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2005 CPT Coding Update

2005 Changes. . More Than 350 Changes1.5 Increase in Reimbursement. . Avoiding trouble is largely a matter of knowing the rules

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2005 CPT Coding Update

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    1. 2005 CPT Coding Update Steven A. Adams, CPC, CPC-H, COA

    2. 2005 Changes

    3. Avoiding trouble is largely a matter of knowing the rules & remembering your audience.

    5. Heres Your Audience Criminal Justice Field Accountants Biologists

    6. Topics 2005 RVU Update & Reimbursements Deductible, Venipuncture and Injection Changes New Codes for Debridement of Skin New Vaginal Repair Codes Coding for Endometrial Cryoablation and Essure Two new Codes for Fetal Doppler Studies New Malignancy Code New Category III Codes

    7. Payment Reform Continues

    8. Worthless Information?

    9. Rest of Georgia

    10. Sample OBGYN Reimbursements

    11. Effective 5/23/2005 Medicare Will Begin A:

    13. Effective 1/1/05 Medicare Deductible is:

    14. Effective 1/1/05 Medicare No Longer Accepts

    15. Effective 1/1/05 Medicare No Longer Accepts

    16. New Medicare Injection Codes

    18. Debridement ?11004 - Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia and perineum

    19. New Vaginal Repair Codes

    20. Repair Codes ?57282 - Sacrospinous ligament fixation for prolapse of vagina Colpopexy, vaginal; extra-peritoneal approach ? 57283 - Colpopexy, vaginal intra-peritoneal approach

    21. Endometrial Cryoablation and Essure

    22. Cryoablation ?58356 - Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed

    23. Essure ?58565 - Hysteroscopy, surgical with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants

    25. Doppler Studies ?76820 - Doppler velocimetry, fetal; umbilical artery ? 76821 - Doppler, velocimetry, fetal; middle cerebral artery

    26. Malignancy

    27. Malignancy Code

    28. Category III Code Additions

    29. Category III Codes

    30. Resources coderscentral.com cms.gov lmrp.net gamedicare.com oig.hhs.gov/publications/workplan.html cms.hhs.gov/providerupdate/whatsnew.asp cms.hhs.gov/physicians/cciedits/default.asp medville.com

    31. Topics 2005 RVU Update & Reimbursements Deductible, Venipuncture and Injection Changes New Codes for Debridement of Skin New Vaginal Repair Codes Coding for Endometrial Cryoablation and Essure Two new Codes for Fetal Doppler Studies New Malignancy Code New Category III Codes

    33. Questions?

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