Health Information Management

Tip of the Week: Watch for inappropriate denials of bone mass measurement claims

APCs Insider, December 21, 2007

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

CMS announced that some Medicare contractors have inappropriately denied hospital claims for bone mass measurements due to the contractors' misinterpretation of recent CMS transmittals. The relevant CPT code is 77080 (Dual-energy x-ray absorptiometry [DXA] bone density study, one or more sites; axial skeleton [e.g., hips, pelvis, spine]). CMS explained that it has brought the problem to the contractors' attention, and that the contractors are making the necessary system changes to properly pay claims that include CPT code 77080.

Resources: View CMS Transmittals 69, 70, and 1236 for more information.

(The above tip was excerpted from the December issue of Briefings on APCs).



Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular