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2006 OBGYN Coding Update

Steven A. Adams, CPC, CPC-H, COA. 2006 OBGYN Coding Update. http://www.coderscentral.com/beauty.htm. What You Want. What You Get. 2006 RVU Update & Reimbursements Injection Changes New Adhesion Code New Fistula Code New Vaginal Endoscopy Code New Uterus Code New Laboratory Code

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2006 OBGYN Coding Update

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  1. Steven A. Adams, CPC, CPC-H, COA 2006 OBGYN Coding Update http://www.coderscentral.com/beauty.htm

  2. What You Want...

  3. What You Get...

  4. 2006 RVU Update & Reimbursements Injection Changes New Adhesion Code New Fistula Code New Vaginal Endoscopy Code New Uterus Code New Laboratory Code Resources Topics

  5. Payment Reform Continues The lovely thing about being 40 is that you can appreciate 25 year old men more. Colleen McCullough

  6. Remember

  7. Remember - Embrace Optimism -

  8. Remember - Embrace Optimism -

  9. Worthless Information?

  10. 99261,62 & 63 Atlanta, Georgia Rest of Georgia

  11. Sample OBGYN Reimbursements

  12. Call Somebody Legislation has been introduced in the House and the Senate that would stop these cuts. You can help by contacting your senators and representatives. Call our toll-free number to speak to all of your lawmakers in one phone call. Dial 1-866-899-4088 and enter your zip code at the prompt. When you are directed to the first office, ask to speak to the health legislative assistant.

  13. New Injection Changes Whatever women do they must do twice as well as men to be thought half as good. Luckily, this is not difficult. Charlotte Whitton

  14. Effective 1/1/06 Medicare No Longer Accepts G0351

  15. 2006 Injection Codes

  16. $53.71 $17.27 $65.57 $22.42 $16.28 90760 - IV Hydration 90761 - each hour 90765 - IV Therapy 90766 - each hour 90772 - IM Injection New Injection Codes 2006

  17. New Intestinal Adhesion Code When will our consciences grow so tender that we will act to prevent human misery rather than avenge it? Eleanor Roosevelt

  18. 44180 - Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) Intestinal Adhesions 44180 - $1600 For laparoscopy with salpingolysis ovariolysis use 58660

  19. New Fistula Codes Fear is a disease that eats away at logic and makes man inhuman. --Marian Anderson

  20. 46710 - Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach  46712 - combined transperineal and transabdominal approach Ileoanal Pouch Repair 46712 - $4000 46710 - $1900

  21. New Code for Vaginal Repair • I love women, They’re the best thing ever created. If they want to be like men and come down to our level, that’s fine. • Mel Gibson

  22. 57295 - Revision (including removal) of prosthetic vaginal graft, vaginal approach Vaginal Repair 57295 - $1000 Graft removal is included in the code Pt with past hx of colpopexy with mesh 1 year ago presents with mesh eroding through the apex of the vagina

  23. New Vaginal Endoscopy Code Revision My husband and I didn’t sign a pre-nuptial agreement. We signed a mutual suicide pact. Rosanne Barr

  24. 57421 - Colposcopy of the entire vagina, with cervix if present, with biopsy(s) of vagina/cervix Vaginal Endoscopy 57421 - $300 For endometrial sampling with colpo: 58110 - Endometrial sampling with colposcopy Code has been revised to clarify that an endometrial biopsy is not included in this code

  25. Corpus Uteri Excision My wife and I were happy for ten years. Then we met. Rodney Dangerfield

  26. +58110 - Endometrial sampling (biopsy) performed in conjunction with colposcopy (list separately in addition to code for primary procedure) Endometrial Biopsy Code 58110 - $150 Report with: 57420 - Colposcopy of vagina $85 57421 - Colposcopy of vagina, with biopsy $119 57452 - Colpo of the cervix $84 57454 - with biopsy & endocervical curettage $130 57455 - with biopsy of the cervix $107 57456 - with endocervical curettage $100 57460 - with loop electrode biopsy $157 57461 - with loop electrode conization $184 Colpo of Cervix with endocervical curettage and an endometrial biopsy 57456 58110

  27. To be successful, a woman has to be much better at her job than a man. Golda Meir New Laboratory Codes

  28. Occult Blood (guaiac) ▲ 82270 - 3 cards/triple card • 82271 - other sources • 82272 - single specimen Hemoglobin ▲ 83036 - A1C • 83037 - A1C by FDA device Common Code Changes

  29. 2006 RVU Update & Reimbursements Injection Changes New Adhesion Code New Fistula Code New Vaginal Endoscopy Code New Uterus Code New Laboratory Code Resources Topics

  30. Resources coderscentral.com cms.gov practice-management.org gamedicare.com oig.hhs.gov/publications/workplan.html cms.hhs.gov/medlearn/matters/mmarticles/2005/SE0543.pdf cms.hhs.gov/physicians/cciedits/default.asp medville.com

  31. How Do I Remember All This Stuff?

  32. You Can’t

  33. Remember: That little barking dog chasing your car down the street actually thinks he’s chasing you out of his neighborhood. Steven Adams

  34. Questions?

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