Coding

The proper coding of procedure and diagnosis for billing purposes. 

Date Issued
Title
11/30/2016
Postpartum Maternal Depression Screening: Updated Billing Guidance
8/30/2016
Upper Eyelid Blepharoplasty and Blepharoptosis Repair
7/22/2016
CPT ICD diagnosis code changes
6/30/2016
New ClaimsXten Edits - Effective August 14, 2016
6/17/2016
Change in Coverage for CPT CODE 28446
5/25/2016
Ocular Blood Flow Testing
5/24/2016
HPV Screening Code Added to Provider Office Lab List
5/13/2016
CPT code 31634 is considered to be an unproven technology
5/9/2016
Taxonomy Codes: Definition and Claims Use
5/2/2016
Recent changes in the CPT/ICD diagnosis coding
4/26/2016
Screening for the Human Immunodeficiency Virus (HIV) Infection
4/18/2016
EmblemHealth Preventive Care/Screening Services Exempt from Cost-Share
4/5/2016
Medical Policy Coding Changes
3/29/2016
New York State Medicaid Expansion of Coverage of Group A Streptococcus Testing for Practitioners
3/1/2016
Code Additions and Revisions
- Provider In-Office Lab List
1/28/2016
New and Revised Place of Service Codes (POS) for Outpatient Hospital
1/28/2016
Use of Modifier 25 and Pulmonary Function Testing
1/19/2016
REVISED: Coding—New Oral Antiemetic Drug Akynzeo®
1/14/2016
CPT code 76942 (Ultrasonic guidance for needle placement imaging supervision and interpretation)
1/1/2016
Drug Testing and Screening Code Updates
10/8/2015
Correct Bundling of Urinalysis CPT codes 81002 and 81003 With Evaluation and Management CPT Codes
10/8/2015
New Reimbursement Rules for Modifier 53
9/8/2015
NYS Medicaid Coverage of Postpartum Maternal Depression Screening
8/27/2015
Correct Usage of Modifier 25
8/21/2015
New ClaimsXten® Edits for Facility-Based Services
6/26/2015
ClaimsXten® — Claims Audit Software
6/12/2015
New Medicare Preventive Services
5/29/2015
Revisions to the HIP Diagnostic Imaging Policy for Ultrasound
4/24/2015
Global Surgery Reimbursement Policy Concerning an Unplanned Return to the Operating Room; Modifier 78 will receive a 20% Fee Reduction*
3/25/2015
Important Coding Information with Regard to DME Modifiers
12/2/2014
Maternity Claims: Multiple Birth Reimbursement
11/25/2014
Expanded Coverage for Spinal Muscular Atrophy - Prenatal Carrier Testing
11/12/2014
Changes to HCPCS Modifier 59
11/11/2014
Expanded Coverage for Fragile X Syndrome - Prenatal Carrier Testing
11/7/2014
Correct Usage of Modifier 50 and Modifiers LT and RT for Bilateral Procedures
11/5/2014
Submit PQRS Codes to CMS Directly – Not to EmblemHealth
9/30/2014
Change in CPT Codes for Qualitative Drug Screen Testing
9/8/2014
Vaccines for Children (VFC) Program Update: Fee Schedule Code Revisions
8/22/2014
MRT Compliance C-Section/Early Delivery Billing Update
8/5/2014
Effective Coding of Evaluation and Management Services
7/31/2014
Additions to the Self-Referral Payment Policy List
7/17/2014
CMS Requires HIPPS and Rate Codes for SNF and HHA Claims
4/4/2014
Complete and Accurate Medical Record Documentation and Coding Critical to Patient Care
4/4/2014
HIPPS and Rate Codes for SNF and HHA Claims Required/ Keeping Accurate Documentation and Coding - Critical to Patient Care
3/25/2014
Update on Denial of CPT Codes Billed With Bariatric Surgery
1/31/2014
CPT 85025 Added to In-Office Lab List for Pediatricians
1/17/2014
Denial of CPT Codes Billed With Bariatric Surgery
1/17/2014
Limitations to Pain Management Services
10/18/2013
2014 CMS-HCC Model Changes
7/16/2013
Zoledronic Acid Replaces Zometa and Reclast on Specialty Injectable Drug List
12/11/2012
Change to In-Office Lab List for HIP Pediatricians
12/3/2012
HIP and Vytra Dual Specialty Providers: Include Taxonomy Code on Claims
7/18/2012
Shingles Vaccination Covered Under Medicare Part D
5/22/2012
Category II CPT Codes
5/22/2012
EmblemHealth 5010 HIPAA Transaction Standard Companion Guides
5/9/2012
Discontinue Use of CPT Codes Retired January 1, 2012
5/9/2012
Required Use of Occurrence Codes 40 and 41 for Presurgical and Preadmission Testing
11/29/2011
HCPCS S2900 robotic-assisted surgery
8/19/2010
Evaluation and Management Codes Not Payable to Audiology and Speech Language Pathology Specialties
APG Rate Codes
Assistant Surgeon Reimbursement Policy
Changes to the In-Office Testing List for CompreHealth, HIP and Vytra Plans
Modifiers for Services and Procedures During the Postoperative Period
Notable ICD-9 Codes for 2011
POA Indicator
Use Your NPI
Using and Documenting CPT Code 99211 Services Correctly