Health Information Management

Q&A: Why was the MIST Therapy Category III HCPCS code deleted?

APCs Insider, March 14, 2014

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

Q: Is there a new way to report MIST Therapy® in 2014? 
A: Yes. For 2014, Category III HCPCS code 0183T (low frequency, non-contact, non-thermal ultrasound, including topical application, when performed, wound assessment, and instruction for ongoing care, per day) was deleted and replaced with a Category I CPT® code. The new code, 97610, has the same description as the deleted code.
CMS has included 97610 on the list of “sometimes therapy” services. The items on the “sometimes therapy” services list are paid under the OPPS when they are not furnished under a therapy plan of care. When furnished under a therapy plan of care, they are considered a physical or occupational therapy service and paid under the appropriate fee schedule.
Editor’s note: Andrea Clark, RHIA, CCS, CPCH, chairman, CEO, and founder of Health Revenue Assurance Associates, Inc., in Plantation, Fla., answered this question.

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