tci Medicare Compliance & Reimbursement - 2003 Issue 43

CMS MANUAL UPDATE

Physicians billing for lung volume reduction surgery - which will be covered by Medicare starting Jan. 1, 2004 - should use CPT code 32491, the Centers for Medicare & Medicaid Services says in a Nov. 4 "one-time notification" update to the CMS Manual System (change request 2688). Physicians should add modifier KZ on claims for LVRS performed on Medicare beneficiaries who are enrolled in a Medicare+ Choice plan. In other recent updates to the Manual System, CMS:      lays out six new portable x-ray Level II HCPCS modifiers reportable with HCPCS R0075 (CR 2928);   ...

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