Effective for claims with dates of service on or after January 1, 2018, prolonged preventive services will be payable by Medicare when billed as an add-on to an applicable preventive service that is payable from the Medicare Physician Fee Schedule, and both deductible and coinsurance do not apply. HCPCS Codes G0513 and G0514 for prolonged preventive services will be added as part of January1, 2018, HCPCS update and the coinsurance and deductible will be waived.
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LIST OF MODIFIERS
Modifier - as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbur...
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Modifier - as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbur...
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Myocardial perfusion imaging is being done to determine the significance or the extent of myocardial ischemia (or scar), or to assess my...
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CIGNA will adopt a common time frame for health care professionals to follow for submitting claims to CIGNA. Except where state law requir...
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Effective for claims with dates of service on or after January 1, 2018, the HCPCS codes G0202, G0204 & G0206 will be replaced by the...
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Therapeutic activities are considered medically necessary for patients needing a broad range of rehabilitative techniques that involve ...
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Bilateral services are procedures performed on both sides of the body during the same operative session or on the same day. The modifier...
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Sentinel lymph node identification and biopsy typically involves a multidisciplinary approach. A nuclear medicine procedure called lymph...
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CIGNA covers chiropractic manipulation and adjunct therapeutic procedures/modalities (e.g., mobilization, therapeutic exercise, traction) ...
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Codes A6448-A6450 describe ACE type elastic bandages A6448 Light compression bandage, elastic, knitted/woven, width less than 3 in, p...
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Humana utilizes the following code-editing logic: • CPT 78593 will not be separately reimbursed when submitted with CPT 78585. • CPT 11...