Ready for 2016 code changes to secure proper billing process

Why This Topic Matters

Year-specific coding updates can change how common services are reported and may affect claim acceptance, documentation review, and payment processing. Understanding the scope of these changes helps practices align coding workflows with current CPT and Medicare-related guidance.

Article Sections

1. Find clarification on 2016 coding guidelines

   Introduces selected 2016 guidance updates discussed by AMA and Medicare representatives. Focuses on how the article organizes changes affecting common services and billing workflows.

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

   Covers the addition of a new earwax-removal reporting option and related guidance on documentation, laterality, and related procedure selection. The section also discusses how the update fits within the auditory system code family.

3. Heed revised modifier guidance for colonoscopy procedures

   Summarizes a 2016 update to colonoscopy guidance involving therapeutic procedures reaching the cecum. The section focuses on revised modifier usage and clarification of the associated decision process.

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

   Describes new and revised coding for kidney, biliary, and stent-related procedures. It also addresses bundled service components, repeated reporting situations, and related modifier use.

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

   Reviews new pain-management reporting options and related limitations on separate services and imaging. The section highlights how the article frames the scope of the new code family.

6. Note a new cardio code for transcatheter implantation

   Explains the reclassification of a cardiovascular procedure from a Category III code to a Category I code. The section notes the broader procedural components associated with the change.

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

   Covers clarified guidance for fluid-collection drainage and related general surgery and endoscopy coding references. The section includes parenthetical guidance and cross-references within the code set.