2017 CPT, ICD-10 and Medicare Update for Ob-Gyn

Event Information
Product Format
Prerecorded Event
Melanie Witt, RN, MA
90 minutes
Product Description

Update Your Knowledge on Ob-Gyn CPT Coding 2017!


Let’s face it. CPT 2017 is ho-hum for some specialties, but for Ob-Gyn it’s jam-packed with new reimbursement opportunities – and pitfalls.

Keeping up to date with the latest coding and rule changes is crucial to the health of the practice by avoiding denials due to incorrect reporting of services. The changes to ICD-10 for conditions reported by Ob/Gyn are massive this year as the freeze that went into effect in 2012 has ended. These include, among other things, new codes for reporting immunizations, better ways to report the diabetic patient taking oral medications, and replacement of old ICD-9 codes for ectopic pregnancy surgery conversion.

Ob-Gyn CPT changes will also keep us on our toes with a new code for fibroid surgery; changes to mammography codes; changes to codes that include moderate sedation and renumbering of these codes; and revisions to the all-important flu vaccines. On the other hand, Medicare has proposed that each provider must report each included pre and post-op visit so they can gather data, and there are misvalued codes with new RVUs for 2017 – both increases and decreases – to learn about those that affect your bottom line. That’s not all, there’s the 2017 OIG annual work plan to deal with.

With so much changes happening in Ob-Gyn, it’s time you take guidance from an expert. In this session, nationally-recognized ob-gyn coding expert Melanie Witt, will share with you major E/M coding changes, as well as new coding opportunities for various Ob-Gyn services in 2017. This 90-minute session will give you all you need to know on things that really matter for your practice in 2017. Every Ob/Gyn practice is bombarded with information every day, but this session will collapse the massive amounts of information and misinformation into easily understood changes for 2017.

Session Highlights:

  • 2017 CPT® code additions for Ob/Gyn
    • 58674 - Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency
    • 0422T - Tactile breast imaging by computer-aided tactile sensors, unilateral or bilateral
  • 2017 CPT® code deletions for Ob/Gyn
    • 77051 - Computer-aided detection (computer algorithm analysis of digital image data for lesion detection) with further review for interpretation, with or without digitization of film radiographic images; diagnostic mammography (List separately in addition to code for primary procedure)
    • 77052 - Computer-aided detection (computer algorithm analysis of digital image data for lesion detection) with further review for interpretation, with or without digitization of film radiographic images; screening mammography (List separately in addition to code for primary procedure)
    • 77055 - Mammography; unilateral
  • 2017 CPT® code revisions for Ob/Gyn
    • 19298 - Placement of radiotherapy after loading brachytherapy catheters (multiple tube and button type) into the breast for interstitial radioelement application following (at the time of or subsequent to) partial mastectomy, includes imaging guidance
  • Insights on code revisions, deletions and additions in Ob/Gyn for 2017
  • What CPT® codes have been eliminated and no longer are billable, causing denials
  • OIG annual work plan updates
  • What documentation payers expect you to provide for full reimbursement
  • Ob/Gyn specific examples on how to use the new codes and how the changes effect the practice

Session Snapshots:

  • Ob Guidelines and Note Changes
    • Supervision of high-risk pregnancy
    • Diabetes mellitus in pregnancy
    • Encounters for obstetrical and reproductive services
    • Ectopic pregnancy
    • Caesarean delivery
    • Hypertension, edema, proteinuria, HELLP and eclampsia
    • Gestational diabetes
    • Disproportion
    • Z code additions
  • Gyn Guidelines and Note Changes
    • Z68 body mass index
    • Uro/Gynecology diagnostic codes
    • Urinary procedure complications
    • Complications of neuro-stimulation devices
    • Laterality
    • Vaginal septum
    • Mastitis
    • Post-op hemorrhage
  • CPT®Changes
    • Moderate sedation
    • Acessa
    • Coverage issues
    • Combination mammography
    • Flu vaccines
    • Anoscopy
  • Medicare Changes
    • Conversion factor
    • Proposed changes
    • Global days
    • RVU changes
  • OIG Work Plan 2017

Who should attend?

Coders, billers, practice managers, physicians, non-physician practitioners working in Ob-gyn

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About Our Speaker

Melanie Witt - Ob Gyn Coding Expert

Melanie Witt, RN, MA is an independent coding education consultant and a well-known speaker and recognized expert in the area of coding and reimbursement for ob-gyn services. She is the former program manager of the Department of Coding and Nomenclature at the American Congress of Obstetricians and Gynecologists. Witt is also the consulting editor for Ob-Gyn Coding Alert.