Medicare billable diagnosis codes
[DOC File]Coding for the Office Facility and Supplies
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Medicare does reimburse for injectible drugs e.g., drugs that cannot be self-administered. Reimbursement is based on the lower of the billed charge or 95 percent of the average wholesale price of the drug. Currently, the majority of payors accept “J” codes; however, some commercial payors may request National Drug Codes (“NDC”) codes.
[DOC File]New Jersey MEDICAID STATE PLAN
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DRG DRG Description WEIGHTS 001 Craniotomy Age >17 W CC 3.2119 002 Craniotomy Age >17 W/O CC 2.7378 006 Carpal Tunnel Release 0.6633 007 Periph & Cranial Nerve & Other Nerv Syst Proc W CC 2.3212 008 Periph & Cranial Nerve & Other Nerv Syst Proc W/O CC 1.4428 009 Spinal Disorders & Injuries 1.5828 010 Nervous System Neoplasms W CC 1.2829 011 ...
[DOC File]Integrated Billing Technical Manual
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BILLABLE AMBULATORY SURGICAL CODES ^IBE(350.4, This file contains the CPT procedure and the associated HCFA rate groups for ambulatory surgeries that may be billed. 350.41. UPDATE BILLABLE AMBULATORY SURGICAL CODE ^IBE(350.41, This file contains updates to the ambulatory surgery procedures which can be billed. 350.5. BASC LOCALITY MODIFIER ^IBE ...
[DOC File]www.mass.gov
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Nov 06, 2017 · Refer to Subchapter 6 of the appropriate Provider Manual for billable codes . Contact MassHealth Customer Service at 800-841-2900 if code is billable under the provider contract 4037 Procedure Code vs Diagnosis Restriction This EOB Code displayed because the procedure is restricted to specific diagnosis codes based on the rendering provider.
[DOCX File]Introduction
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E&M codes are used by primary care and memory clinics to bill for assessment, diagnosis, care planning, and follow-up. An advantage of these billing codes is that services can be billed by time, which often increases overall reimbursement. Examples of services and interventions that have been billed using these codes:
[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.
[DOCX File]Massachusetts School Based Medicaid Service Documentation ...
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: Updated State Mandated Form for Documentation of Medicaid Service Delivery in Out-of-District Programs (28M/12). This form should only be completed if …
[DOC File]Occupational, Physical, Speech Therapy Services Section II
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Diagnosis code for the primary medical condition for which services are being billed. Use the appropriate International Classification of Diseases until further notice. List no more than 12 diagnosis codes. Relate lines A-L to the lines of service in 24E by the letter of the line. Use the highest level of specificity. 22.
[DOC File]Outpatient Behavioral Health Services (OBHS) Section II
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Diagnosis code for the primary medical condition for which services are being billed. Use the appropriate International Classification of Diseases (ICD). List no more than 12 diagnosis codes. Relate lines A-L to the lines of service in 24E by the letter of the line. Use the highest level of specificity. 22.
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