Coding Update: Refined Fee Schedule Eases, Expands Billing Opportunities

Why This Topic Matters

Fee schedule revisions can affect how services are reported and how claims are paid. Readers in surgical and billing settings need to know when CMS updates may alter claim handling for commonly billed procedures.

Article Sections

1. Turn to 50, Not LT/RT for Breast Procedures

   This section discusses CMS fee schedule changes affecting reporting for selected breast-related CPT procedures and a related localization service. It focuses on the administrative update and its relevance to bilateral claim reporting.

2. Expect Better Pay for Bilateral 36005

   This section covers a CMS change affecting a venography injection procedure and its bilateral claim handling. It explains the broader billing impact of the fee schedule update.

3. CMS transmittal 558 outlines updated Fee Schedule information

   This closing section notes that the transmittal includes updates for additional CPT codes, including some Category III codes, and identifies the procedures most relevant to general surgery practices.