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[DOCX File]Office of Billing Compliance - March 2016
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The Medicare policy for Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) was revised to add ICD-10-CM diagnosis codes H40.032 and H40.033 to the ICD-10 Codes that Support Medical Necessity to support Current Procedural Terminology (CPT®) code 92132.
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[DOCX File]ADPAC Manual.radv4.5
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Values entered for this field are not screened, because there is no CPT CODE for this location with which to compare it. The default values entered here may be rejected later during exam registration, when the default CPT Modifier(s) are screened, using the exam procedure's CPT CODE. If so, the following message will appear:
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[DOC File]OWCP MEDICAL FEE SCHEDULE - 2001
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Listing a single CPT code more than once on a day of service may result in denial of all but one of the charges because it will be interpreted by the OWCP automated system as duplicate charges; if a procedure covered under a singular CPT/HCPCS code was provided more than once on the same day, use appropriate units or appropriate modifier to ...
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[DOC File]OWCP MEDICAL FEE SCHEDULE - 2001 - DOL
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A listing of geographic practice cost indices by ZIP code is contained in the file . fs12gpci-by-zip.xls. Modifier Adjustments. Listings of Modifier Level Tables with OWCP-designated fee schedule adjustment for each modifier are contained in the file . fs12_mod_table.xls. * American Medical Association, Current Procedural Terminology, 2012 Edition
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[DOCX File]FEE BASIS 3.5 RELEASE NOTES
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With the release of the CPT V. 5.0 software package, Fee Basis now has the ability to break down services provided to the modifier level. The software now prompts you to select a modifier after the selection of the CPT code in all Outpatient Payment options.
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[DOC File]Child Health Services/Early and Periodic Screening ...
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PROCEDURES, SERVICES, OR SUPPLIES CPT/HCPCS One CPT or HCPCS procedure code for each detail. MODIFIER Modifier(s) if applicable. For anesthesia, when billed with modifier(s) P1, P2, P3, P4, or P5, hours and minutes must be entered in the shaded portion of that detail in field 24D.
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[DOCX File]Health Insurance Plans | Aetna
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Effective 9/1/2017, we will remove any code ranges contained within these service groupings; each code will be entered individually instead. Changes in compensation may occur, however we will not pursue any past overpayments.
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[DOCX File]Codesheet Section (U.S. Department of Veterans Affairs)
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Additional service code. Entry generated for the initial rating decision, if applicable. See M21-1, Part III, Subpart iv, 6.D.2. Combat status code. Entry generated for the initial rating decision that addresses service connection. Note: There is no need for a later entry unless the combat status has changed. See M21-1, Part III, Subpart iv, 6.D.3.
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[DOCX File]CPT Code changes - Quest Diagnostics
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Quest Diagnostics will be implementing these changes effective January 1, 2020. Overall, the changes for 2020 affect the way we bill some of our tests. These tests may also be included in panels or profiles. The chart below lists some of the tests affected and the appropriate CPT code changes.
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[DOC File]Oregon Medical Fee and Payment
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HCPCS codes, only if there is no specific CPT® or OSC. If there is no specific code for the medical service: The provider should use an appropriate unlisted code from CPT® 2020, CPT® 2021 (e.g., CPT® code 21299), or an unlisted code from HCPCS (e.g., HCPCS code E1399); and. The provider should describe the service provided.
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