Cpt 2011 coding updates

1. Jen Godreau, BA, CPC, CPMA, CPEDC Content Director, SuperCoder.com The Coding Institute, LLC Nov. 23, 2010

3. MPFS Ups & Downs Conversion Factor: $25.5217 -- Marc Hartstein Deputy Director Hospital and Ambulatory Policy Group Center for Medicare “ Medicare Physician Payment Schedule 2011 Changes and Beyond” Nov. 10, 2010 -- 2011 Medicare Physician Fee Schedule Final Rule Dates Type Percent June 2010 –Nov. 2010 2.2 Dec. 1, 2010 23.0 Jan. 1, 2011 2.51

4. MEI Increases Office Space Pay Medicare Economic Index (MEI) 2000 base % 2006 base % Physician work 52.466 48.266 Practice expense 43.669 47.439 Malpractice 3.865 4.295 Medicare increased the cost share weight for office rent to 12.2 percent from a proposed 8.4 percent.

16. Extended Observation Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: Code Interval History Exam MDM Presenting Problem Time (min) Proposed RVU Accepted RVU 99224 Problem focused Problem focused straightforward or of low complexity stable, recovering, or improving 15 0.76 0.54 99225 expanded problem focused expanded problem focused moderate patient is responding inadequately to therapy or has developed a minor complication 25 1.39 0.96 99226 detailed detailed high unstable or has developed a significant complication or a significant new problem. 35 2.00 1.44

20. Sleep Studies Types of Home Sleep Studies Study Description CPT 2009 CPT 2010 CPT 2011 Type II Comprehensive portable polysomnography (min 7 channels) G0398 95806 95806 Type III Modified portable sleep apnea testing (min 4 channels) G0399 0203T 95800 Type IV Continuous single or dual bioparameters (min 3 channels per NCD CPAP for OSA) G0400 0204T 95801

22. Amniotic Membrane Codes Code Membrane Placed 65578 on the ocular surface 65779 with suturing 65780 multiple layers 66999 using tissue glue

24. Nasal/Sinus Dilation “ These codes are for dilation of sinus ostium.” Do not use them if the otolaryngologist removes tissue. Instead use the appropriate sinus endoscopy code, such as 31267 or 31276. -- Richard W. Waguspeck, MD, FACS The Triological Society, AMA CPT Advisory Committee Member Code Location 31295 dilation of the maxillary sinus ostium, which can often be accessed transnasally or through the canine fossa if there’s been a previous puncture 31296 dilation of sinus ostium, in which the otolaryngologist does not remove tissue 31297 sphenoid sinus ostium is dilated

29. Combined Abdomen Pelvis CT Stand Alone Code 74150 CT Abdomen WO Contrast 74160 CT Abdomen W Contrast 74170 CT Abdomen WO/W Contrast 72192 CT Pelvis WO Contrast 74176 74178 74178 72193 CT Pelvis W Contrast 74178 74177 74178 72194 CT Pelvis WO/W Contrast 74178 74178 74178

32. Table of Catheterization Codes

33. New Hip Arthroscopy Codes Code Describes Treats 29914 arthroscopy with femoroplasty cam lesion 29915 arthroscopy with acetabloplasty, pincer lesion, a new disease The treatment grinds away the excess lesions. 29916 analagous to a labral repair at the shoulder or knee sports injuries

34. Get up-to-date on the latest coding changes from the comfort of your desk at www.audioeducator.com!