decisionhealth Newsletters, Coder Pink Sheets - 2006 Issue 12 (December)
Aneurysm screening code coming January 1
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Article Overview
This article reviews a Medicare final physician fee schedule update with emphasis on the new ultrasound screening service for abdominal aortic aneurysm and related billing guidance. It also covers other coding and payment changes involving cast and splint supply codes, IVIG billing, bone mass measurement coverage, imaging payment limits, and multiple-imaging payment reductions. The content is aimed at coders, billers, and practices that submit Medicare claims or manage preventive and diagnostic services.
Why This Topic Matters
It helps practices understand which Medicare coding and payment updates take effect with the new fee schedule and which services may require attention for billing compliance, coverage, or reimbursement planning.
Article Sections
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AAA screening ultrasound and Medicare preventive visit guidance
Introduces the new Medicare screening service and explains the related physician fee schedule context. Also addresses provider qualifications, preventive visit workflow, and Medicare review of duplicate testing.
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Other fee schedule coding updates
Summarizes additional Medicare coding and payment changes affecting supply codes, IVIG billing, bone mass measurement coverage, imaging payment policy, and multiple-imaging reductions. Includes a note about reviewing the final imaging cap list in the fee schedule addenda.
What You Will Learn
- How the Medicare final physician fee schedule affects screening and diagnostic service coding
- What general billing areas are impacted by the new fee schedule update
- Which types of services are discussed in the article as needing review for compliance or payment changes
- How the article frames provider responsibilities around preventive screening and Medicare claims
Who Should Read This
- Medical coders
- Medical billers
- Primary care practices
- Radiology and imaging practices
- Medicare billing staff
Codes Discussed
Code Ranges Discussed
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