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.
Reader Question: Check the Situation Before Assuming 77003 Won't Be Paid
Question: One of our pain management specialists keeps adding 77003 to his billing sheet when he administers injections. The fee schedule doesn't include the codes, which makes me think we shouldn't be reporting them. Does Medicare cover fluoroscopy code CPT 77003 in an ASC setting?
North Dakota Subscriber
Answer: Many procedures include the service represented by 77003 (Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures [epidural, or subarachnoid]) when performed in an ASC. That's not always the case, however, so always check guidelines before making assumptions.
Example: Medicare has assigned...
To read the full article, sign in and subscribe to tci Outpatient Facility Coding Alert.
TCI's Outpatient Facility Coding Alert helps your facility stay profitable by covering issues that are important to you — everything from billing strategies and appropriate payment indicators to coding tips and tricks, analysis of industry trends, and so much more. Subscribe today and let our experts make your job easier.
Current newsletters added each month
Fully searchable archives - over 650 articles
ALL years/issues back to 2012 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.
Quick, Current, Complete - www.findacode.com