News & Analysis

March 1, 2016
Briefings on APCs

The CPT Manual divides drug administration services into three different categories:

  • Hydration (CPT codes 96360-96361)
  • Therapeutic, prophylactic, and diagnostic injections and infusions (96365-96379)
  • Chemotherapy and other highly complex drug or highly complex biologic agent administration (96401-96549)

 

March 1, 2016
Briefings on APCs

This month's column is all about data--the importance of providers reporting accurate and complete data, as well as CMS having complete, accurate, and consistent data to compute future payment rates.

March 1, 2016
Briefings on APCs

Our experts answer questions about Composite APCs, modifier –CT, and more.

February 16, 2016
Medicare Insider

This week’s note is about coverage information for telehealth services. 

February 10, 2016
Medicare Insider

This week’s note is about OPPS instructions for coding new drugs. 

February 1, 2016
Briefings on APCs

Per CPT1, modifier -52 is used when a service or procedure is partially reduced or eliminated at the provider's discretion. Such a situation is identified by using the service's usual HCPCS/CPT code and adding modifier -52, signifying that the service is reduced.

Pages