Program_Memos / 2003 / AB-03-030

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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 is a CMS Program Memorandum for Medicare laboratory claims processing. It explains quarterly update activity for laboratory NCD edit software, identifies specific coding maintenance items across laboratory-related policies, and notes effective and implementation timing for the April 2003 release. It is relevant to coders, billers, compliance staff, and system teams working with Medicare laboratory coverage edits and NCD maintenance.

Why This Topic Matters

It helps readers understand which laboratory coverage edits and code-list maintenance changes were being incorporated into the Medicare processing environment for April 2003, and what policy areas were affected.

Article Sections

  1. Program Memorandum and subject

    Administrative identification of the transmittal, issuing agencies, date, request number, and the general topic of laboratory NCD edit software updates.

  2. Laboratory NCD edit software changes for April 1, 2003

    Overview of the release, the quarterly update process, and the categories of laboratory national coverage determination maintenance addressed in the memorandum.

  3. Individual policy updates and code maintenance items

    Itemized discussion of several laboratory policy updates affecting diagnosis lists, procedure code lists, manual corrections, and previously identified software issues.

  4. Provider education and implementation timing

    Instructions for provider communication, the effective and implementation dates, and related administrative timing notes.

What You Will Learn

  • What this Medicare laboratory program memorandum covers
  • Which broad laboratory policy areas were updated
  • How CMS described the timing of the April 2003 release
  • What types of code-list maintenance and manual corrections were included
  • Which stakeholders were expected to act on the memorandum

Who Should Read This

  • Medical coders
  • Hospital and laboratory billers
  • Medicare compliance staff
  • Revenue cycle teams
  • EDI or claims processing system staff
  • Healthcare administrators

Codes Discussed

Code Ranges Discussed

  • ICD-9-CM: 813.30-813.38
  • ICD-9-CM: 771.81 - 771.83
  • ICD-9-CM: 634.00-634.02
  • ICD-9-CM: 642.30-642.34
  • ICD-9-CM: 642.40-642.74
  • ICD-9-CM: 642.90-642.94
  • ICD-9-CM: 216.0-216.9
  • ICD-9-CM: 564.00-564.02

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