Medicare_Claims_Processing_Manual / 4226

Why This Topic Matters

It helps billing and coding professionals identify whether the article contains the annual Medicare therapy-code changes and related policy updates relevant to CY 2006 claims processing.

Article Sections

1. I. General Information

   Provides background on the Medicare uniform coding requirement and explains the scope of the annual therapy code list update. Summarizes the broader policy sources that influenced the 2006 revisions.

2. B. Policy

   Describes the major categories of changes affecting the therapy code list for 2006, including additions, revisions, deletions, and payment-status updates. Also notes how the update interacts with Medicare payment systems and related policy references.

3. II. Business Requirements

   Contains administrative implementation material related to the change request and contractor processing. The detailed chart is unavailable in the source text.

4. 20 - HCPCS Coding Requirement

   Restates the HCPCS/CPT uniform coding requirement for outpatient rehabilitation and CORF claims. Explains the general framework for billing, reporting, and code-list maintenance.

5. B. Applicable Outpatient Rehabilitation HCPCS Codes

   Presents the Medicare framework for identifying outpatient rehabilitation therapy services and the related billing categories. Includes notes describing general code-list indicators, payment handling, and service classification concepts.

6. C. Additional HCPCS Codes

   Discusses selected HCPCS/CPT codes that are not on the therapy list and how they relate to therapy billing in certain circumstances. Also identifies examples of codes treated as non-therapy diagnostic services or otherwise outside the list.