Content in this section will include the coding article written by Emily Hill, recommendations, guidelines, or any other updates that may have a direct impact on the way pain clinicians practice.

Treatments for Acute Pain: A Systematic Review

 The Evidence-based Practice Center (EPC) Program at the Agency for Healthcare Research and Quality (AHRQ) has posted a new research protocol, Treatments for Acute Pain . Full story.

Be Prepared for New and Revised CPT Codes for Somatic Nerve Injections and Destruction

CPT 2020 makes significant changes to the family of codes for Somatic Nerve Injections (CPT 64400-64489). This includes code additions, deletions and revisions to existing codes and the introductory guidelines. New codes are also added to report destruction of the genicular nerves and radiofrequency ablation of the sacroiliac joint.

Continue reading
Topics:

Get Ready for 2020: AAPM’s Coding Webinar on Wednesday, December 11 at 2 pm CT

Don't miss out on valuable coding and reimbursement information needed for success in 2020. AAPM is hosting a webinar on Wednesday, December 11 at 2PM CT that will discuss new and revised CPT codes effective January 1, 2020, and Medicare initiatives important to your practice.  

Continue reading
Topics:

Medicare Beneficiary Identifiers (MBI) Required January 1, 2020

Starting January 1, 2020, you MUST submit claims using MBIs regardless of the date the service was performed. Claims submitted without the MBI will be rejected and not processed by Medicare. MBIs replace the Social Security Number (SSN)-based Health Insurance Claim Numbers (HICNs). MBIs are 11-characters in length and are made up only of numbers and uppercase letters (no special characters).

Continue reading
Topics:

CMS Issues Final Rule for Physician Fee Schedule for 2020

The Centers for Medicare & Medicaid Services (CMS) issued its Final Rule for 2020 that that includes proposals to update payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS). As proposed, the 2020 PFS conversion factor is $36.09 which is $0.05 above the 2019 conversion factor. The conversion factor is multiplied by the total adjusted Relative Value Units (RVUs) to achieve a payment amount for the services included in the Medicare Physician Fee Schedule.

Continue reading
Topics:

Medicare Contractor Proposes Changes to Coverage Policy for Percutaneous Vertebral Augmentation (PVA)

  The Medicare Administrative Contractor, National Government Services, Inc.(NGS), released a future Local Coverage Determination for PVA Osteoporotic Vertebral Compression Fractures effective December 1, 2019. The ...
Continue reading
Topics:

Understanding the CMS Proposal for Opioid Treatment Services

AAPM members have asked about the impact on their practices of the CMS proposal for opioid treatment services. Starting January 1, 2020 the Centers for Medicare & Medicaid Services (CMS) plans to pay Opioid Treatment Programs (OTPs) for opioid use disorder (OUD) treatment services, including medication-assisted treatment (MAT) medications, toxicology testing, and counseling, when given to people with Medicare Part B.

Continue reading
Topics:

Understanding CPT, RUC and the 2020 Proposed Rule

The Proposed Rule for the 2020 Physician Fee Schedule proposes values for intrathecal/epidural pump procedures (CPT codes 62367-62370), the new codes for injection and ablation of genicular nerves (temporary CPT 64XX0 and 64XX1) and sacroiliac joint (temporary CPT 6XX00 and 6XX01), and somatic nerve injections (CPT codes 64405, 64418, 64420, 64421, 64425, 64430, and 64450).

Continue reading
Topics:

CMS Releases Proposed Rule for the 2020 Physician Fee Schedule

On July 29, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that includes proposals to update payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January1, 2020. CMS is requesting comments on the proposed rule by September 27, 2019, and a final rule is expected to be released in November. The proposed rule estimates a conversion factor (CF) of $36.09 which is a slight increase from the 2019 CF of $36.04. 

Continue reading

CMS Proposes Payment for Acupuncture

CMS has announced a proposal to cover acupuncture for certain Medicare patients with chronic low back pain (CLBP). To be covered, patients must be enrolled participants either in clinical trials sponsored by the National...
Continue reading
Topics:

Want more pain resources? Check out our library of on-demand education, upcoming events, and more.

Learn More