Billing and Coding Update

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Billing and Coding Update Alexander Miller, AAD Representative to the AMA CPT. Advisory Committee New Skin Biopsy CPT Codes It's all about the Technique! SPEAKER: Alexander Miller, AAD Representative to the AMA-CPT Advisory Committee Chair AAD Health Care Finance Committee Arriving on January 1, 2019. New and Restructured Biopsy Codes Tangential biopsy Punch Biopsy Incisional Biopsy How Did We Get Here? CMS CY 2016. Biopsy codes (11100, 11101 identified as potentially mis-valued; high expenditure RUC Survey sent to AAD Members Specialty survey results are the only tool available to support code values Challenging survey results Survey revealed bimodal data distribution; CPT Codes 11100, 11101 referred to CPT for respondents were valuing different procedures restructuring Rationale for New Codes 11100; 11101. Previous skin biopsy codes did not distinguish between the different biopsy techniques that were being used CPT Recommended technique specification in new biopsy codes Will also provide for reimbursement commensurate with the technique used How Did We Get Here?)

Jan 01, 2019 · Billing and Coding Update Alexander Miller, M.D. AAD Representative to the AMA CPT Advisory Committee

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