Ready for 2016 code changes to secure proper billing process

Why This Topic Matters

The article helps revenue cycle and coding professionals recognize which parts of the 2016 CPT update may affect claim submission, documentation review, and payer-specific reporting expectations. It is especially relevant for organizations tracking annual codebook changes and aligning internal billing processes with updated specialty guidance.

Article Sections

1. Find clarification on 2016 coding guidelines

   Overview of selected 2016 CPT guidance changes and payer considerations discussed at an AMA symposium. Includes broad updates relevant to transitional care and other common services.

2. Use new cerumen-removal code for fluid-based drainage

   Discussion of the new earwax removal reporting option and its relationship to existing auditory system coding. Also addresses documentation and modifier-related guidance at a high level.

3. Heed revised modifier guidance for colonoscopy procedures

   Summary of updated colonoscopy modifier guidance in the 2016 CPT codebook. Focuses on therapeutic procedures and the circumstances described in the article.

4. Adopt new codes for catheter- and stent-based procedures

   Covers new and revised codes for kidney, biliary, catheter, and stent-related procedures. Also notes bundled-service guidance and modifier use discussed by presenters.

5. Don’t bill imaging separately for new pain-management codes

   Reviews newly added pain-management reporting guidance and limitations described for the 2016 CPT code set. Includes broad discussion of imaging-related bundling and reporting boundaries.

6. Note a new cardio code for transcatheter implantation

   Highlights a cardiovascular coding update involving a former Category III code converted to a Category I code. Discusses the general components included in the procedure reporting.

7. Follow revised guidance for general surgery codes involving fluid-collection codes

   Summarizes selected surgical coding clarifications for fluid collection drainage and related endoscopy guidance. Emphasizes the article’s broad reporting updates across procedure types.