tci Medicare Compliance & Reimbursement - 2008 Issue 24

Transmittals: CMS Halts Bilateral Payment For Certain Procedures

Plus: Medicare debuts several new codes If you've become accustomed to collecting additional reimbursement when you report endometrial ablation bilaterally, you can wave goodbye to that extra money as of July 1. Effective for dates of service starting July 1, Medicare has changed the bilateral indicator for 58353 (Endometrial ablation) and 58356 (Endometrial cryoablation) from "1," which indicates that bilateral payment is allowable, to "0," which means that "bilateral payment will not be allowed with these codes," says Heather Corcoran of CGH Billing. CMS outlined the information in Transmittal 1528, which includes several changes that take...

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