CMS Update: LCD proposed changes for Facet Joint Interventions for Pain Management
March 8, 2024New Conversion Factor Update with Changes to Physician Payments
April 4, 2024Mark your calendars for anesthesia coding and billing changes and updates coming April 1, 2024. No, this is not a good old-fashioned April Fool’s joke!
ICD-10-CM Changes:
Be sure your coding team and billing systems are ready for the ICD-10-CM guideline changes starting on April 1.
What is changing?
- Index
- Tabular
- Guidelines
To view all of the addenda changes, click here
To view all of the guideline changes, click here
New Trigger Point Injection Policy:
A new policy regarding trigger point injections (CPT codes 20552-20553) is set to impact 38 states soon, and waiting to implement the changes will mean a permanent loss of revenue.
Practices performing this treatment must be prepared for these anesthesia coding and billing changes as denials resulting from non-compliance cannot be appealed.
All seven A/B Medicare administrative contractors convened in April 2023 to discuss this issue, leading to the issuance of proposed uniform local coverage determinations (LCDs) by five MACs, including CGS Administrators, National Government Services, Noridian, Palmetto GBA, and WPS.
It’s crucial for practices to review the new LCD and associated billing and coding guidelines before the policy takes effect in their respective states.
Here are four highlights from the new policy:
- Initial and follow-up treatments
- Session limits
- Concurrent conservative treatment
- Covered conditions restrictions
Click here to read the updates from CMS
As always, we’re here to help. Contact us with your questions about these anesthesia coding and billing changes.