Count on us to guide you through the biggest coding overhaul in a decade
For 2020, providers of nuclear medicine and PET services face an unprecedented set of threats to their bottom line: the most significant CPT® code changes in nearly a decade, coupled with the likelihood of reimbursement cuts. Now, more than ever, you must make sure your facility is capturing the full legitimate payment.
Specifically, you need to clearly understand and correctly apply the nearly 30 new, deleted and revised codes for SPECT and cardiac PET procedures. Major challenges on the horizon include transitioning from site-specific or unlisted SPECT and SPECT/CT codes to a “generic” code set and to new bundled codes for cardiac PET.
Fortunately, the experts behind our Nuclear Medicine & PET Coder book spell out all the changes for 2020 and translate the steps you need to take to ensure compliant coding. As always, you get clear, detailed explanations of procedures and how they should be reported, along with documentation requirements, clarification of gray areas, case examples, actionable tips and much more.
Features and Benefits
Updated and expanded content for 2020, including:
- Explanations and practical application of the 2020 coding overhaul, including 28 new, deleted and revised CPT codes for SPECT and cardiac PET procedures, with crosswalks and guidance for use
- New appendix covering the implementation of the Appropriate Use Criteria program and how it impacts nuclear medicine providers
- Updated payment tables, radiopharmaceutical information and other essential details throughout the book
- Expanded guidance with coding for cardiac amyloidosis and sarcoidosis
- New case examples
Our experts address common questions, concerns, and problem areas:
- Documentation requirements for coding a thyroid “whole-body” exam vs. a “limited” exam
- Preventing the under-reporting of radiopharmaceutical units
- Recurring issues with coding, such as code unbundling and omitting CPT codes for certain procedures
- In-depth help with modifiers, Y90 imaging as part of radioembolization procedures, shunt imaging, and cardiac PET services with radiopharmaceutical coverage
Clear, step-by-step guidance through the tasks you perform every day:
- Coding and documentation for a full range of nuclear medicine and PET procedures, including SPECT, PET, PET/CT, planar imaging, integrated imaging, and therapeutic treatments
- Covers code assignments by both hospital (technical) and physician (professional) entities
A proven quick-reference approach for busy professionals:
- Codes are grouped by body system (e.g., endocrine, gastrointestinal, cardiovascular and more) and then by code sequence
- Each section includes:
- Table of drugs and radiopharmaceuticals typically used for nuclear medicine procedures, along with the pertinent HCPCS and revenue codes
- Definition of each procedure with its corresponding CPT® code
- Coding and billing tips for each code
- Payment tables based on the current Medicare physician fee schedule (MPFS) and the hospital outpatient prospective payment system (OPPS)
CPT® is a registered trademark of the American Medical Association.
For certain MedLearn Publishing publications, you will see an 'AMA Royalty Fee' in your shopping cart. This charge covers the licensing fee MedLearn Publishing pays to the American Medical Association (AMA) for references to CPT® codes. The AMA owns the copyright for CPT codes.
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