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1St Quarter 2002 Medicare a Bulletin

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1St Quarter 2002 Medicare a Bulletin In This Issue... ICD-9-CM Coding for Diagnostic Tests Clarification and examples on reporting the appropriate code for these Services .... 5 New Medicare Enrollment Application New Provider Enrollment Application version CMS 855 has been implemented .... 10 Coverage of Sacral Nerve Stimulation Coverage and Billing Guidelines .............................................................................. 12 Inpatient Rehabilitation Facilities Guidelines for the Implementation of Prospective Payment System ......................... 18 End Stage Renal Disease Blood Pricing for 2002.............................................................................................. 23 Final Medical Review Policies 10060, 11600, 29540, 33282, 76075, 78460, 80061, 80162, 82270, 93224, 93350, 94010, 94240, 95115, J0150, J7190, and J9999 ................................................... 25 Respiratory Services under SNF PPS Bulletin Issues Concerning Billing for Respiratory Therapy ................................................. 81 Outpatient Prospective Payment System Clarification of Activity Therapy and Patient Education/Training Services ............ 88 Features he Medicare A Bulletin From the Medical Director 3 Tshould be shared with all Administrative 4 health care practitioners and managerial members of the General Information 5 provider/supplier staff. General Coverage 11 Publications issued after Fraud and Abuse 16 October 1, 1997, are available at no-cost from our provider Hospital Services 17 Web site at End Stage Renal Disease 23 www.floridamedicare.com. Local and Focused Medical Policies 25 Routing Suggestions: Skilled Nursing Facility Services 81 ! Medicare Manager Critical Access Hospitals Services 83 ! Reimbursement Director Outpatient Prospective Payment Services 85 Electronic Data Interchange 89 ! Chief Financial Officer Educational Resources 90 ! Compliance Officer ! DRG Coordinator ! ________________ ! ________________ Centers for Medicare & Medicaid Services ! ________________ Medicare A (formerly Health Care Financing Adminstration) A Newsletter for Florida Medicare Part Providers A HCFA Contracted Carrier & Intermediary First Quarter 2002 Volume 4, Number 1 TABLE OF CONTENTS Table of Contents Medicare A In This Issue ................................................. 1 78460: Myocardial Perfusion Imaging ........... 39 Bulletin From the Intermediary Medical Director 80061: Lipid Profile/Cholesterol Testing ........ 42 80162: Digoxin ............................................ 45 Vol. 4, No. 1 A Physician’s Focus 82270: Fecal Occult Blood Testing ............... 47 First Quarter Part A Local Medical Review Policy – Opportunity 93224: Electrocardiographic Monitoring for 24 for Improvement .......................................... 3 2002 Hours (Holter Monitoring) ..................... 51 Administrative 93350: Stress Echocardiography .................... 54 Publications Staff About The Medicare A Bulletin ....................... 4 94010: Spirometry ....................................... 56 Millie C. Pérez 94240: Functional Residual Capacity or Shari Bailey General Information Residual Volume ................................. 60 Bill Angel ICD-9-CM Coding for Diagnostic Tests ........... 5 95115: Allergen Immunotherapy ..................... 63 Betty Alix Current Status of Coordination of Benefits J0150: Adenosine (Adenocard®, Contractor Operations ................................ 8 The Medicare A Bulletin is Adenoscan®) ...................................... 65 published bimonthly by the Correction of Payment for Diabetes Outpatient J7190: Hemophilia Clotting Factors .............. 68 Medicare Publications Self-Management Training Services ........... 9 J9999: Antineoplastic Drugs ........................ 70 Department, to provide Overpayment Interest Rates .......................... 9 Additions and Revisions to Previously timely and useful Crossover Updates ....................................... 9 information to Medicare Correction to the Revision of Medicare Published Medical Policy Part A providers in Florida. Reimbursement for Telehealth Services ...... 9 70450: Computerized Tomography Scan ..... 78 New Medicare Provider Enrollment 72192: Computerized Tomography of the Questions concerning this Application .............................................. 10 Pelvis .................................................. 78 publication or its contents may be directed in writing Annual Update of Non-routine Medical Supply 82310: Total Calcium ................................. 78 to: and Therapy Codes for Home Health 85007: Complete Blood Count ..................... 78 Consolidated Billing (CB) ......................... 10 93501: Cardiac Catheterization .................... 78 Medicare Part A Revised Diagnosis Coding Requirements for C1300: Hyperbaric Oxygen Therapy ............ 78 Publications Clinical Trial Routine Care Services .......... 10 G0030: Positron Emission Tomography P.O. Box 2078 (PET) Scan ......................................... 78 Jacksonville, FL General Coverage 2002 ICD-9-CM Part A Local Medical Review 32231-0048 Coverage of Noninvasive Vascular Studies Policy Changes ................................... 79 CPT five-digit codes, for End Stage Renal Disease Patients ...... 11 Change in Effective Date for Local Medical descriptions, and other data Screening Glaucoma Services ..................... 12 Review Policies ................................... 80 only are copyright 2000 by Coverage and Billing of Sacral Nerve American Medical Stimulation .............................................. 12 Skilled Nursing Facility Services Association (or such other New CLIA Waived Tests .............................. 14 Respiratory Services under Skilled Nursing date of publication of CPT). Useful Lifetime Expectancy for Breast Facility Prospective Payment System ....... 81 All Rights Reserved. Prosthesis ............................................... 16 Fee Schedule for Additional Part B Services Applicable FARS/DFARS Intestinal Transplants Furnished to Benefi- Furnished by a Skilled Nursing Facility or apply. No fee schedules, ciaries Enrolled in Medicare+Choice Plans 16 Another Entity under Arrangements .......... 81 basic units, relative values or related listings are included Fraud and Abuse Critical Access Hospital Services in CPT. AMA does not Medicare Fraud & Abuse Advisory: No HIPAA Outpatient Code Editor Specifications directly or indirectly Audits ....................................................... 16 Version 17.0 for Bills from Hospitals not practice medicine or Paid under the Outpatient Prospective dispense medical services. Hospital Services Payment System ..................................... 83 AMA assumes no liability for CMS Relaxes Medicare Secondary Payer data contained or not Instructions for Hospitals .......................... 17 Outpatient Prospective Payment System contained herein. Removal of Category Code C1723 from the Implementation of Inpatient Rehabilitation ICD-9-CM codes and their Facility Prospective Payment System ....... 18 Pass-Through Device Category ................ 85 descriptions used in this Payment for Blood Clotting Factor Clarification of Same Day Rule Billing publication are copyright Administered to Hemophilia Inpatients ...... 22 Requirements Under the OPPS ................ 85 2000 under the Uniform Instructions for Billing Hospital Outpatient Clarification on “Inpatient Only” Services ....... 86 Copyright Convention. All Claims Containing Charges for Epoetin Technical Corrections under the OPPS ........ 86 rights reserved. Alfa (EPO) ............................................... 22 Clarification of Activity Therapy and Patient Third-party Web sites. This End Stage Renal Disease Education/Training Services ..................... 88 document contains End Stage Renal Disease Blood Pricing ....... 23 Electronic Data Interchange references to sites operated by third parties. Such Medical Policies The Health Insurance Portability and references are provided for Medical Policy Table of Contents ................. 25 Accountability Act - Administrative your convenience only. Use of the American Medical Association’s Simplification HIPAA-AS ............................. 89 BCBSF and/or FCSO do not (AMA’s) Current Procedural Terminology control such sites and are not Educational Resources responsible for their content. (CPT) Codes on Contractors’ Web Sites ...... 25 Introducing CMS ........................................... 90 The inclusion of these Final Medical Policies The Ultimate Medicare Expo .......................... 90 references within this 10060: Incision and Drainage of Abscess of Overview of HIPAA-AS Privacy Regulations .... 91 document does not suggest Skin, Subcutaneous and Accessory Provider Enrollment Seminar Forms ............... 94 any endorsement of the Order Form - Part A Materials ...................... 96 material on such sites or any Structures ........................................ 26 association with their 11600: Excision of Malignant Skin Lesions .... 28 Other Information operators. 29540: Strapping ......................................... 31 Addresses, Medicare Web sites, 33282: Insertable Loop Recorder (ILR) ......... 33 and Phone Numbers ........................... 103 76075: Bone Mineral Density Studies ........... 35 2 The Florida Medicare A Bulletin First Quarter 2002 FROM THE INTERMEDIARY MEDICAL DIRECTOR A PHYSICIAN’S FOCUS Part A Local Medical Review Policy – Opportunity for Improvement he Benefits Improvement and Protection Act
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