2017-01-11 14:04:47 UTC

CMS Requires Post-Op Visit Tracking for Hemorrhoid Ligation

Jan. 11, 2017

Medicare providers in nine states will have to track the visits starting July 1, 2017.

Beginning July 1, 2017, physicians in the following states who perform hemorrhoid ligation (CPT 46221) must report CPT code 99024 (Postoperative follow-up visit, normally included in the surgical package…) for each associated post-op E/M visit:

  • Florida.
  • Kentucky.
  • Louisiana.
  • Nevada.
  • New Jersey.
  • North Dakota.
  • Ohio.
  • Oregon.
  • Rhode Island.

This reporting will allow CMS to track the number of visits that are actually provided. Even though mandatory reporting won’t begin until July 1, CMS is encouraging practitioners to begin reporting as soon as possible. CPT code 46221 is one of 100 procedures on which CMS is collecting post-operative visit data and is the only one that gastroenterologists predominantly perform.

Check the full list of codes to determine if other codes apply to you.

In the 2015 Medicare Physician Fee Schedule proposed and final rules, CMS announced its intention to implement a policy to transform all 10-day and 90-day global codes to zero-day global codes in the calendar years  2017 and 2018 to improve the accuracy of valuation and payment for the various components of global packages, including pre- and postoperative visits and the procedure itself. However, the policy was overturned by MACRA legislation, which requires CMS to first collect data to value surgical services. Visit the CMS site for more information on Global Surgery Data Collection

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