contractor articles (337)
Active Articles:
A53047: Billing and Coding: Complex Cataract Surgery: Appropriate Use and DocumentationA53053: Billing and Coding: CPT Code 97755 - Assistive Technology Assessment
A53060: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
A53064: Billing and Coding: Outpatient Occupational Therapy
A53065: Billing and Coding: Outpatient Physical Therapy
A53066: Self-Administered Drug Exclusion List:
A53095: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers
A53098: MolDX: Afirma™ Assay by Veracyte Update
A53099: Billing and Coding: MolDX: AlloMap
A53100: Billing and Coding: MolDX: Avise PG Assay
A53103: Billing and Coding: MolDX: HERmark® Assay by Monogram Update
A53104: Billing and Coding: MolDX: MammaPrint
A53105: Billing and Coding: MolDX: Oncotype DX® Breast Cancer Assay
A53106: MolDX: Oncotype DX® Colon Cancer Assay Update
A53107: Billing and Coding: MolDX: Progensa® PCA3 Assay Coverage Update
A53108: Billing and Coding: MolDx: ResponseDX Tissue of Origin®
A53112: Billing and Coding: MolDX: OncoCee™
A53457: Billing and Coding: MolDX: 4q25-AF Risk Genotype
A53467: Billing and Coding: MolDX: LPA-Aspirin Genotype
A53468: Billing and Coding: MolDX: LPA-Intron 25 Genotype
A53480: Billing and Coding: MolDX: HTTLPR Gene Testing
A53484: Billing and Coding: MolDX: BluePrint® Test
A53489: Billing and Coding: MolDX: PreDx®
A53493: Billing and Coding: MolDX: HBB Gene Tests
A53497: Billing and Coding: Oral Maxillofacial Prosthesis
A53531: Billing and Coding: MolDX: BCR-ABL
A53536: Billing and Coding: MolDX: ENG and ACVRL1 Gene Tests
A53538: Billing and Coding: MolDX: SULT4A1 Genetic Testing
A53540: Billing and Coding: MolDX: BLM Gene Analysis
A53542: Billing and Coding: MolDX: GBA Genetic Testing
A53544: Billing and Coding: MolDX: myPap™
A53548: Billing and Coding: MolDX: VEGFR2 Tests
A53550: Billing and Coding: MolDX: ATP7B Gene Tests
A53554: Billing and Coding: MolDX: know error®
A53558: Billing and Coding: MolDX: PIK3CA Gene Tests
A53562: Billing and Coding: MolDX: STAT3 Gene Testing
A53565: Billing and Coding: MolDX: CHD7 Gene Analysis
A53567: Billing and Coding: MolDX: PTCH1 Gene Testing
A53574: Billing and Coding: MolDX: MECP2 Genetic
A53576: Billing and Coding: MolDX: KIF6 Genotype
A53585: Billing and Coding: MolDX: NSD1 Gene Tests
A53587: Billing and Coding: MolDX: RPS19 Gene Tests
A53589: Billing and Coding: MolDX: TERC Gene Tests
A53591: Billing and Coding: MolDX: TP53 Gene Test
A53596: Billing and Coding: MolDX: IKBKAP Genetic Testing
A53598: Billing and Coding: MolDX: HEXA Gene Analysis
A53600: Billing and Coding: MolDX: BCKDHB Gene Test
A53602: Billing and Coding: MolDX: Aspartoacyclase 2 Deficiency(ASPA) Testing
A53605: Billing and Coding: MolDX: Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C) Testing Coding and Billing Guidelines
A53619: Billing and Coding: MolDX: HAX1 Gene Sequencing
A53624: Billing and Coding: MolDX: SMPD1 Genetic Testing
A53628: Billing and Coding: MolDX: FANCC Genetic Testing
A53630: Billing and Coding: MolDX: MCOLN1 Genetic Testing
A53638: Billing and Coding: MolDX: Fragile X
A53652: Billing and Coding: MolDX: ApoE Genotype
A53657: Billing and Coding: MolDX: 9p21 Genotype Test
A53659: Billing and Coding: MolDX: L1CAM Gene Sequencing
A53664: Billing and Coding: MolDX: PAX6 Gene Sequencing
A53669: Billing and Coding: MolDX: Mitochondrial Nuclear Gene Tests
A53702: Billing and Coding: MolDX: SEPT9 Gene Test
A53704: Billing and Coding: MolDX: Immunohistochemistry (IHC) Indications for Breast Pathology
A53773: Billing and Coding: Low frequency, non-contact, non-thermal ultrasound
A53775: Billing and Coding: Frequency and Duration for Cardiac Rehabilitation and Intensive Cardiac Rehabilitation
A53778: Billing and Coding: Infusion, Injection and Hydration Services
A53781: Billing and Coding: Spiracur SNaP® Wound Care System
A53784: Billing and Coding: The Routine Costs of Investigational Chemotherapy Drugs Studied In a Qualifying Clinical Trial
A53793: Billing and Coding: Gender Reassignment Services for Gender Dysphoria
A53988: Billing and Coding: Percutaneous Ventricular Assist Device
A54018: Billing and Coding: MolDX: FDA-Approved BRAF Tests
A54021: Billing and Coding: MolDX: FDA-Approved EGFR Tests
A54035: Billing and Coding: MolDX: MMACHC Test
A54038: Billing and Coding: Infrared Coagulation (IRC) of Hemorrhoids
A54338: Billing and Coding: MolDX: Myriad’s BRACAnalysis CDx®
A54472: Billing and Coding: MolDX: FDA-Approved KRAS Tests
A54682: Billing and Coding: Neulasta® (pegfilgrastim) Onpro® Kit (On-body Injector)
A54735: Billing and Coding: PET Scan Claims to Identify Bone Metastasis of Cancer
A54767: Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
A54768: Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy
A54769: Billing and Coding: Influenza Diagnostic Tests
A54795: Billing and Coding: MolDX: Targeted and Comprehensive Genomic Profile Next-Generation Sequencing Testing in Cancer
A54799: Billing and Coding: Lab: Controlled Substance Monitoring and Drugs of Abuse Testing
A54812: Antibacterial Drugs
A54831: Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemaker
A54832: Billing and Coding: Short Tandem Repeat (STR) Markers and Chimerism (CPT® codes 81265-81268)
A54835: Billing and Coding: MolDX: CDH1 Genetic Testing
A54880: Billing and Coding: Additional Claim Documentation Requirements for Not Otherwise Classified (NOC) Drugs and Biological Products with Specific FDA Label Indications
A54987: Billing and Coding: MolDX: Genetic Testing for Lynch Syndrome
A55069: Billing and Coding: Screening Colonoscopy Converted to a Diagnostic and/or Therapeutic Colonoscopy
A55071: Billing and Coding: Once in a Lifetime Abdominal Aortic Aneurysm (AAA) Screening Article
A55227: Billing and Coding: Incomplete Colonoscopy/Failed Colonoscopy
A55310: Billing and Coding: Instructions for Lemtrada® (alemtuzumab) When Used in the Treatment of Relapsing Multiple Sclerosis
A55336: Billing and Coding: Retroperitoneal Ultrasound
A55354: Billing and Coding: Frequency of Hemodialysis
A55695: Billing and Coding: MolDX: Abbott RealTime IDH1 and IDH2 testing for Acute Myeloid Leukemia (AML)
A55709: Billing and Coding: Lab: Coenzyme Q10 (CoQ10)
A55717: Billing and Coding: Lab: Flow Cytometry
A55816: Billing and Coding: IDTFs and Low Dose CT Scan for Lung Cancer Screening for HCPCS Code G0297
A55822: Billing and Coding: MolDX: ThermoFisher Oncomine Dx Target Test For Non-Small Cell Lung Cancer
A55913: Billing and Coding: Hospital Outpatient Drugs and Biologicals Under the Outpatient Prospective Payment System (OPPS)
A55958: Accreditation and Credentialing Requirements for Polysomnography LCD L36593
A56008: Billing and Coding: MolDX: FDA Approved CLL Companion Diagnostic Test
A56068: Response to Comments: MolDX: Breast Cancer IndexSM Genetic Assay
A56072: Billing and Coding: MolDX: Microsatellite Instability-High (MSI-H) and Mismatch Repair Deficient (dMMR) Biomarker for Patients with Unresectable or Metastatic Solid Tumors
A56141: Billing and Coding: Chemotherapy
A56215: Response to Comments: Frequency of Hemodialysis
A56270: Billing and Coding: MolDX: ClonoSEQ® Assay for Assessment of Minimal Residual Disease (MRD) in Patients with Specific Lymphoid Malignancies
A56272: Response to Comments: MolDX: Breast Cancer IndexTM (BCI) Gene Expression Test
A56285: Billing and Coding: MolDX: Genomic Health™ Oncotype DX® Prostate Cancer Assay
A56315: Response to Comments: MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test
A56325: Response to Comments: MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Very Low and Low Risk Disease
A56329: Response to Comments: MolDX: MDS FISH
A56343: Billing and Coding: Implantable Automatic Defibrillators
A56344: Response to Comments: MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer
A56346: Billing and Coding: Removal of Benign and Malignant Skin Lesions
A56379: Response to Comments: MolDX: myPath Melanoma Assay
A56384: Billing and Coding: Supervised Exercise Therapy for the Treatment of Peripheral Arterial Disease with Symptomatic Lower Extremity Intermittent Claudication
A56389: Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
A56390: Billing and Coding: Lumbar Artificial Disc Replacement
A56392: Response to Comments: Topical Oxygen Therapy
A56393: Response to Comments: Lumbar Artificial Disc Replacement
A56396: Billing and Coding: Lumbar Spinal Fusion
A56397: Response to Comments: Lumbar Spinal Fusion
A56401: Response to Comments: Voretigene Neparvovec-rzyl (Luxturna™)
A56419: Billing and Coding: Voretigene Neparvovec-rzyl (Luxturna®)
A56421: Billing and Coding: CT of the Abdomen and Pelvis
A56431: Billing and Coding: Topical Oxygen Therapy
A56432: Billing and Coding: Infliximab
A56468: Billing and Coding: Ambulance Services
A56476: Billing and Coding: Cardiac Radionuclide Imaging
A56503: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift
A56562: Billing and Coding: Health and Behavior Assessment/Intervention
A56580: Billing and Coding: Computerized Axial Tomography (CT), Thorax
A56584: Billing and Coding: Surface Electrical Stimulation in the Treatment of Dysphagia
A56593: Billing and Coding: Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification (NAATs)
A56605: Billing and Coding: B-type Natriuretic Peptide (BNP) Testing
A56606: Billing and Coding: Cardiac Event Detection
A56607: Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
A56611: Billing and Coding: Corneal Pachymetry
A56612: Billing and Coding: CT of the Head
A56613: Billing and Coding: Cataract Surgery
A56614: Billing and Coding: Psychiatric Inpatient Hospitalization
A56619: Billing and Coding: Nerve Conduction Studies and Electromyography
A56625: Billing and Coding: Echocardiography
A56632: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
A56663: Billing and Coding: Dental Services
A56673: Billing and Coding: Outpatient Observation Bed/Room Services
A56675: Billing and Coding: Homocysteine Level, Serum
A56680: Billing and Coding: Routine Foot Care
A56684: Billing and Coding: Intraoperative Radiation Therapy
A56685: Billing and Coding: Partial Hospitalization Programs
A56687: Billing and Coding: Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy
A56690: Billing and Coding: Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor
A56691: Billing and Coding: Cardiac Computed Tomography & Angiography (CCTA)
A56703: Billing and Coding: Stretta Procedure
A56717: Billing and Coding: Respiratory Therapy (Respiratory Care)
A56727: Billing and Coding: Wireless Capsule Endoscopy
A56731: Billing and Coding: Nerve Blocks and Electrostimulation for Peripheral Neuropathy
A56748: Billing and Coding: White Cell Colony Stimulating Factors
A56754: Billing and Coding: Intravesical Instillation of Bacillus Calmette-Guérin (BCG)
A56769: Billing and Coding: Somatosensory Testing
A56774: Billing and Coding: Ophthalmic Angiography (Fluorescein and Indocyanine Green)
A56775: Billing and Coding: Magnetic Resonance Angiography
A56777: Billing and Coding: Total Joint Arthroplasty
A56792: Billing and Coding: YAG Capsulotomy
A56824: Billing and Coding: MolDX: APC and MUTYH Gene Testing
A56825: Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
A56838: Billing and Coding: Lab: Special Histochemical Stains and Immunohistochemical Stains
A56849: Billing and Coding: MolDX: Percepta® Bronchial Genomic Classifier
A56852: Billing and Coding: Laparoscopic Sleeve Gastrectomy for Severe Obesity
A56853: Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT)
A56854: Billing and Coding: MolDX: BRCA1 and BRCA2 Genetic Testing
A56857: Billing and Coding: MolDX: HLA-DQB1*06:02 Testing for Narcolepsy
A56858: Billing and Coding: MolDX: myPath Melanoma Assay
A56859: Billing and Coding: MolDX: HLA Testing for Transplant Histocompatibility
A56866: Billing and Coding: Micro-Invasive Glaucoma Surgery (MIGS)
A56868: Billing and Coding: Outpatient Speech Language Pathology
A56869: Billing and Coding: Use of Laterality Modifiers
A56870: Billing and Coding: MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™)
A56871: Billing and Coding: In Vitro Chemosensitivity & Chemoresistance Assays
A56872: Billing and Coding: GlycoMark Testing for Glycemic Control
A56873: Billing and Coding: MolDX: Circulating Tumor Cell Marker Assays
A56875: Billing and Coding: MolDX: Breast Cancer Index™ (BCI) Gene Expression Test
A56876: Billing and Coding: Spinal Cord Stimulators for Chronic Pain
A56898: Billing and Coding: MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test
A56899: Billing and Coding: MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)
A56911: Billing and Coding: MolDX: Prolaris™ Prostate Cancer Genomic Assay for Men with Favorable Intermediate Risk Disease
A56913: Billing and Coding: MolDX: MDS FISH
A56918: Billing and Coding: MolDX: Prolaris™ Prostate Cancer Genomic Assay
A56924: Billing and Coding: MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer
A56929: Billing and Coding: MolDX: BDX-XL2
A56930: Billing and Coding: MolDX: Corus® CAD Assay
A56932: Billing and Coding: MolDX: 4Kscore Assay
A56933: Billing and Coding: MolDX: Prometheus IBD sgi Diagnostic Policy
A56941: Billing and Coding: MolDX: MGMT Promoter Methylation Analysis
A56943: Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment
A56948: Billing and Coding: MolDX: Cystatin C Measurement
A56949: Billing and Coding: MolDX: Breast Cancer Assay: Prosigna
A56955: Billing and Coding: MolDX: ConfirmMDx Epigenetic Molecular Assay
A56957: Billing and Coding: MolDX: ProMark Risk Score
A56959: Billing and Coding: MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease
A56961: Billing and Coding: MolDX: Melanoma Risk Stratification Molecular Testing
A56962: Billing and Coding: MolDX: NRAS Genetic Testing
A56963: Billing and Coding: MolDX: EndoPredict Breast Cancer Gene Expression Test
A56964: Billing and Coding: MolDX: Androgen Receptor Variant (AR-V7) Protein Test
A56968: Response to Comments: Corneal Hysteresis
A56995: Billing and Coding: Polysomnography
A57010: Response to Comments: Cervical Disc Replacement
A57021: Billing and Coding: Cervical Disc Replacement
A57347: Response to Comments: MolDX: TruGraf Blood Gene Expression Test
A57350: Billing and Coding: MolDX: TruGraf Blood Gene Expression Test
A57503: Billing and Coding: MolDX: Testing of Multiple Genes
A57760: Response to Comments: MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Intermediate Risk Disease
A57821: Response to Comments: MolDX: Prospera™
A57825: Billing and Coding: MolDX: Prospera™
A57830: Response to Comments: MolDX: Next-Generation Sequencing for Solid Tumors
A57831: Billing and Coding: MolDX: Next-Generation Sequencing for Solid Tumors
A57836: Response to Comments: MolDX: Next Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies
A57837: Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies
A57866: Response to Comments: MolDX: Plasma-Based Genomic Profiling in Solid Tumors
A57867: Billing and Coding: MolDX: Plasma-Based Genomic Profiling in Solid Tumors
A57868: Billing and Coding: MolDX: Pigmented Lesion Assay
A57869: Response to Comments: MolDX: Pigmented Lesion Assay
A57886: Response to Comments: Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor
A57893: Response to Comments: Micro-Invasive Glaucoma Surgery (MIGS)
A58000: Billing and Coding: Transanal Endoscopic Surgery (TES)
A58008: Billing and Coding: Transurethral Waterjet Ablation of the Prostate
A58016: Response to Comments: MolDX: Repeat Germline Testing
A58017: Billing and Coding: MolDX: Repeat Germline Testing
A58030: Response to Comments: MolDX: Predictive Classifiers for Early Stage Non-Small Cell Lung Cancer
A58031: Billing and Coding: MolDX: Predictive Classifiers for Early Stage Non-Small Cell Lung Cancer
A58070: Response to Comments: Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea
A58075: Billing and Coding: Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea
A58157: Response to Comments: MolDX: Pharmacogenomics Testing
A58280: Response to Comments: MolDX: Minimal Residual Disease Testing for Colorectal Cancer
A58283: Billing and Coding: MolDX: Minimal Residual Disease Testing for Colorectal Cancer
A58289: Response to Comments: Intravenous Immunoglobulin (IVIG)
A58300: Response to Comments: Transanal Endoscopic Surgery (TES)
A58306: Response to Comments: MolDX: Blood Product Molecular Antigen Typing
A58308: Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
A58332: Response to Comments: MolDX: Androgen Receptor Variant (AR-V7) Protein Test
A58344: Response to Comments: MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease
A58387: Billing and Coding: MolDX: AlloSure® or Equivalent Cell-Free DNA Testing for Kidney and Heart Allografts
A58397: Response to Comments: MolDX: AlloSure® or Equivalent Cell-Free DNA Testing for Kidney and Heart Allografts
A58406: Billing and Coding: Non-Invasive Fractional Flow Reserve (FFR) for Stable Ischemic Heart Disease
A58417: Response to Comments: MolDX: Melanoma Risk Stratification Molecular Testing
A58426: Response to Comments: Non-Invasive Fractional Flow Reserve (FFR) for Stable Ischemic Heart Disease
A58451: Response to Comments: Transurethral Waterjet Ablation of the Prostate
A58512: Response to Comments: Stretta Procedure
A58527: Billing and Coding: Complex Drug Administration Coding
A58547: Response to Comments: Platelet Rich Plasma
A58548: Response to Comments: Dexamethasone Intracanalicular Ophthalmic Insert (Dextenza®)
A58549: Response to Comments: Echocardiography for Myocardial Perfusion
A58557: Response to Comments: Extracorporeal Shock Wave Therapy (ESWT)