decisionhealth Newsletters, Coder Pink Sheets - 2011 Issue 12 (December)
Getting Paid: Facet destruction next year - 4 coding & payment scenarios
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Article Overview
This article reviews how facet destruction scenarios are presented for a new payment year, with comparisons between prior and updated coding and reimbursement patterns. It is intended for coding, billing, and compliance professionals who need to understand the general scope of the changes affecting these procedures and related payment amounts.
Why This Topic Matters
Readers can use this article to orient themselves to the procedure types, spinal regions, and reimbursement comparisons discussed before reviewing the full premium guidance.
Article Sections
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Facet destruction coding and payment scenarios
The article presents several spine-level scenarios and compares coding and reimbursement information across years. It focuses on broad changes affecting the procedures and associated payment calculations.
What You Will Learn
- How the article organizes facet destruction examples by spinal region and nerve count
- What types of year-over-year payment comparisons are discussed
- Which general coding and reimbursement topics are addressed for the upcoming payment year
- How the article frames the scenarios for different anatomical locations
Who Should Read This
- Medical coders
- Billing staff
- Compliance auditors
- Practice managers
- Physician office staff
Codes Discussed
Modifiers Discussed
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