tci Medicare Compliance & Reimbursement - 2013 Issue 3

Industry Notes

New codes for emerging technologies are always welcome by physician practices, but when confusion reigns over how to report them, coders can grow frustrated. Such has been the case with new codes for transcatheter aortic valve replacement (TAVR) that were valid effective Jan. 1, 2013. If you report TAVR this year, you’ll report a code from the 33361-33365 series, or code 0318T (Replace aortic valve, thoracic). However, if you forget an important modifier, you could find these claims denied. "The NCD requires an interventional cardiologist and a cardiothoracic surgeon to jointly participate in the intraoperative technical aspects of...

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