tci Part B Insider - 2003 Issue 20

CMS Expands Coverage for Lung Surgery

Sometimes the difference between a comma and a dash can mean the world. In a 2001 rule on laboratory services, the Centers for Medicare & Medicaid Services intended to say that it would cover lipid testing for hypertension, including 401.0, 401.1 and 401.9. Unfortunately, the rule used a comma between 401.0 and 401.9 instead of a dash, so 401.1 wasn't a covered diagnosis. It's only taken CMS two years to fix this error, in National Coverage Analysis 00188N. While it was addressing the issue, CMS also said it would now cover lipid tests...

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