tci Medicare Compliance & Reimbursement - 2006 Issue 36

RADIATION ONCOLOGY: Your Reimbursement For Radiation Therapy Will Be Slashed By Edits

Critical care, nursing facility care bundled with radiation treatment.Radiologists just can't seem to catch a break from the Correct Coding Initiative (CCI). First, version 12.1 bundled radiology codes with dozens of edits, and now 12.3 is singling out radiology for the bulk of its new edits.  Evaluation & management (E/M) codes 99289-99337, 99341-99350, 99431-99440 and 99455-99456 will all become components of radiation treatment delivery codes 77401-77414 in October. Hypothermia code 99185 and E/M codes 99201-99233 become components of stereotactic code G0173. Also, physician "stand-by" code 99360 becomes a component of several radiology codes and G0173...

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