| January 2009 · Vol. 21, No. 01 REIMBURSEMENT ADVISER
A new year, a new CPT: Will these changes rattle
your practice?
You need to revise your encounter form; Modifier -21 is gone; and there’s mixed news about common urogyn surgeries. Our expert contributor offers a walk-through.
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Fast Track
The physician work relative values for sling procedures and subsequent revisions (codes 57287 and 57288) have been lowered in 2009
A 2008 literature review concludes that:
1) the indications for preimplantation genetic screening are, at this time, undefined and
2) PGS should therefore be considered experimental
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Melanie
Witt,
RN, COBGC, MAMs. Witt is an independent coding and documentation consultant and former program manager, department of coding and nomenclature, American College of Obstetricians and Gynecologists.
The author reports no financial relationships relevant to this article.
Take note, ObGyns: A number of changes in Current Procedural Terminology (CPT) 2009—those changes took effect January 1—are going to modify the way you bill and will have an impact on your reimbursement. Most of these changes are minor, although renumbering of infusion codes will require changes to the encounter form. And I have good and bad news for urogynecologists who perform vaginal paravaginal repairs and sling procedures for stress urinary incontinence. Read on for details!
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