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Tag Archives: Reimbursement

2018 CPT codes for heart failure with higher reimbursement

Good morning,

Has anyone heard of any new CPT codes for 2018 for heart failure treatment. I have some providers who said there are new codes that are coming out in 2018 which would allow higher reimbursement. I haven’t been able to find anything yet. I know that there is a new designation "C7" which specifies the provider specialty which would help with denials. But they are adamant that new CPT codes will also we out there. Has anyone heard anything?

Medical Billing and Coding Forum – Cardiology

Reimbursement Benefits of Structured Radiology Reporting

Along with the entire healthcare industry in America, radiology is increasingly being asked to standardize its methods of practice. Radiologists’ reports have traditionally been free-text documents in formats that vary from physician to physician, even within group practices.  This individual style of reporting has become the radiologist’s personal signature on the work he or she has done with each patient exam but it does not lend itself to meeting modern requirements. 


Medical Billing and Coding Blog

Reimbursement for Bone Marrow Aspiration and Biopsy


When bone marrow aspiration is performed alone, the appropriate code to report is CPT code 38220. When a bone marrow biopsy is performed, the appropriate code is CPT code 38221 (bone marrow biopsy). This code cannot be reported with CPT code 20220 (bone biopsy). CPT codes 38220 and 38221 may only be reported together if the two procedures are performed at separate sites or at separate patient encounters.

Separate sites include bone marrow aspiration and biopsy in different bones or two separate skin incisions over the same bone. When both a bone marrow biopsy (CPT code 38221) and bone marrow aspiration (CPT code 38220) are performed at the same site through the same skin incision, do not report the bone marrow aspiration, CPT code 38220, in addition to the bone marrow biopsy (CPT code 38221).

HCPCS/CPT code G0364 may be reported to describe the bone marrow aspiration performed with bone marrow biopsy through the same skin incision on the same date of service.


Coding Ahead