decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 1 (January)
Not this year: CMS still bundles anticoagulant management codes
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Article Overview
This article reviews CMS’s 2008 final physician fee schedule discussion of certain services that Medicare continues to treat as bundled. It is aimed at coders, billers, and practice staff who need to understand the broader reimbursement status of these services, how CMS characterizes them in relation to E/M reporting, and why the issue matters for Medicare and potentially private-payer payment policies.
Why This Topic Matters
When CMS keeps a service bundled, it affects whether organizations can expect separate Medicare payment and how claims are routed in practice. The article helps readers track which service categories remain non-separately payable and how that decision fits into the 2008 fee schedule update.
Article Sections
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Anticoagulant management codes and Medicare’s 2008 fee schedule
Discusses CMS’s 2008 position on anticoagulant management services and their status under the physician fee schedule. The section focuses on the reimbursement treatment of these services within the broader E/M framework.
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Other services remaining bundled
Covers additional services discussed in the fee schedule that also remain bundled for Medicare. The section includes broader commentary on how CMS framed these services and their payment status.
What You Will Learn
- How CMS addressed certain services in the 2008 physician fee schedule
- Which broad service categories remained bundled under Medicare
- Why bundled status can matter for physician office billing and payer policy
- How CMS discussed the relationship between these services and E/M reporting
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Compliance staff
- Physician offices
- Revenue cycle teams
Codes Discussed
Code Ranges Discussed
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