AMA Clinical Examples in Radiology - 2012 Bulletin 1
CPT Coding Alert for 2013
CPT Coding Alert for 2013 Radiology practices should note the following code changes for 2013, as bundling of multiple procedures into a single code is slated for a number of radiology services. Code pairs identified as being performed together greater than 75 percent of the time and, therefore, considered by the CPT Editorial Panel for bundling in 2013, include interventional radiology procedures, such as cervicocerebral angiography, thrombolysis, and the percutaneous transcatheter retrieval of an intravascular foreign body. Additional radiology codes, such as thyroid and parathyroid nuclear medicine codes and chest tube placement codes, were captured in the Harvard-based codes...
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Article Overview
This article reviews a set of coding and billing developments affecting radiology practices in 2012 and 2013. It covers CPT editorial activity and anticipated code revisions, CMS announcements about Version 5010 and ICD-10 timing, updates related to place of service reporting, Medicare multiple procedure payment reduction policy, and revised Advance Beneficiary Notice requirements. The piece is useful for radiology coders, billing staff, and compliance personnel monitoring federal coding and claims-processing changes.
Why This Topic Matters
The article helps radiology practices track upcoming and recently implemented federal and CPT-related changes that can affect coding workflows, claims submission, compliance readiness, and reimbursement administration.
Article Sections
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Radiology code changes for 2013
Introduces anticipated CPT-related changes affecting radiology services and identifies broad categories of procedures under review. Also points readers to related radiology coding resources for more detail.
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AMA begins posting summary of CPT Editorial Panel actions
Describes the AMA’s public posting of CPT Editorial Panel action summaries and notes the provisional nature of those materials. Explains where readers can locate the summary.
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Version 5010 compliance required July 1, 2012
Summarizes CMS timing for Version 5010 enforcement and its relationship to electronic transactions and system readiness. Includes general background on implementation progress and related federal guidance.
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ICD-10 delay announced by HHS in proposed rule
Outlines the proposed delay to ICD-10 compliance and the reasons cited by HHS. Also discusses the broader transition timeline and interim update approach for ICD code sets.
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Place of service clarification delayed until October 1, 2012
Covers CMS postponement of place of service instruction changes and the related transmittal update. Mentions the expected manual changes and the focus on diagnostic test reporting guidance.
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Medicare's MPPR policy and professional component reporting
Summarizes CMS policy updates affecting multiple procedure payment reduction for imaging services and the reporting context for professional and technical components. Also references related guidance sources and radiology practice concerns.
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Are you using the correct ABN?
Describes the revised Advance Beneficiary Notice requirements and the replacement of older form versions. Explains the notice’s general role in Medicare noncoverage situations.
What You Will Learn
- How radiology-related CPT changes were being discussed for 2013
- How CMS timing updates affected Version 5010 and ICD transition planning
- What administrative policy areas were updated for radiology claims and reporting
- How Medicare policy changes could affect imaging reimbursement workflows
- What changed regarding beneficiary notice form usage
Who Should Read This
- Radiology coders
- Radiology billing staff
- Compliance professionals
- Physician practices
- Medical office managers
Codes Discussed
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