Terri Bradley Consulting - December 2018 newsletter

Published: Thu, 12/20/18

WELCOME TO

TERRI BRADLEY

PRACTICE MANAGEMENT

CONSULTING

Dear ,

New Year, New Codes…

As 2018 comes to a close and the holiday season is here I want to take a moment to thank you for your support and friendship over this past year. It has been a great year for me and I hope it was for you as well. I am looking forward to an exceptional 2019!

Regarding coding news…this year I have some good news to share; very few of the OMS codes have been updated/changed for the upcoming year. I think we can all agree there is reason to celebrate when the anesthesia codes are not updated!

On the dental side we have a few changes. Per the CDT:

ADD	D9130	Temporomandibular joint dysfunction – non-invasive physical therapies
ADD	D9613	Infiltration of sustained release therapeutic drug – single or multiple sites
DELETE	D9940	Occlusal guard-by report
ADD	D9944	Occlusal guard – hard appliance, full arch
ADD	D9945	Occlusal guard – soft appliance, full arch
ADD	D9946	Occlusal guard – hard appliance, partial arch

On the medical side, specifically CPT, codes 11100 and 11101 will be deleted effective 1/1/19. The new codes will be:

11103 Tangential biopsy of skin (eg. Shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure)

11104 Punch biopsy of skin (including simple closure, when performed); single lesion

11105 Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)

11106 Incisional biopsy of skin (eg. Wedge) (including simple closure, when performed): single lesion

11107 Incisional biopsy of skin (eg. Wedge) (including simple closure when performed); each separate/additional lesion (List separately in addition to code for primary procedure)

Some revisions as well:

99446 Interprofessional telephone/internet/electronic health record assessment and management service provided by a consultative physician, including a verbal and written report to the patient’s treating/requesting physician or other qualified heath care professional; 5-10 minutes of medical consultative discussion and review.

99447 ….; 11-20 minutes…..

99448 ….; 21-30 minutes…..

99449 ….; 31 minutes or more…

Of course, with any coding changes, just because there is a new code does not necessarily mean there will be coverage for the procedure. It's always best to check with your carrier.

Best wishes to you for a happy, healthy and prosperous New Year! Our offices will be closed December 24 & 25, 2018 and January 1, 2019.

Until next time....Keep Calm and Code On!

Terri

(844) 762-4667 - [email protected]

www.terribradleyconsulting.com

About Terri

Terri’s extensive hands on experience, including
management of a multi-doctor Oral and Maxillofacial Surgery
practice, laid the foundation for her current success as a speaker, consultant and medical coding expert. She keeps her finger on the
pulse of policy updates and changes in the insurance industry as she works daily with OMS offices across the country.

In 2015 Terri launched OMS Billing Solutions understanding that all the details of OMS coding and billing can be overwhelming to OMS offices. OMS Billing Solutions services include claims processing, resolving payment issues and even answering patient's billing questions.

Recently Terri authored Chapter 8 in the Fonseca OMS textbook series third edition for coding, billing and 3rd party insurance carriers. She also co-authored the publication Dictations and Coding in Oral and Maxillofacial Surgery and a piece for the 2019 CDT Coding Companion.

Her video "Untangling the Web of OMS Billing" is a 6 hour, 10 section seminar available for purchase. Now Terri can be with you in your office as often as you'd like! Visit our website STORE to learn more.

Terri Bradley Consulting