Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
If you're a Find-A-Code subscriber, there's no need to worry. Find-A-Code's fee calculators are ready for the change. You can count on Find-A-Code for the most complete and accurate information you need as a medical coder/biller.
CCI Update: New OPPS Edits Introduce Pairs for Fluoro with Tunneled Caths
CCI 18.1 changes went into effect April 1, with only 362 total additions and 6 deletions. All new code pairs are classified as non-mutually exclusive, meaning the services could be performed during the same patient encounter – but one code represents a procedure that's part of the other code.
Read on for a few of the new edits you'll be interested in from an outpatient coding perspective.
Catheter check: If you code for tunneled catheter implantation or revision, don't automatically report the fluoroscopic guidance the physician might use. CCI clarifies that 77003 (Fluoroscopic guidance and localization of needle or...
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