tci Part B Insider - 2006 Issue 12

CODING UPDATES: It's Up To You To Resubmit Spine Surgery Claims

Carotid artery stenting no longer payable with 37216Who says the Centers for Medicare & Medicaid Services never admits its mistakes?In Transmittal 889 (Change Request 4399), CMS fixes some glitches in the 2006 physician Fee Schedule , and they're mostly retroactive to January. In the transmittal, CMS revises the following indicators:• Bilateral surgery indicators for laminectomy add-on codes 63035, 63043 and 63044 and spinal anesthetic injection codes 64480 and 64484 change from "0" to "1". They were set at "0" by mistake. The carriers won't automatically correct any claims for these codes that you've submitted since January, so it's...

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