Life as a Coder ~ Breaking down the Global Package for ENT Services and More

Jennifer McNamara interviews Barbara Cobuzzi on Life as a Coder. They talk about the global package as it applies to ENT services. Also reviewed is the new encoder, Coding Advisor by Barbara Cobuzzi and what Barbara has been doing lately as she consults and provides expert witness services in the coding, billing, revenue cycle and compliance space… Related Posts:2021 Physician Fee Schedule Final Rule – Prolonged Services

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Check Your FESS Claims for Improper Payment Adjustments

MACs may be applying the multiple endoscopy rule incorrectly. In the 2020 Medicare Physician Fee Schedule (MPFS) Final Rule, the Centers for Medicare & Medicaid Services (CMS) finalized the proposal to apply the special rule for multiple endosco… For more, read here: AAPC Blog Related Posts:Prevent Medicare Claims Denials in 2020

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Multiple Endoscopy Rule Examples

In my last blog “Special Rules Apply to Endoscopic Sinus Surgeries,” I discussed the change to the Multiple Endoscopy Rule for multiple surgeries when performed within the family of endoscopic sinus codes. How Does the Multiple Endoscopy Rule Affect … For more, read here: AAPC Blog Related Posts:2021 Physician Fee Schedule Final Rule – Prolonged Services

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CMS Proposes Payment Changes to Endoscopic Sinus Codes

The Centers for Medicare & Medicaid Services (CMS) is proposing major payment changes to sinus endoscopy services. The 2020 Physician Fee Schedule (PFS) proposed rule includes the following excerpt: We are proposing to apply the special rule for m… For more, read here: AAPC Blog Related Posts:Special Rules Apply to Endoscopic Sinus SurgeriesCheck Your FESS Claims for Improper Payment Adjustments

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Auditing Postoperative Sinus Debridements

An auditor asked the question of postoperative sinus debridements while discussing functional endoscopic sinus surgery (FESS). It was asked if postoperative debridements are coded and chargeable when a septoplasty or a turbinate procedure is performed… For more, read here: AAPC Blog Related Posts:Special Rules Apply to Endoscopic Sinus Surgeries

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