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Modifier 59 – To Use or Not to Use

I often call Modifier 59 the prednisone of modifiers. That is because it is very powerful and can do a lot for you, like prednisone is for the patient. But at the same time, it is a two-edged sword, the modifier 59 is exceptionally dangerous when used… For more, read here: AAPC Blog

New FESS Codes for 2018

2018 brings us new functional endoscopic sinus surgery codes (FESS) which bundle a total ethmoidectomy with both a frontal sinusotomy and a sphenoidotomy with and without removal of tissue. 2018 CPT® also provides a new bundled code for a frontal and… For more, read here: AAPC Blog

New FESS Coding for 2018

AAPC’s Knowledge Center welcomes Barbara Cobuzzi as a regular contributor. Nasal Sinus Endoscopy According to the American Rhinologic Society, several nasal sinus endoscopy services were identified as potentially misvalued because billing patt… For more, read here: AAPC Blog

Explore 2018 Changes for Otolaryngology

Here’s the clarity you need to use new procedure codes, modifiers, and bundling rules correctly. CPT® 2018 introduces important changes for nasal/sinus endoscopy coding, including several new codes that bundle endoscopic procedures often performed tog… For more, read here: Healthcare Business Monthly

Reporting Endobronchial Ultrasound (EBUS)

Endobronchial ultrasound (EBUS) combines a bronchoscope with ultrasound to visualize the bronchi and adjacent structures, and to obtain tissue for biopsy. Sampling by EBUS differs from transbronchial lung biopsy(s) (+31632) or transbronchial needle as… For more, read here: AAPC Healthcare Business Monthly

Better Bronchoscopy in 2016

Consider the changes and apply the rules for three new EBUS codes. CPT® 2016 introduced three new codes to describe endobronchial ultrasound (EBUS). Here’s what you need to know to report these services correctly. Reporting EBUS EBUS combines a bronc… For more, read here: AAPC Healthcare Business Monthly

Understanding Incident-to Services

Most practices use incident-to services at some time or other, whether it is an encounter where a nurse or medical assistant just takes a blood pressure or gives an injection, or it can … For more, read here: AAPC Healthcare Business Monthly

Specific Modifiers for Distinct Procedural Services

There have been quite a few blogs and articles lately addressing Medicare’s new -X{EPSU} modifiers to describe subsets of the 59 modifier for “distinct procedural service” via Transmittal … For more, read here: AAPC Blog