Follow Us on Twitter Link Us Like us on Facebook Circle us on Google Plus Subscribe to us on Youtube

Use modifier 33 next year for anesthesia done with screening colonoscopy

Coders and billers should append modifier 33 (preventive service) to the anesthesia code 00810 when anesthesia is given to a patient receiving a colonoscopy. Medicare will waive the patient’s copay and deductible responsibility for the anesthesia, as it now does for the screening colonoscopy, CMS… Read full entry»

Latest News

Gastroenterologists face confusing dual coding system next year

December 15th, 2014 by Scott Kraft

Gastroenterology providers are faced with the prospect of using two code sets when billing for lower GI procedures in 2015 — a set of G codes for Medicare and new and revised CPT codes for other payers. The dual-coding structure is the result of a… Read full entry»

LCD Updates for November 24 to December 1

December 13th, 2014 by PitchStone Health Staff

From November 24 to December 1, 28 LCD (Local Coverage Determination) updates took effect: Jump to: CGS | Cahaba GBA | NGS | NHIC | Noridian | WPS     CGS L31827: B-type Natriuretic Peptide (BNP) Testing PitchStone Summary: Annual review of LCD — no… Read full entry»

CMS Updates for the Week Prior to 12/08/2014

December 13th, 2014 by PitchStone Health Staff

Pitchstone Health analysis of the 1 CMS transmittal out of 6 released the week of December 8 that are relevant to physician practices. R557PI: Update to CMS Publication 100-08, Chapter 3, Section 3.2.3.4 (Additional Documentation Request Required and Optional Elements) Updates the template details, including… Read full entry»

Rite Aid pays nearly $3 million to settle inducements charge

December 8th, 2014 by Scott Kraft

Rite Aid pharmacy agrees to large settlement for pharmacy inducements, as OIG proposes loosening of some restrictions. Read full entry»

LCD Updates for November 17 to November 24

December 3rd, 2014 by PitchStone Health Staff

From November 17 to November 24, 15 LCD (Local Coverage Determination) updates took effect: Jump to: CGS | FCSO | NGS | Noridian | Palmetto GBA     CGS L31851: White Cell Colony Stimulating Factors PitchStone Summary: Adds coverage for ICD-9 codes 284.09 (Other constitutional… Read full entry»

LCD Updates for November 10 to November 17

December 3rd, 2014 by PitchStone Health Staff

From November 10 to November 17, 13 LCD (Local Coverage Determination) updates took effect: Jump to: CGS | Cahaba GBA | FCSO | Highmark | NGS | Palmetto GBA | WPS   CGS L31832: Category III CPT® Codes PitchStone Summary: Adds coverage for anoscopy codes… Read full entry»


CMS Updates for the Week Prior to 12/01/2014

December 3rd, 2014 by PitchStone Health Staff

Pitchstone Health analysis of the 1 CMS transmittal out of 10 released the week of December 1 that are relevant to physician practices. R246FM: Recovery Auditor Appeal Adjustments with “RI” Indicator Creates a “+” sign indicator to be listed in the second reason remark/discovery code… Read full entry»

CMS Updates for the Week Prior to 11/24/2014

December 3rd, 2014 by PitchStone Health Staff

Pitchstone Health analysis of the 2 CMS transmittals out of 7 released the week of November 24 that are relevant to physician practices. R3127CP: Screening for Hepatitis C Virus (HCV) in Adults Clarifies that MACs should price and pay for any claims for Hepatitis C… Read full entry»


4 new codes for TAP block injections starting in 2015

December 3rd, 2014 by Scott Kraft

New codes coming for use when you bill TAP blocks in 2015. Read full entry»

LCD Updates for November 3 to November 10

November 26th, 2014 by PitchStone Health Staff

From November 3 to November 10, 8 LCD (Local Coverage Determination) updates took effect: Jump to: CGS | Cahaba GBA | FCSO | NGS | Palmetto GBA     CGS L31832: Category III CPT® Codes PitchStone Summary: Corrects typographical error that does not impact coverage.… Read full entry»