Decision Memo for Transcatheter Mitral Valve Repair (TMVR)
The Centers for Medicare & Medicaid Services (CMS) covers transcatheter mitral valve repair (TMVR) under Coverage with Evidence Development (CED)...
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2015 CPT Codes List & Coding Guidelines
The two new advanced care planning codes (CPT 99497 and CPT 99498) are used to report the face-to-face service between a physician...
Vertebral fracture assessment (VFA): The existing VFA code (CPT 77082) has been deleted, and two new VFA codes (CPT 77085...
Screening for the Human Immunodeficiency Virus (HIV) Infection
The Centers for Medicare & Medicaid Services (CMS) is proposing to expand coverage in section 210.7 of the Medicare National...
Medicare Now Covers Lung Cancer Screening with LDCT
National Coverage Determination (NCD) for Screening for Lung Cancer with Low Dose Computed Tomography (LDCT)Today the Centers for Medicare &...
CPT new code for MOLECULAR PATHOLOGY TIER 1 MOLECULAR PATHOLOGY PROCEDURES
The following are the new codes for 2015 for gene-specific and genomic procedures.Molecular pathology coding guidelines include all analytical services...
New and Revised Vaccine CPT Codes
Influenza is constantly developing new viral strains, which in turn requires the constant development of updated flu vaccines. To keep...
CPT changes for myelography procedures
Two myelogram injection codes have been revised and four new comprehensive codes have been established for myelogram contrast injection and...
Important edit changes for Professional claims
CMS issued Change Request (CR) 8851 edit spreadsheet changes for Professional electronic claims. The Professional edit changes below will be...
UHC Update to Global Surgery Reimbursement Policy
To further align with the Centers for Medicare and Medicaid Services (CMS), UnitedHealthcare will adopt the CMS process for modifier...
CPT codes for MULTIANALYTE ASSAYS WITH ALGORITHMIC ANALYSES (PATH/LAB)
The following contains the Multianalyte Assay CPT Codes. Multianalyte Assays with Algorithmic Analyses (MAAAs) are procedures that utilize multiple results...
Therapeutic Drug Assays are performed to monitor known, prescribed medication. The results are reported in quantitative values. Two codes have...