tci Medicare Compliance & Reimbursement - 2006 Issue 45

CARDIOVASCULAR SURGERY CODING: A Modifier Won't Rescue You From Cardiovascular-Code Edits

New codes 33254-33256 could have strings attached.Even before you break out your new cardiovascular surgery codes, you'll have to learn a whole new set of rules about what not to bill with them: · New epicardial electrode insertion codes 33202-33203 (35-42 Component codes, 14 Comprehensive codes). Don't bill thoracentesis code 32002 or tube thoracostomy code 32020 with these codes, unless you have a modifier. You can't add transmyocardial revascularization codes 33140-33141, even with a modifier. Some other electrode insertion codes are also bundled with 33202-33203. · New codes for ablation and reconstruction of atria 33254-33256 and 33265-33266 (31-33...

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