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CAPC Palliative Care Discussion Forum
Billing and Finance

Next Reply: Re:New coding rules
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Post New coding rules
Author: cblizzard
Date: Jan 17, 2010 2:22 pm
Has CAPC reviewed the 2010 coding guidelines which effect Palliative Care? I don't know when/how to use Category II Codes (e.g. 0535F Dypnea Management,1150F-1153F etc.) or what the "Palliative/End of Life Care measure set" is. Also, they have changed some of the language regarding prolonged service codes. Can we use them for non-face-to-face interactions now? Any planned audio conferences to help us out with the changes? Thanks, C.Blizzard MD
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Re:New coding rules (by JulieP on 01/18/2010)
I believe the measures you are mentioning are PQRI data elements; to get more information you can check out the CMS.gov.

The language of the prolonged care codes is the same and Medicare has not changed their requirement for face-to-face on CPT codes 93356 & 93357.

Julie Pipke-CPC, RM MCW

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