Coding

Coding

The SGO Coding Committee promotes new and revised codes to help optimize billing efficiency and reimbursement for gynecologic oncologists. These efforts ensure that the use of standard terms and descriptors to document procedures in the medical record reflect current medical practice. The Committee also works with the American Congress of Obstetricians and Gynecologists to provide recommendations and support for proposals through the American Medical Association to ultimately receive approval by the Centers for Medicare & Medicaid Services. In addition, the Committee interfaces with national and government agencies on practice management and reimbursement issues.

New CMS Reporting Requirements for Providers in Nine States

Starting July 1, 2017, the Centers for Medicare & Medicaid Services (CMS) will require that certain practitioners in Florida, Kentucky, Louisiana, Nevada, New Jersey, North Dakota, Ohio, Oregon and Rhode Island report the number of post-operative visits that they provide related to certain 10- and 90-day global services. SGO strongly urges all of its members who practice in these states to comply with this NEW CMS policy and attend one of the webinars listed below to learn how. If CMS is unable to collect accurate and complete data, then reimbursements for 10- and 90-day global services could be negatively affected. SGO wants to make sure this does not happen to the surgical procedures performed by SGO members.

The webinar will be offered at the following times:

  • Tuesday, June 27, 7:30 p.m. EST
  • Tuesday, July 11, 7:00 p.m. EST
  • Tuesday, July 18, 8:00 p.m. EST

This webinar is intended for all SGO members who are in groups of 10 or more practitioners (“practitioner” includes both physicians and non-physician practitioners) who provide 10- or 90-day global services in the nine states listed above. For more information on the new requirement, read the SGO Summary and CMS Frequently Asked Questions.

2015 Coding Updates

SGO Coding Q & A

Ask a coding question.
Download archived coding questions and answers.

SGO members and professional coders may seek coding advice and recommendations by submitting an email to coding@sgo.org. Answers to incoming questions are provided by the members of the SGO Coding and Reimbursement Taskforce and represent their opinion based upon the current and usual practices in the field. Every effort is made to ensure the accuracy of the information provided. However, the information neither replaces information in Medicare regulations, the CPT-4 code book, or the ICD-9 CM code book; nor does it constitute legal advice. Responses to questions are intended only as a guide and are not a substitute for specific accounting or legal opinions. SGO expressly disclaims all responsibility and liability arising from use of, or reliance upon this information as a reference source, and assumes no responsibility or liability for any claims that may result directly or indirectly from use of this information, including, but not limited to, claims of Medicare or insurance fraud.

Coding Tools

These tools are provided as a resource only and are not intended to replace the information in CPT or specific payer guidelines or requirements.

Common Surgical Procedures

Medicare Global Surgery Modifiers

The Medicare Global Surgery Modifiers document lists commonly reported modifiers along with information about proper usage and documentation.

Patient Assessment Forms

SGO ConnectTM Ed

SGO offers a variety of online learning opportunities about coding and compliance issues through SGO Connect Ed, including the four-part 2012 coding webinar series.