Guidelines

What is primary CPT code?

What is primary CPT code?

PRIMARY PROCEDURE (OPCS) is the OPCS Classification of Interventions and Procedures code which is used to identify the primary Patient Procedure carried out.

How do I find my primary CPT code?

Often, a parenthetical note will identify the primary code(s) with which the add-on code must be reported. For example, following 10004 in the CPT® codebook is a parenthetical instruction “Use 10004 in conjunction with 10021.” On other occasions, however, the codebook doesn’t provide the primary procedure code(s).

What is the CPT code for oral interpreters?

As of February 2009, oral interpreter services can be claimed using billing code T-1013 code along with the CPT Code used for the regular medical encounter. States can also raise rates to recognize additional service costs, including interpreter costs, but must do so for services rendered by all providers in the class.

What are the new CPT codes for 2014?

Codes 37236-37239 are the new codes. They include both open and percutaneous endovascular approaches. 2014 CPT Changes •Venous Stent, percutaneous or open –37238 – Stent placement, initial vein –+37239 – Stent placement, each additional vein 3/24/2014 3 2014 CPT Changes •Code per vessel treated, not per lesion.

When to code a stent as an embolization?

•Code for stent placement if a stent or covered stent is used as the sole treatment for an aneurysm, pseudoaneurysm, vessel trauma, etc. Do not code this as an embolization. •If a stent is placed to aide in vessel occlusion, in addition to embolization techniques (e.g. coils) code the embolization and do not code for the stent. 2014 Coding Rules

Are there federal matching rates for translation services?

Longstanding CMS policy permits reimbursement at the standard 50% federal matching rate for translation/interpretation activities that are claimed as an administrative expense, so long as they are not included and paid for as part of the rate for direct services.

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