Demonstrations_Manual / Demonstration Manual 4219

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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 CMS’s 2006 oncology demonstration project and the operational guidance associated with it. It is relevant to oncology practices, billing staff, and Medicare administrators who need to understand the demonstration’s purpose, eligibility, reporting categories, payment framework, and related CMS instructions for the year covered by the project.

Why This Topic Matters

The article helps readers determine whether the 2006 oncology demonstration applies to their Medicare oncology billing workflow and what general CMS guidance accompanies the project. It is useful for practices that need to align documentation, reporting, and participation processes with the demonstration’s requirements.

Article Sections

  1. Summary of Changes

    Overview of the transmittal update, the project year, and the broader purpose of the oncology demonstration.

  2. General Information

    Background and policy context for the demonstration, including participating provider types, eligible service categories, and the general reporting framework.

  3. Business Requirements

    Administrative implementation area for the change request and associated operational requirements.

  4. Supporting Information and Possible Design Considerations

    Additional implementation notes and cross-reference material related to the demonstration project.

What You Will Learn

  • The general purpose and scope of the 2006 oncology demonstration project
  • Which provider and patient categories are addressed by the guidance
  • How CMS organized the demonstration into reporting categories
  • What types of administrative and implementation information accompany the project
  • What additional documentation and coding guidance context is referenced by CMS

Who Should Read This

  • Oncology practices
  • Physician billing staff
  • Medicare compliance staff
  • Medical coders
  • Practice administrators

Codes Discussed

Code Ranges Discussed

  • HCPCS LEVEL II: G9050 TO G9055
  • HCPCS LEVEL II: G9056 TO G9062
  • HCPCS LEVEL II: G9063 TO G9130
  • ICD-9-CM: 174.0-174.9
  • ICD-9-CM: 153.0-153.9
  • ICD-9-CM: 162.2 - 162.9
  • ICD-9-CM: 151.0-151.9
  • ICD-9-CM: 150.0-150.9
  • ICD-9-CM: 140.0-149.9
  • ICD-9-CM: 161.0-161.9
  • ICD-9-CM: 202.00-202.08
  • ICD-9-CM: 202.80-202.98

Modifiers Discussed


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