Medicare Compliance & Reimbursement - 2016 Issue 14
Part B Coding Coach: Nail Your Percutaneous Biliary Stent Coding With 4 Tips
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Article Overview
This article explains the CPT® 2016 update for percutaneous biliary procedures and focuses on how the revised stent-related guidance is organized. It is aimed at coding professionals who need to understand the scope of the new CPT® codes, related biliary drainage catheter procedures, and the bundled services and session-level reporting concepts discussed in the update.
Why This Topic Matters
The article helps coders understand a major CPT® procedure overhaul that affects how percutaneous biliary services are organized and reported. It is relevant for avoiding incorrect code selection, duplicate reporting, and missed bundling edits in biliary interventional procedures.
Article Sections
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Tip 1: Send Out the Old, Bring in the New
Introduces the CPT® 2016 replacement of an older percutaneous biliary stent code with newer code options. It discusses the overall framework for distinguishing among the revised stent procedures.
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Tip 2: Distinguish ‘Catheter’ and ‘Stent’
Explains the article’s discussion of terminology differences between internal stent-type services and biliary drainage catheter procedures. It also points readers toward the related biliary drainage catheter code group.
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Tip 3: Focus Units of Service
Covers the article’s discussion of session-based reporting for percutaneous biliary stent procedures. It also addresses situations involving more than one reported service in a single encounter.
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Tip 4: Learn Bundling Restrictions
Summarizes the bundling and edit guidance discussed for the revised percutaneous biliary procedure family. It highlights the broader categories of services that are described as included or not separately reported.
What You Will Learn
- How the CPT® 2016 percutaneous biliary procedure update is organized
- How the article frames differences between access types and procedure categories
- How session-level reporting is discussed for percutaneous biliary stent services
- How bundling and related procedure edits are presented in the update
Who Should Read This
- Professional coders
- Biller/coding specialists
- Revenue cycle staff
- Interventional radiology coding professionals
- Hepatobiliary procedure coders
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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