tci Part B Insider - 2013 Issue 2

Physician Notes: CMS Confirms Modifier 62 Is Required With Most TAVR Codes

Plus: Toenail trims lead to 55-month prison sentencing for one podiatrist. New codes for emerging technologies are always welcome by physician practices, but when confusion reigns over how to report them, coders can grow frustrated. Such has been the case with new codes for transcatheter aortic valve replacement (TAVR) that were valid effective Jan. 1, 2013. If you report TAVR this year, you’ll report a code from the 33361-33365 series, or code 0318T (Replace aortic valve, thoracic). However, if you forget an important modifier, you could find these claims denied. "The NCD requires an interventional cardiologist and a...

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