decisionhealth Newsletters, Coder Pink Sheets - 2017 Issue 11 (November)
New coding guidance: Follow new directions for peripheral neurostims, ultrasound exams in 2018
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Article Overview
This article reviews several CPT 2018 guidance changes relevant to clinicians, coders, and billing staff. It covers updated language for peripheral nerve neurostimulator services, revised extremity ultrasound exam definitions and descriptors, new and revised parenthetical notes tied to platelet-rich plasma and autologous white blood cell concentrate injections, and the introduction of a new modifier associated with rehabilitative services. The piece is useful for practices that report these services and need to understand where the manual language has changed.
Why This Topic Matters
These changes affect how common procedures and imaging services are documented and reported under CPT 2018. Accurate awareness of the updates helps practices align internal coding workflows with the revised manual language and related notes.
Article Sections
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Peripheral nerve neurostimulator guidance
Covers updates in the CPT manual related to peripheral nerve neurostimulator services and associated reporting guidance.
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Ultrasound examinations of the extremities
Summarizes revised extremity ultrasound exam definitions and descriptor language for complete and limited studies.
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Platelet-rich plasma injection notes
Describes revised parenthetical notes related to platelet-rich plasma injection references in the manual.
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Autologous white blood cell concentrate injection notes
Reviews parenthetical note changes tied to a newer injection code and related service references.
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New modifier for rehabilitative services
Introduces a new modifier associated with services provided for rehabilitative purposes and explains the general context of its use.
What You Will Learn
- Which areas of the CPT 2018 manual received revised guidance.
- How extremity ultrasound exam categories are distinguished at a high level.
- What kinds of injection-related parenthetical notes were updated.
- What new modifier was added for rehabilitative services.
- Which service categories are affected by the article's manual updates.
Who Should Read This
- Medical coders
- Billing staff
- Physicians
- Qualified health care professionals
- Practice managers
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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