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Posts tagged: 45378

what is the procedure 45378

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By , July 23, 2016 11:45 pm

what is the procedure 45378

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CMS 2015 G-Codes for Lower GI Endoscopy Procedures Frequently …

Dec 17, 2014 … of the code descriptor. For those existing procedures with new CPT codes, CMS
created G-codes … values for all lower GI endoscopy procedures, including
colonoscopy, in the 2016 Medicare. Physician Fee … 45378, G6021.

Coding Summary for Providers – UnitedHealthcareOnline.com

Effective January 1, 2016 p. 1 of 19. Coding … Procedure Code(s): 97802 –
97804, 99401 – 99404, G0270, G0271, G0446, G0447,. G0473, S9470, 0403T
….. 45346, 45378, 45380, 45381, 45384, 45385, 45388 82270, 82274. Code
Group 3 …

Section 11: Billing Requirements – PacificSource

Revised January 1, 2016. Replaces all … a CPT code-identified procedure, the
patient's condition …… Example 1: The procedures performed are 45378 (B),
45385, and 45380 and are based on 2009 Fully Implemented Facility RVUs. CPT
.

Key to MPFSDB Indicators for 2016 – WPS

Dec 29, 2015 … procedure's relative value unit (i.e., the RVUs for work, practice expense, and …
The formula for 2016 physician fee schedule payment amount is as follows: ….
colonoscopy CPT code 45378, or with G0105 and G0121.

UCare Products for 2016 Click Here UCare's 2016 Service Area by …

Nov 2, 2015 … Care Plan Benefit Changes for. 2016. All UCare providers: Provider ….. For
procedures codes 45378, G0105, and G0121 submitted with a -53.

Summary of the 2016 MPFS Proposed Rule

Sep 8, 2015 … For CY 2016, CMS has incorporated the available utilization data …. same
process to determine the specialty mix assigned to each code as is ……
Incomplete Colonoscopy (CPT codes 44388, 45378, G0105, and G0121) (pg.

FY 2016 MCRCEDP Unit Cost Reimbursement Rate Schedule

Jul 17, 2015 … ASC 45378-SG. Hospital/Facility. **. 45378. $389.74. $222.27. $222.27. 2.
Discontinued Procedure- Colonoscopy, flexible, proximal to splenic.

Section 2: Mastering Billing with Modifiers

2016 Physician Practice Billing Answers. Section 2: … “If Field 21 for any of the
multiple procedures contains an indicator of '0,' the multiple … 45378 – $255.40.

HEDIS Measures 2016

Nov 5, 2015 … 2016 HEDIS® & Quality Assurance Reporting Requirements Measures … 44397,
45355, 45378, 45379, 45380, 45381, 45382, 45383, 45384, …. HCPCS:
Healthcare Common Coding Procedure Coding System Level II.

use Modifier 51 to i

Modifier 51 Multiple Procedures: use Modifier 51 to indicate that multiple …
Colonoscopy (45378) performed at the same session as upper endoscopy (
43200).

Blue Cross Medicare Advantage Section Of The Blues Provider

January 2016. Page S1. Table of …. procedures of the Blue Cross Medicare
Advantage network. We hope …… GI Endoscopy – 45378 effective February 1,
2016.

2016 Benefits Guide (PDF) – Schurz Communications Inc.

SCHURZ CHOICE 2016 BENEFIT & WELLNESS GUIDE ….. and you do not
actively participate in the open enrollment process and certify ….. 45378-45385.

CY 2016 Medicare Physician Fee Schedule Final Rule – AAMC

Dec 3, 2015 … Payment update for 2016 (Conversion factor) … 99498 should be listed
separately from primary procedure ….. 45378 Diagnostic colonoscopy.

ASC – American Society of Cataract and Refractive Surgery

Apr 1, 2014 … ASC-3: Wrong Site, Wrong Side, Wrong Patient, Wrong Procedure, Wrong
Implant …. CY 2016. ASC-6: Safe Surgery Checklist Use. January 1, 2014 thru
…… 44388, 44389, 44392, 44393, 44394, 45355, 45378, 45380, 45381,.

New Affordable Care Act (ACA) Medical … – Premera Blue Cross

Columbia Medical Associates created an efficient process and seamlessly
implemented it into their daily … 1, 2016, Premera will launch a new
PersonalCare Partner Systems network that will support …… Procedure code
45378 or G0121.

August 19, 2014 Marilyn Tavenner, MHA, BSN, RN Administrator …

Aug 19, 2014 … We believe the first step in this process to accurately review upcoming changes
in … include scheduled reimbursement changes to be in the annual proposed
rules beginning in CY 2016. … colonoscopy base code 45378.

Physicians Provider – South Carolina Department of Health and …

Jul 8, 2011 … Updated January 1, 2016 …. PROCEDURE CODES FOR CHECKUP AND
FAMILY PLANNING . ….. Added procedure code 45378. • Updated …

2016 HCPCS Level II Expert – OptumCoding

Procedures/Professional Services (Temporary)………………. 39 …. in this book is a
reproduction of the 2016 HCPCS; additional information on coverage issues …

2015-2016 Maximum Reimbursement Rates

Apr 1, 2015 … 4/1/2015 – 3/31/2016 … 477.64. Stereotactic biopsy procedure- breast-all
inclusive of placement of breast … 45378 or G0121 or G0105.

2016_PQRS_Measure_439_11_17_2015.pdf – MDinteractive

Nov 17, 2015 … Patients who have a coded colonoscopy procedure that has a … the reporting
period (CPT or HCPCS): 45378, 45380, 45381, 45384, 45385,.

medicare lcd for icd 10 for cpt 45378

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By , July 9, 2016 11:19 pm

medicare lcd for icd 10 for cpt 45378

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December 2015 Medicare Advisory for Part B – Palmetto GBA

Dec 2, 2015 … ICD-10-CM Diagnosis Codes for Bone Mass Measurement . … New Values for
Incomplete Colonoscopies Billed with CPT Modifier 53 . … Changes to the
Laboratory National Coverage Determination (NCD) Edit Software for January
2016 . …… colonoscopy with 45378 and append Modifier 53 (discontinued.

Medicare Reimbursement – Back to the Basics – MedAssets

The many aspects of Medicare reimbursement, including items such as fee
schedules … 10 TALKING POINTS …. diagnostic colonoscopy CPT 45378 in APC
0143. ….. Coverage Determination (NCD) Manual, the policy is ….. Z72.89 [Other
problems related to lifestyle] and ICD-10 …. fy2016budget-in-brief-overview.html.

Medicare Bulletin – May 2015 – CGS

May 5, 2015 … Coverage, LCDs, & NCDs … MM9087 Revised: ICD-10 Conversion/Coding …..
Ohio example: CPT code 45378 (no modifiers), facility setting …. and finalized in
the CY 2016 Medicare Physician Fee Schedule proposed and …

Blue Cross Medicare Advantage Section Of The Blues Provider

January 2016. Page S1 … Local Coverage Determinations (LCDs). Medicare …
Blue Cross Medicare Advantage. Page S4. January 2016. 10. Quality
Improvement. Topic. Page …. ICD-9 diagnosis codes (or ICD-10 codes when
mandated). •. CPT. ® procedure …… GI Endoscopy – 45378 effective February 1,
2016. – Injection …

Section 12, Part 2 – Fidelis Care

V16.0 – 1/4/2016 … Center for Medicare Services (CMS), National Correct Coding
Initiative (NCCI), National. Coverage Determinations (NCD) and Local Coverage
Determinations (LCD), the … Revenue Code(s) and corresponding CPT/HCPCS
Codes (outpatient … Principal, Admitting, and Other ICD-10 Diagnosis Codes. X.

HFHP Billing Guideline for Preventive Services (January 2016)

Jan 1, 2013 … For details about Original Medicare coverage of preventive services, see … 10.
Lab Tests. Anemia. 10. Bacteriuria. 10. BRCA Analysis. 11 … CPT/HCPCS Code
Description ….. 45378. Colonoscopy, flexible, proximal to splenic flexure;
diagnostic, with or ….. See Medicare LCD …. Updated with ICD-10 Codes.

American College of Gastroenterology – Policy and Medicine

Sep 2, 2014 … proposed policy revisions to the 2015 Medicare physician fee schedule (PFS). …
CMS is proposing that this new process begin in CY. 2016. As our …. time from
the previous review of colonoscopy base code 45378 ….. By proper utilization of
CPT and ICD-9-CM codes (ICD-10-CM has specific counterparts),.

2016 Provider Reimbursement Manual – MDwise

Jan 1, 2014 … 2016 Provider Reimbursement Manual ….. We have included applicable CPT
and ICD-10 codes for you to reference. Please note that the …

3rd Quarter 2015 – Blue Cross and Blue Shield of Louisiana

Sep 30, 2015 … 5 NCD on Claims. 5 More ICD-10 … Blue Cross will NOT accept claims filed with
ICD-9 codes for dates … 2015, the claim should be filed with ICD-10 codes. …
Pinnacle Medicare Services and senior provider relations analyst for … 2016.
These members will utilize the behavioral health providers in their.

December 2015 Medicare Advisory for Part B – Palmetto GBA

Dec 2, 2015 … ICD-10-CM Diagnosis Codes for Bone Mass Measurement . … New Values for
Incomplete Colonoscopies Billed with CPT Modifier 53 . … Changes to the
Laboratory National Coverage Determination (NCD) Edit Software for January
2016 . …… colonoscopy with 45378 and append Modifier 53 (discontinued.

Medicare Reimbursement – Back to the Basics – MedAssets

The many aspects of Medicare reimbursement, including items such as fee
schedules … 10 TALKING POINTS …. diagnostic colonoscopy CPT 45378 in APC
0143. ….. Coverage Determination (NCD) Manual, the policy is ….. Z72.89 [Other
problems related to lifestyle] and ICD-10 …. fy2016budget-in-brief-overview.html.

Medicare Bulletin – May 2015 – CGS

May 5, 2015 … Coverage, LCDs, & NCDs … MM9087 Revised: ICD-10 Conversion/Coding …..
Ohio example: CPT code 45378 (no modifiers), facility setting …. and finalized in
the CY 2016 Medicare Physician Fee Schedule proposed and …

Blue Cross Medicare Advantage Section Of The Blues Provider

January 2016. Page S1 … Local Coverage Determinations (LCDs). Medicare …
Blue Cross Medicare Advantage. Page S4. January 2016. 10. Quality
Improvement. Topic. Page …. ICD-9 diagnosis codes (or ICD-10 codes when
mandated). •. CPT. ® procedure …… GI Endoscopy – 45378 effective February 1,
2016. – Injection …

Section 12, Part 2 – Fidelis Care

V16.0 – 1/4/2016 … Center for Medicare Services (CMS), National Correct Coding
Initiative (NCCI), National. Coverage Determinations (NCD) and Local Coverage
Determinations (LCD), the … Revenue Code(s) and corresponding CPT/HCPCS
Codes (outpatient … Principal, Admitting, and Other ICD-10 Diagnosis Codes. X.

HFHP Billing Guideline for Preventive Services (January 2016)

Jan 1, 2013 … For details about Original Medicare coverage of preventive services, see … 10.
Lab Tests. Anemia. 10. Bacteriuria. 10. BRCA Analysis. 11 … CPT/HCPCS Code
Description ….. 45378. Colonoscopy, flexible, proximal to splenic flexure;
diagnostic, with or ….. See Medicare LCD …. Updated with ICD-10 Codes.

American College of Gastroenterology – Policy and Medicine

Sep 2, 2014 … proposed policy revisions to the 2015 Medicare physician fee schedule (PFS). …
CMS is proposing that this new process begin in CY. 2016. As our …. time from
the previous review of colonoscopy base code 45378 ….. By proper utilization of
CPT and ICD-9-CM codes (ICD-10-CM has specific counterparts),.

2016 Provider Reimbursement Manual – MDwise

Jan 1, 2014 … 2016 Provider Reimbursement Manual ….. We have included applicable CPT
and ICD-10 codes for you to reference. Please note that the …

3rd Quarter 2015 – Blue Cross and Blue Shield of Louisiana

Sep 30, 2015 … 5 NCD on Claims. 5 More ICD-10 … Blue Cross will NOT accept claims filed with
ICD-9 codes for dates … 2015, the claim should be filed with ICD-10 codes. …
Pinnacle Medicare Services and senior provider relations analyst for … 2016.
These members will utilize the behavioral health providers in their.

procedure code 45378

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By , June 12, 2016 2:05 pm

procedure code 45378

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Key to MPFSDB Indicators for 2016 – WPS

Dec 29, 2015 … The formula for 2016 physician fee schedule payment amount is as follows: ….
colonoscopy CPT code 45378, or with G0105 and G0121.

HEDIS Measures 2016

Nov 5, 2015 … 2016 HEDIS® & Quality Assurance Reporting Requirements Measures. Provider
… Substance Use CPT II: 3016F, 4290F, 4306F, 4320F … 44397, 45355, 45378,
45379, 45380, 45381, 45382, 45383, 45384,. 45385, 45386 …

Section 11: Billing Requirements – PacificSource

Revised January 1, 2016. … follows the HCPCS guideline: If a valid CPT code is
available, … a CPT code-identified procedure, the patient's condition ……
Example 1: The procedures performed are 45378 (B), 45385, and 45380 and are
based …

Preventive Services versus Diagnostic and/or … – Moda Health

Dec 16, 2015 … depending upon the primary diagnosis code with which it is billed. …. The
remainder of lab procedure codes and diagnostic services are covered …. 45378.
Colonoscopy, flexible, proximal to splenic flexure; diagnostic, with …. Official ICD-
10-CM Guidelines for Coding and Reporting, §IV, G. ICD-9-CM 2016.

Section 2: Mastering Billing with Modifiers

CPT is a registered trademark of the American Medical Association. 2016
Physician Practice Billing Answers … surgery rules do not apply to that procedure
. … In the course of performing a fiber optic colonoscopy (CPT code 45378), a.

American College of Gastroenterology – Policy and Medicine

Sep 2, 2014 … 2016. As our societies have stated in previous comment letters, … Appendix G of
the CPT® book to ensure that moderate sedation is typical for the procedures ….
time from the previous review of colonoscopy base code 45378 …

here – McKesson

Aug 18, 2015 … Medicare Physician Fee Schedule (PFS) on or after Jan. 1, 2016. This year …..
table in Federal Registry for CPT code description). TABLE 46: ….. 45378. 45379.
45380. 45381. 45382. 45384. 45385. 45386. 45388. 45389.

Download the PDF – DHPA

Sep 8, 2015 … to Part B for Calendar Year 2016 (CY 2016) Proposed Rule (CMS-1631-. P),
published in … and treat colorectal cancer in a single procedure.

Blue Cross Medicare Advantage Section Of The Blues Provider

January 2016. Page S1. Table of ….. ICD-9 diagnosis codes (or ICD-10 codes
when mandated). •. CPT. ® …… GI Endoscopy – 45378 effective February 1, 2016
.

ASC – American Society of Cataract and Refractive Surgery

Apr 1, 2014 … assigned by the AMA, are not part of CPT, and the AMA is not … CY 2016. ASC-6:
Safe Surgery Checklist Use. January 1, 2014 thru …… CPT or HCPCS: 44388,
44389, 44392, 44393, 44394, 45355, 45378, 45380, 45381,.

Third Party Payer Q and A – wmgma

there is an E/M code for online visits, there is not a CPT code that defines an E/M
service being … 2016 and we will send out update when decision has been
made. ….. modifier 52 or would it be appropriate to report CPT 45378 –
Colonoscopy, …

UCare Products for 2016 Click Here UCare's 2016 Service Area by …

Nov 2, 2015 … Care Plan Benefit Changes for. 2016. All UCare providers: Provider …..
Additional diagnosis codes may be reported as secondary or subsequent codes
…. For procedures codes 45378, G0105, and G0121 submitted with a -53.

FY 2016 MCRCEDP Unit Cost Reimbursement Rate Schedule

Jul 17, 2015 … FY 2016. MCRCEDP. Unit Cost Reimbursement Rate Schedule. FY16. 1 …
45378. $389.74. $222.27. $222.27. 2. Discontinued Procedure- Colonoscopy,
flexible, proximal to splenic flexure …. code for primary procedure) a.

2016 HEDIS®/QRS/QARR/EES Physician Documentation …

2016 HEDIS®/QRS/QARR/EES Physician Documentation Guidelines and
Administrative … CPT: 44388-44394, 44397, 45355, 45378-45387, 45391, 45392
.

General Coverage – First Coast Service Options, Inc.

Nov 2, 2015 … ICD-10 diagnosis codes were posted to the Medicare coverage database (MCD)
….. adjust affected claims on or before January 19, 2016. Status/date ….. report an
incomplete colonoscopy with 45378 and append modifier 53 …

HEDIS measure: Colorectal Cancer Screening – Blue Cross and …

45355, 45378-45387,. 45391, 45392. G0105, G0121. Codes to identify
Colorectal Cancer Screening … Submit a claim for FOBT (CPT 82270 or 82274)
when the.

2016 HEDIS®1 Measures – Healthcare … – Optima Health

Codes to identify PSA-based Screening. CPT: 84152-84154 …. 45378-45387;
45391; 45392 … Exclusion: Diagnosis of colorectal cancer or total colectomy.

2016 HCPCS Level II Expert – OptumCoding

in this book is a reproduction of the 2016 HCPCS; additional information on
coverage issues … Codes in the Optum HCPCS Level II follow the AMA CPT
book.

Medicare Bulletin – May 2015 – CGS

May 5, 2015 … Ohio example: CPT code 45378 (no modifiers), facility setting …. and finalized in
the CY 2016 Medicare Physician Fee Schedule proposed and …

Section 12, Part 2 – Fidelis Care

V16.0 – 1/4/2016. 12.2.1 … Common Procedure Coding System (HCPCS) and
International … ICD- Diagnosis Code(s), valid and coded to the appropriate digit.
X ….. 45378. Diagnostic colonoscopy. 45385. Lesion removal colonoscopy.
45384.

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