contractor articles (518)
Active Articles:
A254: Self Administered Drug ExclusionsA292: Ambulatory Blood Pressure Monitoring
A319: Mental Health Services (Part A and B) Medicare Payments
A324: Add-On-Codes for Anesthesia
A329: Billing for Compounded Drugs
A334: Ambulance Origin/Destination Modifiers
A340: Deep Brain Stimulation for Essential Tremor and Parkinson’s Disease
A371: Implementation of the Financial Limitation for Outpatient Rehabilitation Services
A413: Frequently Asked Questions Medicare Part B Provider
A419: Noncoverage of Multiple Electroconvulsive Therapy (MECT) (Part A and B)
A437: Home Prothrombin Time International Normalized Ratio (INR) Monitoring for Anticoagulation Management (Part B)
A456: Sacral Nerve Stimulation
A480: Reimbursement for Saline with Chemotherapy Limited (Part B)
A488: Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities
A519: Requirements for Payment of Medicare Claims for Foot and Nail Care Services (Part B)
A552: Independent Therapists and DME Suppliers – Billing for Services That May Be Part Of A Home Health Stay
A564: Modifiers for Injectable Drugs
A593: Coverage and Billing for Neuromuscular Electrical Stimulation (NMES)
A623: Medicare Coverage of Levocarnitine for use in the treatment of Carnitine Deficiency in ESRD Patients
A630: Coverage and Billing Requirements for Electrical Stimulation for the Treatment of Wounds
A637: Frequently Asked Questions Medicare Part B Medical Review
A646: Clarification Regarding Non-physician Practitioners Billing on Behalf of a Diabetes Outpatient Self-Management Training Services (DSMT) (Part A and B)
A656: Psychotropic Drug Use in Skilled Nursing Facilities (SNF) (Part A and B)
A665: Correct Coding for Influenza Vaccine (Part A and B)
A672: Clinical Diagnostic Laboratory Service Claim Requirements Mandated by Negotiated Rulemaking
A678: Questions and Answers Related to Implementation of National Coverage Determinations (NCDs) for Clinical Diagnostic Laboratory Services (Part A and Part B)
A694: Coverage and Billing for Percutaneous Image-Guided Breast Biopsy
A699: Adjustment to Common Working File (CWF) Edits for Skilled Nursing Facility (SNF) Consolidated Billing (CB) (Part B)
A706: Coding Instructions for IN-111 Zevalin and and Y-90 Zevalin
A718: Peripheral Neuropathy Coverage Policy and Billing Requirements Clarified
A724: Coverage and Billing for the Diagnosis and Treatment of Peripheral Neuropathy with Loss of Protective Sensation in People with Diabetes
A736: Coverage and Billing for Intravenous Immune Globulin (IVIg) for the Treatment of Autoimmune Mucocutaneous Blistering Diseases
A742: Coding Changes for Sodium Hyaluronate
A753: Medicare Coverage of Rehabilitation Services for Beneficiaries with Vision Impairment
A810: Requirements for Positron Emission Tomography (PET) Scans for Breast Cancer and Revised Coverage Conditions for Myocardial Viability
A836: Additional Clarification for Medical Nutrition Therapy (MNT) Services
A844: LMRP Consolidation Continues
A853: Medicare Claim Parameters - Still Not Releasable
A875: Administrative Relief from Medical Review and Benefit Integrity in Disaster Situations
A881: Coverage Excluded for Non-Contact Normothermic Wound Therapy (NNWT)
A966: Use of Gamma Cameras and Full Ring and Partial Ring Positron Emission Tomography (PET) Scanners for PET Scans (Part A and B)
A971: Companion Code List for Prolonged Services Expanded
A982: Coding for Non-Covered Services and Services Not Reasonable and Necessary (Part B)
A1006: Attestation Acceptable from Independent Laboratories Billing for the Technical Component (TC) of Physician Pathology Services to Hospital Inpatients (Part B)
A1103: Cryosurgery of the Prostate Gland (Part B)
A1115: Billing Audiologic Function Tests for Skilled Nursing Facility (SNF) Patients (Part A and B)
A1125: Coverage and Billing of Biofeedback Training for the Treatment of Urinary Incontinence (Part A and B)
A1131: Coverage Available for Clinical Trials on Carotid Stenting with Category B Investigational Device Exemptions (IDEs) (Part A and B)
A1142: Home Care and Domiciliary Care Visits (Codes 99321-99353)
A1166: Physician Supervision of Diagnostic Tests (Part B)
A1172: Elimination of Time Limit for Immunosuppressive Drugs (Part A and B)
A1183: Apligraf (Graftskin) (Part B)
A1187: Replacement of Prosthetic Devices and Parts (Part A and Part B)
A1224: New CPT Code 55873 - Cryosurgery of the Prostate Gland (Part A and Part B)
A2258: Magnetic Resonance Angiography Coverage Revision
A4068: Local Medical Review Policies (LMRPs) Retired due to National Coverage Determinations (NCD's)
A4191: Hearing Aid Exclusion Clarified
A4311: New Remark Code for Denials Based on Local Medical Review Policy
A4317: Chiropractor Update
A4340: Pulmonary Rehabilitation Not Covered by Medicare
A4345: Anesthesia for Non-Covered Services
A4353: What Place of Service for CPO?
A4360: Supervising Physicians in Teaching Settings
A4619: And The Answer Is….
A4634: Modifier Misuse Causes Claim Denials
A4656: Mammograms: Diagnostic or Screening?
A4685: Pap Smear and Exam, Screening Diagnosis Reminder
A4694: Plethysmography Modifiers Y1 and Y2
A6517: National Coverage Determination (NCD) Updates
A6531: Additional Documentation Requests (ADR) Requirements for Ordering Providers of Laboratory Services
A6559: ASC Code Selection
A6564: Responding to Medical Record Requests
A6569: Telehealth Update
A6576: National Coverage Determinations Explained
A6602: Radiopharmaceutical and Contrast Pricing
A6868: Off-Label Coverage for Non-Oncologic Drugs
A6891: Nutritional Therapy Payment Clarification
A6907: Care Plan Oversight Clarification
A6916: Coverage and Billing of Ambulatory Blood Pressure Monitoring (ABPM)
A7030: Screening Flexible Sigmoidoscopy Coverage Allowed for Non-physician Specialties
A7036: Fluoroscopy Billing Update
A7054: Hospice Billing Requirement Change
A7123: EPO Injections for End Stage Renal Disease
A7134: And The Answer Is…. (02/01/2002)
A7318: Pain Pump Medication Reimbursement
A7323: Correction to Description for G0206
A7348: Payment for Therapy Services Wrongfully Denied
A7369: Documentation Requests from Medical Review
A7397: Trigger Point Payment Modified
A7405: New Patient vs. Established
A7412: Nursing Home and Skilled Nursing Facility Visits - Reminder
A7868: Diagnosis Requirements for Chiropractic Claims Modified
A7912: Hot & Cold Packs Application
A7928: Mandatory Assignment
A7957: Ambulance Billing Reminders
A7964: Billing Post-Anesthesia Care
A7978: Responding to Medicare Documentation Requests
A8363: Medicare Global Surgery Policy
A8369: Billing CPT Code 99211
A8379: Documentation Requirements for Partial Hospitalization Program (PHP) Services
A8387: Documentation 101 – Part 2
A8421: Payment for Services Furnished by Audiologists
A8426: Non-coverage of Perception Sensory Threshold/Nerve Conduction Threshold Test (sNCT)
A8454: Billing for Initial Hospital Care
A8459: Platelet-Derived Wound Healing Formula – Not Covered
A9199: Coding Correction for Intravenous Immune Globulin (IVIg) for the Treatment of Autoimmune Mucocutaneous Blistering Diseases
A9207: Billing Psychiatric Services - Codes 90801 through 90899
A9217: Pathology Consultations: CPT Codes 80500 and 80502
A9222: Billing “Incident To”
A9232: Correction of Trichiasis Clarification
A9336: Injection Procedures During Cardiac Catheterization (CPT Codes 93539-93545)
A9343: Implementation of Clinical Diagnostic Laboratory Services National Coverage Determinations
A9349: EKG Diagnosis Coverage Change
A9400: Chiropractor Diagnosis Requirement Update
A9404: Podiatrists – Are You Treating the Foot?
A9433: Billing “Shared” Evaluation and Management Services
A9439: Billing and Calculating Payment for Split Care
A9447: Non-physician Practitioners Billing for Diabetes Outpatient Self-Management Training (DSMT) Services
A9457: LMRP Update
A9465: Modifier -50 Billing Reminder
A9482: Indications for a Right Heart Catheterization: CPT Code 93501
A9484: Modifier 50 - Clarification
A9487: Repeat Services
A9562: Glucose Monitoring
A9571: Draft LMRPs Available Soon on Web!
A9586: Using Modifiers -24 and -25
A9599: Non-Physician Assistant-at-Surgery Services
A9605: Reciprocal Billing Clarification
A9621: Requests for Additional Information
A9686: Colorectal Cancer Screening Benefits and Coverage
A9691: Mandatory Assignment Required for Drug and Biological Coverage
A9696: Coding Local Therapeutic Injections
A9795: Hepatitis B Vaccines
A9871: CPT 99211 - Improper Billing
A9876: Reminder About Using Modifiers
A9897: Surgical Trays
A9902: Verteporfin Coverage
A9910: Over-Reads not Covered by Medicare
A9965: Diagnostic vs. Screening Services
A9972: Billing Guidelines for Elective Surgery
A10051: Using Modifier -79
A10058: Billing Radiopharmaceuticals and Related Procedures
A10065: Questions and Answers Regarding Payment for the Services of Therapy Students Under Part B of Medicare
A10075: Intestinal and Multi-Visceral Transplantation
A10079: Botox Injections into Eyelids
A10131: Ambulance Non-Resident Fees
A10136: And The Answer Is…. (08/01/2001)
A10141: Billing Reminders
A10148: Billing Chemotherapy Administration Services
A10154: DOCUMENTATION 101
A10159: Locum Tenens Q & A
A10165: Modifier QW for Lab Tests
A10191: Revision of Medicare Reimbursement for Telehealth Services
A10200: Using Modifier -58
A10212: ASC Modifier Required
A10222: Diagnostic Tests in a Hospital Setting
A10237: Frequently Asked Questions (10/01/2001)
A10243: Claims Processing Change for Pre-operative Services
A10253: Change in Jurisdiction for Pessary Codes
A10277: Billing for Screening Glaucoma Services
A10285: Therapy Services Billing Reminder
A10290: Radiation Oncology LMRP Clarification
A10326: Useful Lifetime Expectancy for Breast Prosthesis Lowered
A10330: E/M Billing Reminder
A10336: Influenza/Pneumococcal Vaccination Billing Reminder
A10341: Local Medical Review Policy (LMRP) Consolidation
A10346: Observation Care
A10352: Pre-operative Service Criteria Clarified
A10385: Adult Liver Transplantation Coverage Expanded to Include Hepatitis B
A10390: Nurse Practitioner Qualification Alert
A10397: Preservative-Free Morphine
A10402: And The Answer Is……..(02/01/2000)
A10414: Injection Administration Billing Errors
A10500: Routine Screening PSA and DRE
A11521: Definition of Rural Changed for Paramedic Intercept Services
A11550: Electrical Osteogenic Stimulator Coverage Expanded
A11557: External Counterpulsation for Severe Angina Update
A11562: Billing Hints: Modifier 50/Bilateral Procedures
A11568: Questions and Answers Regarding PPS for Outpatient Rehabilitation Services
A11579: And The Answer Is……(04/01/2000)
A11584: Audiologist Coverage Clarified
A11586: Eliminate Duplicate Claim Denials
A11636: Chiropractic Billing Clarification: X-rays
A11672: Role of Physicians in the Home Health Prospective Payment System
A11681: Local Medical Review Policy (LMRP) – Theory And Practice
A11689: And The Answer Is…(06/01/2000)
A11727: Ambulance Billing Reminder: Hospital to Hospital Transports
A11734: Ambulance Modifier -QL -Patient Pronounced Dead After Ambulance Called
A11740: Ambulance Q & A
A11748: Aredia: Pamidronate Disodium, per 30 mg, HCPCS Code J2430
A11756: Questions and Answers about Cancer Screenings
A11766: Billing for Chiropractic Claims Showing Subluxation
A11776: Chiropractic Reminders
A11813: Use ICD-9-CM V58.69 for Medication Management
A11819: Injection Administration Reminder
A11824: Medicare to Cover Device for Treating Severe Rheumatoid Arthritis Sufferers
A11830: Clarification: Use of Modifier -25 with Consult Codes
A11847: Non-Coronary Percutaneous Transluminal Angioplasty (PTA) and Stenting for the Same Vessel/Same DOS
A11855: Medicare Clarifies Coverage of Non-Invasive Vascular Studies for ESRD Patients
A11862: Medicare Does Not Provide Pre-authorization of Coverage
A11904: Billing Transmyocardial Revascularization (TMR)
A11916: And The Answer Is…(08/01/2000)
A11950: Billing E/M Codes 99214 and 99233 Correctly
A11962: Chiropractic Reminder: Maintenance Therapy Not Covered
A11967: Concurrent Care
A11972: End Stage Renal Disease Services (ESRD) Billing Tips
A11977: Medicare Modernizes the Requirements for Approval of Heart, Liver and Lung Transplantation Centers
A11982: Medicare Patients Responsible for Non-covered ASC Fees
A11987: Venous Access Device Coding Made Simple: Procedure Codes 36489-36535
A12088: Verteporfin Payable by Medicare
A12105: Computerized Dynamic Posturography
A12131: Documenting Medical Necessity for Services Rendered to Patients in Nursing Facilities
A12142: Reminder: Billing Eye Visits
A12153: Glycated Hemoglobin Denials in Medical Review
A12170: Medicare Coverage of Services for Beneficiaries Participating in Medicare Qualifying Clinical Trials
A12180: Claims Filing Hint: Not Medically Necessary Versus Routine Screening Services
A12185: Prostate Cancer Screening Tests and Procedures
A12191: Screening Pelvic Examination Update
A12196: Billing Multiple and Bilateral Surgical Procedures
A15254: CMS Posts Correct Coding initiative Edits On The Internet (Part B)
A15260: Billing Guidelines for Outpatient Rehabilitation Services (Part A and B)
A15279: Guidelines for Skilled Nursing Facility (SNF) Consolidated Billing (Part A and B)
A15286: Changes to Code List for Therapy Services (Part B)
A15293: National Coverage Determination -- Implantable Automatic Defibrillators (Part A and B)
A15303: Guidelines for Medicare Part B Laboratory Testing (Part A and B)
A15310: Coverage of Compression Garments in the Treatment of Venous Stasis Ulcers (Part A and B)
A15316: Pneumococcal Vaccine Payment Increase Effective October 1, 2003 (Part A and B)
A15322: Implementation of the Financial Limitation for Outpatient Rehabilitation Services (Part A and B)
A15407: Mammography billing with CAD Codes (Part A and B)
A15413: Claims Processing and Payment of Incomplete Screening Colonoscopies (Part A and B)
A15420: Hemodialysis Inpatient and Outpatient Services (Part B)
A15425: Medical Documentation (Part B)
A15457: Financial Limits on Therapy
A15463: Positron Emission Tomography (PET) Scans Expaned Coverage
A15468: Addition of Temporary Codes Q4052 and Q4053 (Part B)
A15474: Stem Cell Transplantation
A15477: Additional Corrections to the Single Drug Pricer (SDP) Files for January 1, 2003 (Part A and B)
A15482: Mammography Computer Aided Detection (CAD) Equipment (Part A and B)
A15501: Diabetes Outpatient Self-Management Training (DSMT)
A15516: Frequently Asked Questions Medicare Part B 5/2/2003
A15524: Medicare Payments for Part B Mental Health Services (Part A and B)
A15544: And The Answer Is….(07/01/2003)
A15549: Submit 87797 for Affirm VP III
A15554: Anesthesia Billing Errors
A15559: Local Anesthesia
A15564: Clarification of Instructions & Updated Allowables for R0070 and R0075
A15569: Comparative Billing Report Reminder
A15587: ICD-9 Coding Requirements
A15601: Incident to Provision for Services and Supplies
A15609: Expanded Coverage For PET Scans
A15633: Repeat Services – Clinical Lab Clarification
A15638: Purchasing Multiple Diagnostic Tests
A15696: 2004 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder
A15703: Adjustment to the Rural Mileage Payment Rate for Ground Ambulance Services
A15711: Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
A15719: Chiropractic Therapy
A15727: Evaluation and Management Services Modifiers 24 & 25
A15732: Medicare Announces Final Rule On Hospital Responsibilities To Patients Seeking Treatment For Emergency Conditions
A15737: Medical Documentation Attachment Clarification
A15752: Important Clarification to Providers of Physical Medicine and Rehabilitation Services:
A15756: Treatment of Mycotic Nails
A15817: Billing Instructions For Claims For Ventricular Assist Devices For Beneficiaries In A Medicare+Choice Plan (Part A and B)
A15825: Modifiers for Transportation of Portable X-Rays (R0075) (Part A and B)
A15833: Modifier GY to Identify Clinical Diagnostic Laboratory Services that are Not Covered by Medicare (Part A and B)
A15846: Lung Volume Reduction Surgery
A15854: Critical Care Focus (Part B)
A15861: Ventricular Assist Devices (VADs) for Destination Therapy (Part A and B)
A16310: Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement
A16337: Health And Behavior Assessment And Intervention CPT Codes 96150 – 96155
A16900: New Basis for Medicare Drug Payment Amounts Under Part B
A16906: Care Plan Oversight Reminders
A16920: Change in Coding on Medicare Claims for Darbepoetin Alfa and Epoetin Alfa For Treatment of Anemia In End Stage Renal Disease (ESRD) Patients On Dialysis
A16925: Chemotherapy Service Update
A16930: Clarification of Mammography Annual Screening Examination
A16936: Endoscopy Pricing
A16941: Fecal-Occult Blood Tests (FOBT)
A16946: Financial Limitation on Therapy Services
A16956: Medicare Coverage of Abortion Services
A17006: Xenograft and Oasis Wound Dressing
A17965: Renewed Moratorium on Outpatient Rehabilitation Therapy Caps (Part A and B)
A17970: Correction – Ambulance Night Differential Charges
A18132: Change in Coding on Medicare Claims for Darbepoetin Alfa (trade name Aranesp) and Epoetin Alfa (trade name Epogen, EPO) for Treatment of Anemia in End Stage Renal Disease (ESRD) Patients on Dialysis
A18138: Treatment of Certain Dental Claims as a Result of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003
A18184: Coding Change for Ventricular Assist Devices (VADs) for Beneficiaries in an Medicare+Choice (M+C) Plan
A18611: April Quarterly Update to January 2004 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing Enforcement – Revenue Code Correction to January Update
A18616: Aranesp and EPO Coding Guidelines – Latest Update
A18628: Cardiac Output Monitoring By Thoracic Electrical Bioimpedance (TEB)
A18633: Claims Processing for Referred Services for an Independent Clinical Diagnostic Laboratory
A18643: Clarification for Saline Infusion for Non Chemotherapy Drug Administration
A18648: Criteria for Using the CB Modifier
A18661: Emergency Correction to Healthcare Common Procedure Coding System (HCPCS) Codes for Low Osmolar Contrast Material
A18667: Implementation of Skilled Nursing Facility Consolidated Billing Edit for Therapy Codes Considered Separately Payable Physician Services
A18674: Intravenous Immune Globulin
A18680: Outpatient Physical Therapy, Occupational Therapy or Speech Language Pathology Services Must be Under Care of Physician
A19031: Drug Administration Clarification (Part B)
A19156: Frequency Limitations for Darbepoetin Alfa (trade name Aranesp) for Treatment of Anemia in End Stage Renal Disease (ESRD) Patients on Dialysis (Part A and B)
A19323: NCD: Current Perception Threshold/Sensory Nerve Conduction Threshold Test (sNCT) (Part A and B)
A19406: Outpatient Physical Therapy, Occupational Therapy and Speech Language Pathology Recertification Clarification
A19416: Pressure-Specified Sensory Device (PSSD)
A19452: Updated Policy and Claims Processing Instructions for Ambulatory Blood Pressure Monitoring (ABPM) (Part A and B)
A19505: MMA-Clarifications to Certain Exceptions to Medicare Limits on Physician Referrals (Part A and B)
A19698: Ocular Photodynamic Therapy (OPT) with Verteporfin for Age-Related Macular Degeneration (AMD) (Part A and B)
A19786: Clarifications to Certain Exceptions to Medicare Limits on Physician Referrals
A19790: Manualization of POS Code Set Program Memorandum; Revision to Group Home Code Description
A19795: Podiatrists Billing Electrical Stimulation
A19810: Requirement for Carriers, DMERCs, FIs, and Full PSCs to Encourage Providers to Submit Medical Records to the Comprehensive Error Rate Testing (CERT) Contractor for Use in the Nov 2004 Improper Medicare Fee-For-Service Payments Report
A19819: Transfusions, Blood or Blood Components CPT Code 36430
A20216: Electrical Stimulation and Electromagnetic Therapy for the Treatment of Wounds (Part A and B)
A20221: Manualization NCD: Acupuncture for Fibromyalgia/Osteoarthritis (Part B)
A20234: Arrangements for Physical, Occupational, and Speech-Language Pathology Services (Part B)
A20666: New Requirements for Chiropractic Billing of Active/Corrective Treatment and Maintenance Therapy (Part B)
A20677: Diabetes Self-Management Training Services (Part A and B)
A20682: Change to the Skilled Nursing Facility Consolidated Billing Edits for Ambulance Transports to and from an Diagnostic or Therapeutic Site other than a Physician’s Office or Hospital (Part B)
A20770: Implementation of New Medicare Redetermination Notice (MRN) (Part A and B)
A20787: Critical Care Facts
A21067: Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee (Part A and B)
A21747: NCD: Sensory Nerve Conduction Threshold Test (sNCTs) (Part A and B)
A21755: Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) (Part A and B)
A21763: Critical Care Facts (Part B)
A21828: Coding for Mohs Micrographic Surgery
A21882: Nurse Practitioners as Attending Physicians in the Medicare Hospice Benefit (Part A and B)
A21900: Clarification for Billing Left Ventricular Assist Devices (Part A and B)
A21919: Leuprolide Acetate/Goserelin (Gonadotropin Releasing Hormone Analogs)
A22063: Referral of Patients for X-rays by Chiropractors (Part B)
A22182: Medicare Prescription Drug, Improvement, and Modernization Act – Skilled Nursing Facility Consolidated Billing and Services of Rural Health Clinics and Federally Qualified Health Centers (Part A and B)
A22220: Change to Previous Transmittal Regarding the Discontinued Use of Revenue Code 0910 (Part A)
A22238: Prepay Medicare Review Part B Documentation Requirements
A22278: Incident to Services
A22423: Implementation of Skilled Nursing Facility Consolidated Billing CWF Edit for Therapy Codes Considered Separately Payable Physician Services; Correction to CR 2944, Transmittal 90, Issued on February 6, 2004
A22921: OIG Alert about Charging Extra for Covered Services
A22934: Billing the -22 Modifier (Unusual Circumstances)
A22942: Autologous Blood-Derived Products for Chronic, Non-Healing Wounds
A22983: Billing Requirements for Islet Cell Transplantation for Beneficiaries in a National Institutes of Health (NIH) Clinical Trial
A22989: End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests
A23092: Clarification of Epoetin Alfa (EPO) Billing Procedures and Codes in ESRD (Part A and B)
A23520: Revised Requirements for Chiropractic Billing of Active/Corrective Treatment and Maintenance Therapy, Full Replacement of CR 3063
A23643: Billing Clarification for Chronic Wound Care: Unna Boot vs. Four-Layer Dressing
A23708: Modifier AT - Usage Change
A23932: Billing Requirements for Positron Emission Tomography (PET) Scans for Dementia and Neurodegenerative Diseases
A23939: Billing the -22 Modifier (Unusual Circumstances) Documentation Clarification
A23944: Podiatrists and Optometrists Billing for Nursing Facility Assessments
A23949: Nail Debridement Procedure Code 11721
A23954: Magnetic Resonance Spectroscopy (MRS) for Diagnosing Brain Tumors
A23959: Payment for Outpatient End Stage Renal Disease (ESRD)-Related Services
A23964: Treatment of Obesity
A23969: Percutaneous Transluminal Angioplasty (PTA)
A24057: Service Specific Audit
A24128: Clarification: Modifiers for Transportation of Portable X-rays (R0075)
A24236: Education Focused on Medical Necessity Denials
A24239: Postoperative Split Care Billing Issue
A24241: Podiatry – Date of Last Visit Requirement
A24920: Local Coverage Determination Conversion Process
A25014: Podiatry: Q Modifiers Clarified
A25060: Coverage of Routine Costs of Clinical Trials Involving Investigational Device Exemption (IDE) Category A Devices
A25079: Cardiovascular Screening Blood Tests
A25086: Emergency Change to Carrier Instructions for the End Stage Renal Disease (ESRD) 50/50 Rule Implementation
A25107: Diabetes Screening Tests
A25114: Electrocardiographic Services
A25145: Chemotherapy Demonstration Project
A25151: Payment for Referred Laboratory Automated Multi-Channel Chemistry (AMCC) Tests
A25348: Service Specific Probe – Procedure Codes 97110 and 97530
A25355: Modification to Reporting of Diagnosis Codes for Screening Mammography Claims
A25362: Update to Billing Requirements for Positron Emission Tomography (PET) Scans for Dementia and Neurodegenerative Diseases and Update for Special Payment Procedures for all PET Scan Services Performed in Critical Access Hospitals
A25370: Addition of CLIA Edits to Certain Health Care Procedure Coding System (HCPCS) Codes for Mohs Surgery
A25539: 2005 Drug Administration Coding Revisions
A25557: Initial Preventive Physical Examination
A25608: Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services to Hospital Patients
A25749: CORRECTION TO SEPTEMBER 2004 PROVIDERS’ NEWS ARTICLE TITLED “BILLING CLARIFICATION FOR CHRONIC WOUND CARE: UNNA BOOT VS. FOUR-LAYER DRESSING”
A26185: BILLING FOR REMOTE ELECTRONIC ANALYSIS OF IMPLANTABLE PACEMAKERS AND PACING CARDIOVERTER DEFIBRILLATORS
A26202: Billing for Monochromatic Infrared Photo Energy (MIRE™) Using the Anodyne® Therapy System
A26212: Medicare Coverage of Enteral Nutrition
A26260: Psychotherapy Notes
A26268: Prosthetics and Orthotics Ordered in a Hospital or Home Prior to a Skilled Nursing Facility Admission
A26376: Medical Review (MR) of Rural Air Ambulance Services
A27731: Influenza Treatment Demonstration
A33211: Infusion Pumps: C-Peptide Levels as a Criterion for Use
A33900: Expansion of Coverage for Chiropractic Services Demonstration
A33906: Expansion of Coverage for Chiropractic Services Demonstration – Information for Outpatient Hospitals and Radiologists
A33919: Billing for HCPCS Code J9017
A33932: Cataract Surgery Postoperative Split Care Billing Correction
A33940: Medical Review – NTE Information
A34475: Billing for Hemophilia Blood Clotting Factors (Medicare Claims Processing Manual (Pub. 100-04), Chapter 17, Section 80.4)
A34491: Billing for Syringes Used in the Treatment of End Stage Renal Disease (ESRD) Patients
A34497: List of Medicare Telehealth Services
A34503: Probe Review Results of Chest X-Ray Services in New Mexico
A34510: Expanded Coverage for PET Scans for Cervical and Other Cancers, New Coding for PET Scans, and Billing Requirements for PET Scans for Specific Indications of Cervical and Other Cancers
A34519: Widespread Probes for Surgical Debridement Codes
A34734: Expansion of Coverage for Percutaneous Transluminal Angioplasty (PTA)
A34741: Continuous Positive Airway Pressure (CPAP) Therapy for Obstructive Sleep Apnea (OSA)
A34748: Updated Requirements for Autologous Stem Cell Transplantation (AuSCT) for Amyloidosis
A34781: Service Specific Probe - Procedure Code 99231
A34783: Service Specific Probe – Procedure Code 99232
A34792: Service Specific Audit - Procedure Code J0128
A35598: Prostate Brachytherapy (CPT Code 55859) at Ambulatory Surgical Centers (ASC)
A35606: Xeloda (Capecitabine) in Lieu of 5-FU for Cancer Therapy
A35735: Reminder Regarding Medicare Billing Rules for Ambulance Services Rendered to Medicare Patients during an Inpatient Hospital Stay
A35818: “Incident To” Requirements for New Mexico Chiropractic
A35821: Hospice Attending Physician and Billing Clarification
A35823: Refractive Services
A35863: Coverage and Billing for Ultrasonic Stimulators for Nonunion Fracture Healing
A36688: Omalizumab (Xolair)
A36699: IBRITUMOMAB TIUXETAN (ZEVALIN) BILLING INSTRUCTIONS
A37544: Comprehensive Error Rate Testing (CERT) Decisions
A37586: Mailing Medical Records – Helpful Hint
A37616: Non-Physician Practitioner Questions and Answers
A37625: Medicare Prescription Drug Coverage – The Fifth in the Medlearn Matters Series
A37635: Message to Nursing Home Administrators on Medicare Prescription Drug Coverage - The Sixth in the Medlearn Matters Series
A37929: Coverage for Interferon
A37935: Coverage for Oprelvekin (Neumega)
A37975: Epley Maneuver
A38022: Radiopharmaceutical Diagnostic Imaging Agents Codes Applicable to PET Scan Services Performed on or After January 28, 2005
A38124: Cochlear Implantation
A38871: Presbyopia - Correcting Intraocular Lenses (IOLs) for Medicare Beneficiaries
A38879: Low Osmolar Contrast Media (LOCM): Payment Criteria and Payment Level
A38887: Medical Nutrition Therapy Services
A38909: Wound Care Services - Modifier Q & A
A38920: Hospice Coverage
A38932: Non-Physician Practitioner Questions and Answers
A38938: Correct Coding Initiative (CCI) Edits to Apply to ALL Therapy Providers
A38948: Ambulance Services - Institution to Institution
A39196: Cessation of Additional $50 Payment for New Technology Intraocular Lenses (NTIOLs)
A39206: Updates to Home and Domiciliary Care Visits Related to CPT Codes 99321 – 99350
A39213: End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests (Supplemental to Change Request 2813); Implementation of Carrier Guidelines
A39286: Chiropractic Services
A41443: Enforcement of Hospital Inpatient Bundling: Carrier Denial of Ambulance Claims During an Inpatient Stay
A41458: Ambulatory Surgical Center (ASC) Coverage
A41543: Billing for Apheresis Procedures
A41565: Medical Review Additional Documentation Requests (ADRs)
A41578: Probe Review Results of Wound Care Services in New Mexico
A42033: Medical Nutrition Therapy Services Update
A42105: Physician Voluntary Reporting Program Using Quality G-Codes
A42169: Payment for Office/Outpatient E/M Visits (Codes 99201-99215)
A42233: Probe Review Results of Physical Therapy Services in New Mexico –CPT Codes 97110, 97530
A42260: Auditory Osseointegrated and Auditory Brainstem Devices
A42267: Coronary Angiography Supervision and Interpretation
A42282: Coding for Implantable Infusion Pumps
A42321: Coding for Spinal Cord Stimulators
A42334: Coding for Sacral Nerve Stimulation
A42340: Modifier Combinations Required
A42348: Hurricanes Katrina and Rita – Transportation of Evacuees with Medical Needs
A42374: Therapy Caps to Be Effective January 1, 2006
A42394: Probe Review Results of Wound Care Services in New Mexico for CPT 11042
A42406: Nursing Facility Services (Codes 99304 - 99318)
A42440: Cardiac Catheterization In Other Than a Hospital Setting
A42469: Bone Density Study - CPT code 76075
A42484: Myocardial Perfusion Imaging - CPT code 78465
A42496: 2006 Oncology Demonstration Project
A42503: Therapy Caps Exception Process
A42540: Epley Maneuver Update
A42715: Electromyography Coding Guidelines
A42742: Clarification of Policy Revision to Routine Foot Care, LCD AC-02-043
A42758: Process for the Therapy Cap Exception for Therapy Providers
A42771: Documentation Requirements for Therapy Services Including Therapy Cap Exceptions
A42871: Nail Debridement (11721) Audit/ Prepay Probe Review of Podiatry Services
A42877: Claims Submission with Prior Authorization for Therapy Cap Exceptions for Therapy Providers
A42899: Probe Review Results of CPT 71010, 71020, Chest X-ray, New Mexico
A42900: Probe Review Results of Office or Other Outpatient Evaluation and Management Services in New Mexico (CPT 99212 - 99214)
A42901: Revised Coding for Podiatrists for Noninvasive Vascular Studies
A42908: Avastin (Bevacizumab) J9035 - Update
A42934: Clinical Trial Reminder – Correction
A42940: Consultation vs Referral – What is the Difference?
A42946: Occult Blood Test Number of Services
A42953: Coding of Subsequent Hospital Care
A42959: Subsequent Hospital E&M Services Audit
A42968: Electrical Stimulation – Manual or Unattended (Are you using the correct code?)
A42981: Incorrect Coding for Emergency Department E&M Services (CPT 99281-99285)
A42987: Requirements for Referring Providers - Laboratory Services
A44128: Medicare Coverage of Transmyocardial Revascularization (TMR) for Treatment of Severe Angina
A44137: Medicare Coverage of Ambulatory Blood Pressure Monitoring
A45395: Reciprocal Billing/ Locum Tenens Arrangements and Use of Q5 and Q6 Modifiers
A45403: Audit guidelines for CPT codes 11040-11043 - Oklahoma/New Mexico
A45411: Additional Documentation Request (ADR) or CERT Letter - What Do I Need to Send In?
A45421: Appropriate Billing with Modifier -59
A45429: Oasis® Wound Matrix - Provider Reimbursement Issues
A45435: Axial Decompression Therapy Systems
A45450: Probe Review Results of Office or Other Outpatient Evaluation and Management Services in Oklahoma (CPT 99212 - 99214), Specialties 01, 08, 90, 97, and 41
A45463: Initial Hospital Evaluation and Management Services Guidelines
A45473: Medical Nutrition Therapy Services - Covered only for Diabetes and Renal Disease
A46233: Medicare Coverage of Cardiac Rehabilitation Services
A46242: Widespread Prepay Probe Planned for Office or Other Outpatient Consultation Codes (99241-99242) for All Specialties in New Mexico
A46243: Prepay Probe Planned for Office or Other Outpatient Consultation Codes (99243-99245) for Specialty 10 (Gastroenterology) and Specialty 48 (Podiatry) in New Mexico
A46279: Required Documentation Advisory
A46285: Assistants at Surgery in Teaching Hospitals
A46291: Medicare Coverage of Hyperbaric Oxygen Therapy
A46308: Probe Review Results of 12 Lead ECG Interpretation and Report in New Mexico (CPT 93010), Specialties 06 (Cardiology) and 11 (Internal Medicine)
A46322: Notice for Providers billing those codes in the Leuprolide Acetate/Goserelin (Gonadotropin Releasing Hormone Analogs), LCD AC-01-019
A46329: New Mexico Chiropractic Demonstration – Urgent Notice
A46335: Probe Review Results of Subsequent Nursing Facility Evaluation and Management Services in New Mexico (CPT 99307-99310), Specialty 11 (Internal Medicine)
A46336: Probe Review Results of Office or Other Outpatient Consultations (CPT 99241-99242) for all Specialties in New Mexico
A46338: Probe Review Results of Subsequent Nursing Facility Evaluation and Management Services (CPT 99307-99310) for Specialty 08 (Family Practice) in New Mexico
A46397: Medicare Coverage of Stem Cell Transplantation for Multiple Myeloma
A46413: Notification of Recoupment for Leuprolide Acetate/Goserelin (Gonadotropin Releasing Hormone Analogs)
A46421: Medical Nutrition Therapy Services – Covered only for Diabetes and Renal Disease - Revised
A46427: General Evaluation and Management Documentation Guidelines
A46438: Medicare Coverage of Positron Emission Tomography (PET Scans)
A46445: Probe Review Results of Office or Other Outpatient Consultations in New Mexico (CPT 99243-99245) for Specialties 10 and 48
A46446: Probe Review Results of New Patient Office or Other Outpatient Evaluation and Management Services (CPT 99204-99205) in New Mexico, Specialty 08 (Family Practice)
A46457: Medicare Coverage of Bioengineered Skin Substitutes
A46518: Probe Review Results of Emergency Department Evaluation and Management Services in New Mexico (CPT 99284 – 99285) Specialty 93 (Emergency Medicine)
A46547: Billing and Coding Clarification for Blood Transfusion Procedures and Products
A46559: Billing Clarification - Low Osmolar Contrast Media (LOCM)
A46617: Clarification of Incident-to and Split/Shared Services by Nonphysician Practitioners
A46633: Leuprolide Acetate, J1950 Clarification
A46639: Critical Care - Local Coverage Determination Retired
A46670: Bariatric Surgery Billing Requirements
A46675: Concurrent Care - Local Coverage Determination Retired
A46680: Coverage for Outpatient Sleep Studies
A46693: Coverage Changes and Reimbursement Notice of the Least Costly
A46696: Office or Other Outpatient Consultations New or Established patient
A46700: Revolving Audit Changes – Office or Other Outpatient Visits (99212-
A46705: 2008 Physician Fee Schedule
A46710: Boniva (ibandronate) (LLC 11/02/2007 – update)
A46715: Q6 Modifier (Locum Tenens) Use Identified in Widespread Probe
A46736: Probe Review Results of Modifier Q6 in New Mexico, Specialty 30 (Diagnostic Radiology)
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