Corrected LOCM instruction to carriers set to be released

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a Medicare administrative correction affecting how carrier instructions apply to low-osmolar contrast media claims and notes related HCPCS code changes effective in 2005. It is relevant to cardiology and radiology practices, free-standing cath labs, and independent diagnostic testing facilities that bill these services. The piece also points readers to CMS transmittals and timing details associated with the update.

Why This Topic Matters

The update addresses a claims-processing issue that could affect whether certain LOCM claims are recognized correctly. It also highlights a contemporaneous HCPCS transition that billing staff in applicable specialties and facility types needed to follow.

What You Will Learn

  • The scope of a CMS correction related to LOCM carrier instructions
  • Which practice settings are affected by the update
  • That HCPCS reporting for certain LOCM products changed in 2005
  • How the article connects the update to CMS transmittals and implementation timing

Who Should Read This

  • Cardiology coders
  • Radiology coders
  • Physician billing staff
  • Compliance staff
  • Cath lab administrators
  • IDTF billing staff

Codes Discussed

Code Ranges Discussed

  • HCPCS LEVEL II: A4644–A4646
  • HCPCS LEVEL II: Q9945–Q9951
  • HCPCS LEVEL II: Q9952–Q9954
  • HCPCS LEVEL II: A4643 AND A4647
  • HCPCS LEVEL II: Q9945–Q9957

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