decisionhealth Newsletters, Part B News - 2007 Issue 5 (May)
How to get paid for masectomies
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Article Overview
This article is a coding and reimbursement update focused on mastectomy procedures in CPT. It is aimed at coders and billing staff who need to understand the 2007 code transition, the general structure of the revised breast excision section, and the payment impact discussed in the source. The article includes a crosswalk between deleted and replacement procedure codes, along with commentary on relative payment changes and common usage patterns.
Why This Topic Matters
It helps coding and billing professionals recognize that a breast surgery code set changed in 2007 and identify the related reimbursement update discussed in the source.
Article Sections
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Code change overview
Introduces the annual coding update and the shift to a reorganized CPT breast surgery section. Summarizes the article’s focus on payment changes and code maintenance.
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Utilization and denial information
Provides broad Medicare Part B usage and denial context for commonly billed mastectomy procedures. Highlights the article’s discussion of frequency and payment trends.
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Crosswalk: deleted codes to new payable replacement codes
Presents the source’s side-by-side transition list from deleted procedure codes to the new replacement set effective in 2007. Includes the general reimbursement update associated with each code pair without elaborating on coding rules.
What You Will Learn
- How the article frames the 2007 CPT update for mastectomy procedures
- What general payment and utilization issues are discussed
- How the source organizes the deleted-to-replacement code crosswalk
- Which professional and Medicare-related sources are referenced in the update
Who Should Read This
- Medical coders
- Billing staff
- General surgeons
- Revenue cycle professionals
- Compliance staff
Codes Discussed
Code Ranges Discussed
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