Pay close attention to new CPT documentation and coding guidance for reporting radiological imaging. For example, a new paragraph titled “Imaging Guidance” in both the surgery and medicine guidelines advises that even when imaging guidance or supervision are included in a surgical procedure code, you must still follow the radiology documentation requirements in the CPT manual.
Earlier this week, HHS’ Office of Civil Rights sent out a reminder that public comments to their request for information on improving care coordination and reducing the regulatory burdens of HIPAA are due by February 12, 2019.
On January 8, CMS released MLN Matters SE19002 on status determinations for total knee arthroplasty, which included guidance on how to determine proper status for patients undergoing the procedure, but CMS quickly rescinded it and announced that it is making revisions and will reissue it in the near future.
Q: Our facility is used to reporting modifier -59 (distinct procedural service), but we're not sure when modifier -XE (separate encounter, a service that is distinct because it occurred during a separate encounter) would be appropriate instead. Could you provide an example?
This week's note from the instructor discusses recent guidance from CMS on how to handle the removal of TKAs from the inpatient-only list and the 2 midnight rule.
