Issue link: https://beckershealthcare.uberflip.com/i/583494
25 Coding, Billing & Collections • 57120 for "colpocleisis, Le Fort type." • 57310 for "closure of urethrovaginal fistula." • 58260 for "vaginal hysterectomy, for uterus 250 g or less." • 58262 for "vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)." • 58543 for "laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g." • 58544 for "laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)." • 58553 for "laparoscopy, surgical, with vaginal hysterectomy for uterus greater than 250 g. • 58554 for "laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)." • 58573 for "laparoscopy, surgical, with total hysterectomy for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)." 7. GI/endoscopy procedures account for 27 percent of overall ASC case vol- ume, according to the VMG report. As part of its 2016 Medicare Physician Fee Schedule proposed rule, CMS proposed reimbursement cuts to colonos- copy and other lower GI/endoscopy procedures. Proposed changes for 11 lower GI/endoscopy procedures, by RVU percent change, include: • Colonoscopy with biopsy (45380): -19 percent • Colonoscopy with snare polypectomy (45385): -12 percent • Colonoscopy (45378): -11 percent • Colorectal cancer screen, high risk (G0105): -2 percent • Colorectal cancer screen, low risk (G0121): -2 percent • Colonoscopy with hot biopsy (45384): -11 percent • Colonoscopy with submucosal injection (45381): -14 percent • Colonoscopy, flexible with ablation (45388): -15 percent • Flexible sigmoidoscopy with biopsy (45331): -7 percent • Flexible sigmoidoscopy (45330): -20 percent • Colonoscopy with control of bleeding (45382): -16 percent 8. Out-of-network reimbursement, once a major source of ASC revenue, is becoming a less common strategy, though ability to successfully leverage OON strategy varies by market. "At one point, surgery centers made a dis- proportionate percentage of profits from workers' compensation cases and out-of-network cases. Many states have implemented fee schedules for work- ers' compensation. In addition, payers have become increasingly reluctant to provide out-of-network reimbursement at higher billed rates," according to a Becker's Hospital Review article. n LOOKING TO BUILD AN ORTHOPEDIC ROBOTICS PROGRAM? WE CAN HELP. Introducing Navio ® The Navio Surgical System represents the latest in robotics-assisted partial knee replacement and allows you to get your joint program up and running by placing the precision of robotics in your hands. With a low cost of entry, minimal OR footprint, and program marketing support, Navio is ideal for facilities of any size. Talk to an expert about crafting a program that fits your facility's growth plan and the needs of your patients at outpatient@bluebelttech.com or 763.452.4910. ©2015 Blue Belt Technologies, Inc. Blue Belt Technologies uses or has applied for the following trademarks or service marks: Navio and the "b" logo. All other trademarks are trademarks of their respective owners or holders. Blue Belt Technologies does not dispense medical advice and recommends that surgeons be trained in the use of any particular product before using it in surgery. Please contact your Blue Belt Technologies representative if you have questions about the availability of Blue Belt Technologies products in your area.