Second drug-eluting stent in approval process
APCs Weekly Monitor, July 27, 2003
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THE MONITOR'S ADVISORY BOARD Keith Siddel, Cheryl D'Amato, Julie Downey, Carole Gammarino, Julia R. Palmer Valerie Rinkle, MPA, On Himinfo.com |
Second drug-eluting stent in approval process Boston Scientific Corp., the second company to file a drug-eluting stent application with the Food and Drug Administration, hopes to begin selling its TAXUS Express stent late this year or early next. The stent delivers the anticlogging drug paclitaxel while propping open clogged artieries. Johnson & Johnson was the first company to gain approval in April of this year. Since then, business reports say, Johnson & Johnson has not been able to keep up with the demand for its Cypher stents. In its quarterly report, Boston Scientific announced that its TAXUS Express paclitaxel-eluting coronary stent system has been well received in Europe and other international markets and has received regulatory approval in Australia and Korea. If you missed last week's Monitor because you were off enjoying the holiday, here's a recap: First E/M guidelines draft submitted to CMS Members of an expert panel have proposed new E/M guidelines using a hospital staff intervention-based system that incorporates a point system. CMS will review the guidelines and issue a final version, slated to become effective in 2004. The three key principles of the guideline proposal:
To review the complete document, check AHIMA's web site. Your APCs Weekly Monitor is a free weekly e-zine from HCPro, publisher of Briefings on APCs, the monthly newsletter devoted entirely to managing under APCs, and the newsletter, APC Answer Letter, with answers to readers' questions about coding for APCs. The Monitor is a complimentary companion publication with a specific mission: to provide answers to your tough questions about the APC regulations. If you have a question about APC coding that you would like addressed
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Each week, our team of experts answers a question that will appeal to
the majority of readers. The elected question and the corresponding
answer are delivered to your inbox every Friday. TODAY'S TOPIC: Using modifiers -59 and -76 with 93041 and 93005 Question: Can I append modifier -59 to CPT 93041 when done with CPT 93005 for billing purposes? Answer: It would be helpful to know why these two codes were used, but based on several assumptions, here is the answer: 93041 is a component of code 93005. If two different types of tracings were done separate and independent from one another, codes 93041 and 93005 with modifier -59 would be appropriate. If serial EKG's were performed to monitor the patient's condition and were reported with the same code, each must be reported on a separate line. Modifier -76 would be appended to each additional code in this case.
PAY PER VIEW: Documentation templates can be silver bullets or smoking guns, Georgette Gustin, CPC, CCS-P, CHC, a director at PricewaterhouseCoopers in Indianapolis, told attendees during the recent American Academy of Professional Coders annual conference in Honolulu. Most health care organizations have many templates or forms in use. These templates can prompt clinicians to provide detailed documentation. But in some cases, they can hurt your compliance efforts.Read more here. The cost is $10. Medical Records Briefings subscribers have free access via their online subscriptions. Ask the Expert: What are the codes for right heart catheterization only? Click here for the answer! TIP OF THE WEEK Formalize coding guidance
Questions from readers are answered by a team of experts working in the APC area within the health care industry. Their answers are provided as advice. Readers should consult the federal regulations governing OPPS, related CMS sources, and with their local fiscal intermediary before making any decisions regarding the application of OPPS to their particular situations. Take our chargemaster survey and win $50! Click here to begin the chargemaster survey. Thanks for your help!
EDITOR'S CHOICE Are you collecting every dollar you're entitled to for emergency department visits? If those visits aren't documented appropriately, you could be losing a lot of money. One Massachusetts hospital hired a consultant who revamped the documentation processes and found an average loss of $100,000 in missed revenue — per month! Don't lose another dollar. Join us for "Improving ED Documentation and Coding: How to Get Every Dollar You Deserve," a live 90-minute audioconference on August 1 beginning a 1 p.m. Eastern. Learn what you need to know to ensure you are getting paid what you deserve for the services your medical staff provide. To register or to learn more, CLICK HERE or call our customer service department at 800/650-6787. Be sure to mention source code EZ1412A. How are you going to get ready for the 2004 proposed OPPS rule? Implementing the 2004 OPPS rule will be easier if you let us help. Participate in our live audioconference, "2004 OPPS Proposed Rule Understanding and Implementing the Changes Audioconference" Tuesday, August 19. Our speakers will read and digest the proposed rule and give you the tips and strategies you need to get ready. To register or to learn more, CLICK HERE or call our customer service department at 800/650-6787. Be sure to mention source code EZ0905A. Want to receive articles like this one in your inbox? Subscribe to APCs Weekly Monitor! Related ProductsMost Popular
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