tci General Surgery Coding Alert - 2003 Issue 1

Medicare Update: Retroactive Revisions Could Increase Your Payments

A recent Medicare policy decision could allow you to collect additional reimbursement for claims already filed. CMS transmittal AB-02-112 (change request 2282), outlining final revisions to the 2002 Medicare Physician Fee Schedule Database, replaces the bilateral surgery indicator "0" (which signifies that no additional payment is appropriate for a bilateral procedure) with a "1" (thereby indicating that a 150 percent payment adjustment applies for bilateral procedures) for the following codes: 36002 Injection procedures (e.g., thrombin) for percutaneous treatment of extremity pseudoaneurysm 36533 Insertion of implantable venous access device, with or without subcutaneous reservoir 36534 Revision of implantable venous...

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