decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2001 / AB-01-108
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Article Overview
This article is a Medicare Program Memorandum that presents administrative coding updates for selected HCPCS and CPT services. It is relevant to coders, billers, compliance staff, and practices that need to track procedure status, global period, surgery indicator, and relative value information, as well as service-specific effective dates and implementation timing. The article also includes a Medicare Coordinated Care Demonstration section describing a small group of HCPCS codes and their associated payment-status attributes.
Why This Topic Matters
These kinds of program memoranda can affect how services are processed, reported, and paid under Medicare. Knowing which codes are affected and when the changes take effect helps reduce claim errors and keep fee schedule references current.
Article Sections
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Procedure status updates
Administrative changes are listed for selected services, with effective-date information noted in the text.
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Global period updates
A group of codes is identified with revised global-period information.
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Bilateral surgery indicator updates
The article lists codes with bilateral surgery indicator assignments and related component indicators.
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Co-surgery indicator updates
Selected surgical codes are presented with co-surgery indicator assignments.
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Multiple procedural and team surgery indicators
This section covers multiple-procedure and team-surgery indicator assignments for selected codes.
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Non-facility practice expense information
The article includes transitional and fully implemented non-facility practice expense values for a specific service.
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Malpractice RVU updates
A small set of services is identified with malpractice-relative-value information.
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Medicare Coordinated Care Demonstration
The article describes a Medicare demonstration-related group of HCPCS codes and provides administrative and payment-status attributes for each.
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Effective date, implementation date, and contact information
The memorandum closes with timing details for the program memorandum and a contact reference for questions.
What You Will Learn
- Which categories of Medicare administrative updates are included in the memorandum
- Which code groups are affected by procedure, global period, and surgery-indicator changes
- How the memorandum organizes demonstration-related HCPCS information
- What timing and implementation details are provided for the update
Who Should Read This
- Medical coders
- Billing staff
- Compliance teams
- Revenue cycle professionals
- Practice administrators
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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