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Update On Moderate Sedation Coding
the AMA revised the codes and coding rules for moderate (conscious) sedation. In prior years, moderate sedation was bundled to with nearly 450 CPT® codes.
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Official Update to the HCPCS Code System
Medical coders use HCPCS codes to report medical procedures to Medicare, Medicaid, and several other third-party payors.
When Should you Issue an Advance Beneficiary Notice?
This ABN can also be used as a voluntary notice to alert patients of their financial liability prior to providing medical services that Medicare never covers. An ABN is not required to bill a patient for an item or service that is not a Medicare benefit and is never covered.
Watch for Bundles
If the medical provider performs bone biopsy at a level not addressed by the vertebroplasty, you may report biopsy alone with the 59 modifier appended to indicate the separate locations of the two procedures.