2010 CPT® for CdilCardiology
2010 CPT? Updates
f Cardiology
for
C di l
Presented by:
Betty Johnson, CPC, CPC\I, CPC\H,
CDERC, CCS\P, PCS, CCP, RMC, CIC
CMS
THE RUC PROCESS
? The RUC, Specialty Society Relative Value Scale Update
Committee, is an independent group that makes
recommendations to CMS
? It is an expert panel comprised of 29 members
? Is supported by an Advisory Committee of 100 specialty
societies and health care professional organizations
? CMS has adopted 95% of its work value recommendations
BJ&A 2009. ALL RIGHTS RESERVED.
2
CMS
? In 2006 the Medicare Payment Advisory Commission
(MedPAC) sited concerns over the RUC
RUCss ability to identify
overvalued services, so a Five\Year Review Identification
Workgroup was created (the Workgroup). In 2008 it was
approved for the Workgroup to conduct reviews on an
ongoing basis.
? The Workgroup and CMS have identified over 600 services to
date
BJ&A 2009. ALL RIGHTS RESERVED.
3
CMS
? The screens that have been used to date are:
Site of Service Anomalies
High Volume Growth
CMS Fastest Growing Procedures
High IWPUT
Services Surveyed by One Specialty and Now Performed by a Different
Specialty
C Harvard Valued
C Codes Inherently Performed Together
C
C
C
C
C
BJ&A 2009. ALL RIGHTS RESERVED.
4
CMS
? Out of the more than 600 services identified by the
Workgroup, 413 codes have completed the review process.
C
C
C
C
C
Work and PE Maintained C 130
Work Increased C 29
Work Decreased C 125
Direct Practice Expense Reviewed C 105
Deleted from CPT \ 24
BJ&A 2009. ALL RIGHTS RESERVED.
5
CPT C THE MANUAL
RENUMBER OR RESEQUENCE?
? Terminology v.
v Numbers
? Traditionally when new codes were added within a grouping,
if there was not room in the sequence, the existing codes
were deleted, renumbered, and added to a section including
the new services
? Labor intensive on many fronts (encounter forms, claims
software, etc.) & running out of numbers
BJ&A 2010. ALL RIGHTS
RESERVED.
6
CPT C THE MANUAL
? New concept of resequencing
? Terminology\based instead of numerically based
? Less affect in electronic format
page
g 110
? Look at p
? Appendix N (p 585 of CPT? Professional Edition)
BJ&A 2010. ALL RIGHTS
RESERVED.
7
CPT MANUAL
? Anatomy templates moved to corresponding section of CPT
for ease of use
? Table of contents at the beginning of each section: not as
replacement for alphabetic index, but as an addition
? NO modifier additions or deletions
BJ&A 2009. ALL RIGHTS RESERVED.
8
CPT\THORACIC
INTRODUCTION AND REMOVAL C P156
32552 Removal of indwelling tunneled pleural catheter
with cuff
?32553 Placement of interstitial device(s) for radiation
therapy guidance (eg, fiducial markers, dosimeter),
percutaneous, intra-thoracic, single or multiple
BJ&A 2009. ALL RIGHTS RESERVED.
9
CPT\THORACIC
? Tunneled pleural catheters used to be placed primarily for
malignant pleural effusions at the end of a patient
patientss life. Use
has been expanded and the catheter is used for many other
reasons now. Removing the catheter following resolution of
the pleural effusion improves quality of life for the patient by
removing the possibility of infection.
? Code 32550 does not include payment for the incisions and
dissection required to remove the device , therefore the new
code 32552 was created.
BJ&A 2009. ALL RIGHTS RESERVED.
10
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