decisionhealth Newsletters, Coder Pink Sheets - 2016 Issue 8 (August)
New coding guidance: Proposed fee schedule previews new epidural codes and fluoroscopy pay
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Article Overview
This article summarizes proposed 2017 Medicare physician fee schedule updates that relate to epidural injection reporting and fluoroscopic needle guidance reimbursement. It is useful for physicians, coders, and billing staff who need to understand how the upcoming CPT changes and related payment updates may affect spine injection services across settings. The discussion also references CMS materials, CPT 2017, and comparative payment tables for the proposed and prior year.
Why This Topic Matters
The proposed changes affect how common spine injection services are reported and how payment is set across facility and non-facility settings. Readers working with pain management, anesthesia, radiology, or physician billing need to know which code families and guidance services are being updated.
Article Sections
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Overview of proposed epidural coding changes
Introduces the upcoming changes tied to the Medicare physician fee schedule and the CPT 2017 code cycle. Explains that the article focuses on epidural injection reporting and related payment updates.
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Needle guidance gets another look
Covers proposed payment updates for fluoroscopic needle guidance services and how the fee schedule analysis compares current and proposed amounts. Mentions the imaging guidance services discussed in the article.
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Payments for epidural injections — 2017 and 2016
Presents a comparative payment table for epidural injection services in facility and non-facility settings. Includes the proposed codes and the prior-year CPT codes referenced by the article.
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Fluoroscopic needle guidance — 2017 and 2016
Presents a comparative payment table for fluoroscopic guidance services and the associated professional and technical components. Shows proposed and prior-year payment information for the guidance services discussed.
What You Will Learn
- The scope of proposed Medicare fee schedule changes affecting epidural injection reporting
- How the article frames the relationship between CPT updates and imaging guidance
- Which general service categories are included in the payment comparison tables
- How the article organizes proposed versus prior-year reimbursement information
- What types of clinical and billing services are being affected by the upcoming guidance changes
Who Should Read This
- Medical coders
- Billing staff
- Physician practices
- Pain management specialists
- Anesthesiology practices
- Radiology billing teams
- Compliance professionals
Codes Discussed
Modifiers Discussed
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