Consult Documentation Guidelines
By Jeannie Cagle, BSN, RN, CPC
For those practices that bill consultation codes, the guidelines can be confusing. Yet, it is worth taking the time to learn the rules to get the additional reimbursement paid for consultation codes over new patient codes. Remember the following:
· There must be written documentation in the chart from the physician practice requesting the consult. You can have them fax a request or the patient...
Code description change for cerumen removal won’t change payment, at least for Medicare
Highly billed code 69210, for impacted cerumen removal, got a tweak to its code description for 2014 that changes the rules for billing the service but, at least for Medicare, won’t change how you get paid for it.
CPT® changes for 2014 made 69210 a unilateral code, meaning that by the descriptor, it’s for the removal of impacted cerumen from a single ear. The actual code description is “Removal impacted cerumen requiring instrumentation, unilateral.”
New CLIA-Waived Tests
Providers can now bill for six new tests (4 drug tests and two lipid/glucose panels) that have been approved by the FDA as waived tests under CLIA. CLIA-waived tests are simple tests performed at the point-of-care using devices that are largely exempt from federal requirements, including most training, proficiency testing, and quality control regulations (unless specified as required in the test system instructions). In order to be reimbursed for these tests, sites must hold the appropriat...