ED Coding & Reimbursement Alert - 2013 Issue 13
Part B Coding Coach: Make the Most of April Updates to Angiography, Extracorporeal Circulation, and TED
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Article Overview
This article explains several retroactive Medicare fee schedule updates affecting Part B coding and payment for angiography, extracorporeal circulation, and transesophageal Doppler services. It is relevant to coders, billing staff, and compliance teams who track physician fee schedule corrections, status indicators, global period changes, and related Medicare contractor follow-up. The discussion covers general categories of guidance such as bilateral-payment updates, global indicator changes, and fee schedule status or component indicator revisions.
Why This Topic Matters
The article highlights retroactive corrections that may affect how certain services were paid and whether claims may need review or follow-up with Medicare contractors. It matters for practices that bill these services and need to monitor fee schedule updates and claim history.
Article Sections
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Act to Capture 2013 Bilateral 36222-+36228 Payment
Discusses a Medicare fee schedule correction related to bilateral payment treatment for a cervicocerebral angiography code range and the retroactive timing of the update.
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Change 33961 Global Period From ZZZ to XXX
Covers a correction to the global indicator assigned to an extracorporeal circulation code and the associated effective date.
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Get the Latest on G9157
Reviews changes to the status and PC/TC indicators for a transesophageal Doppler code, along with the retroactive effective date and related coverage context.
What You Will Learn
- The types of Medicare fee schedule corrections described in the article
- How retroactive effective dates can affect claim review and follow-up
- Which general code categories are impacted by the updates
- What kinds of indicator changes are discussed for physician fee schedule administration
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Compliance staff
- Physician practice administrators
- Medicare billing specialists
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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