Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
If you're a Find-A-Code subscriber, there's no need to worry. Find-A-Code's fee calculators are ready for the change. You can count on Find-A-Code for the most complete and accurate information you need as a medical coder/biller.
tci ED Coding & Reimbursement Alert - 2019 Issue 6
Reader Question: Determine How to Code Split Service
Question: A doctor in our emergency department removed staples that a different doctor had placed. The physicians belong to the same ED group. Is there a code for the staple removal? It’s not a foreign body, so I am unsure. I think the removal is part of the initial service, if the same doctor put in the staples. How about if it is a different doctor?
Supercoder.com Subscriber
Answer: If the staples were placed and removed by the same ED group, then the second service would likely fall into the construct of typical postoperative care. Keep in...
To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.
You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.
Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.
Current newsletters added each month
Fully searchable archives - over 2100 articles
ALL years/issues back to 1998 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.
Quick, Current, Complete - www.findacode.com