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CMS said in an April 13 provider call that to bill advance care planning (ACP) without a preventive service, you need to show the service is “relevant to the patient’s disease state,” which would seem to mean it requires a diagnosis code.

CMS' new FAQs on advance care planning (ACP) contain some clarifications for which providers have been waiting, including guidance on how time should be counted and how frequently the service may be billed.

A Medicare contractor is expanding the range of place of service (POS) codes they'll accept on advance care planning codes -- and will reverse denials made on those grounds.

In 2015, providers undercoded their way out of $1.2 billion, a large portion of which was tied to underreporting established-patient office visits related to E/M codes 99211-99215.
Physicians will have another way to report removing ear wax in 2016 now that surgical code 69209 (Removal impacted cerumen irrigation/lavage, unilateral) joins higher level 69210 (Removal impacted cerumen requiring instrumentation, unilateral) in the auditory system section.

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