decisionhealth Newsletters, Coder Pink Sheets - 2006 Issue 8 (August)
Medicare ups pay for implantable pump maintenance
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Article Overview
This article explains a Medicare update tied to the 2006 physician fee schedule that affects billing for implantable pump maintenance and highlights the introduction of new Category II CPT measurement codes for voluntary reporting. It is relevant to physicians, coders, and billing staff who follow Medicare payment changes, CPT reporting options, and quality-measure submission under CMS programs. The article provides a high-level discussion of the payment update, the related reporting initiative, and the alternative use of G codes versus Category II CPT codes.
Why This Topic Matters
It helps billing and coding staff track a Medicare payment change and understand the broader reporting options associated with CMS quality-measure initiatives.
Article Sections
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Medicare payment update for implantable pump maintenance
Discusses a Medicare fee schedule change affecting implantable pump maintenance billing and related payment context.
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Category II CPT codes and CMS voluntary reporting
Covers the addition of new Category II CPT measurement codes and the CMS voluntary reporting program used for quality data submission.
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G codes and reporting options
Summarizes the article’s discussion of CMS reporting identifiers and the available reporting approach within the voluntary program.
What You Will Learn
- How a Medicare fee schedule update relates to implantable pump maintenance billing
- What the article says about new Category II CPT measurement codes
- How CMS voluntary quality reporting is described in the article
- What broad reporting options are mentioned for claim-based quality measures
Who Should Read This
- Medical coders
- Billing staff
- Physician practices
- Revenue cycle professionals
Codes Discussed
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