RUC Five-Year Review High Volume Growth Codes (June 2009)

June 2009 page 9 Coding Clarification:RUC Five-Year Review High Volume Growth Codes The following coding clarifications are provided as a result of the Relative Value Update Committee's (RUC) Five-Year Review Identification Workgroup process based on the identification of these codes through a high volume growth screen by the Centers for Medicare and Medicaid Services (CMS) and the RUC. The increased reporting suggested that there may be issues with reporting the code appropriately. The necessary components for reporting these codes are described below. This article clarifies the intent of the codes as well as their correct usage, and describes inclusive...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This June 2009 coding clarification article summarizes guidance developed through the RUC five-year review and related CMS review process for selected high-volume growth services. It is relevant to coders, radiology practices, and ophthalmology billers who need a better understanding of the general subject areas addressed, including imaging documentation, distinct CT and CTA services, and broader CPT reporting considerations.

Why This Topic Matters

The article helps readers determine whether the discussed coding clarifications apply to their practice and supports more accurate review of documentation and reporting workflows for the covered service categories.

Article Sections

  1. Coding Clarification

    Introduces the purpose of the article and the general context for the clarification topics addressed in the body of the piece.

  2. Ocular Surface Reconstruction

    Discusses an ophthalmology service area involving amniotic membrane use and related reporting clarification within the broader CPT framework.

  3. Computed Tomographic (CT) Angiography of the Chest for Pulmonary Embolism

    Covers chest CT and CTA reporting considerations, including documentation, postprocessing, and distinctions among related imaging services.

What You Will Learn

  • The general purpose of the RUC five-year review clarification process
  • How the article frames coding considerations for an ophthalmic reconstruction service
  • How the article distinguishes among chest CT, chest CTA, and related imaging documentation topics
  • Which broad reporting concerns are addressed for radiology practices and referring physicians

Who Should Read This

  • Medical coders
  • Radiology billing staff
  • Ophthalmology billing staff
  • Physicians and practice managers
  • Compliance staff

Codes Discussed

Code Ranges Discussed


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