REIMBURSEMENT: You Could Lose All Your Payments For 93325 Next Year

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews a proposed 2008 Physician Fee Schedule change and the response from physicians and organizations concerned about its effect on echocardiography reimbursement. It also notes discussion of a new combined CPT code under development for 2009, broader fee schedule comments, geographic practice expense categories, and quality reporting initiatives. The piece is relevant to cardiology coders, reimbursement staff, and practices that bill echocardiography services.

Why This Topic Matters

The article highlights a potential policy change that could significantly affect payment for echocardiography services and alter how related CPT codes are reported and reimbursed. It also provides context on advocacy comments submitted to CMS and broader coding and reimbursement developments that may affect cardiology practices.

Article Sections

  1. Proposed bundling of color flow Doppler reimbursement

    This section covers CMS’s proposed fee schedule change involving echocardiography reimbursement and physician responses to the proposal. It focuses on the broader policy discussion and practice concerns.

  2. CPT Editorial Panel discussion of a new combined code

    This section discusses a CPT Editorial Panel recommendation for a new code expected in 2009 and the surrounding commentary on how that development relates to the existing echocardiography coding structure.

  3. Additional comments on fee schedule cuts and quality measures

    This section summarizes other reimbursement-related comments, including a scheduled payment cut, geographic practice expense categories, and support for quality reporting initiatives.

What You Will Learn

  • The scope of the proposed Medicare reimbursement change affecting echocardiography services
  • How physicians and organizations responded to the proposal
  • The general context of CPT code development for echocardiography
  • What other fee schedule and quality-related issues were discussed in the article

Who Should Read This

  • Cardiology coders
  • Medical billing staff
  • Reimbursement analysts
  • Echocardiography providers
  • Physician practice administrators

Codes Discussed

Code Ranges Discussed


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