• 11/27/2019 - Ultrasound Guidance for TAP Blocks.

    Question: We often use ultrasound guidance for placing TAP blocks. Is the guidance separately billable? Answer: Ultrasound guidance is not separately billable when used for TAP blocks—this is because its description & guidance in the CPT book states, “includes imaging guidance when performed.” As a result, payment for ultrasound is factored ...

  • 10/31/2019 - CMS Reimbursement changes in CY 2020

    Question: Are there any changes we should be aware of in the 2020 Medicare Physician Fee Schedule?   Answer: Changes will soon be afoot for reimbursement and documentation requirements for Calendar Year (CY) 2020. If you haven’t had a chance to plow through the 2020 Medicare Physician Fee Schedule (MPFS) ...

  • 10/22/2019 - CMS General Reimbursement & Policy changes in 2020

    Changes will soon be afoot for reimbursement and documentation requirements for 2020. If you haven’t had a chance to plow through the 2020 Medicare Physician Fee Schedule (MPFS) proposed rule yet, here’s a quick look at some high-level changes that could be coming: 1. Expect more documentation reductions. The Centers for ...

  • 09/30/2019 - Axillary Sentinel Node Biops

    Question: Surgeon performs an axillary sentinel node biopsy in conjunction with a partial mastectomy. Which anesthesia code(s) should be billed? Answer: The choice is easy because both surgical codes 38500 (Biopsy or excision of lymph node(s); open, superficial) and 38525 (Biopsy or excision of lymph node(s); open, deep axillary node(s)) cross to ...