Medically Unlikely Edits (MUEs)
CMS developed MUEs to reduce the paid claims error rate for Medicare claims. Just like the NCCI edits, the MUEs...
Home /
Articles - Page 2353
All Latest Posts
Screening and Diagnostic Mammography — Retired Part A and Part B LCD
LCD ID number: L36342 (Florida/Puerto Rico/U.S. Virgin Islands) After review of the local coverage determination (LCD) for screening and diagnostic...
Are you looking for the CPT codes for Paracentesis? Underneath the description of CPT 49082, CPT 49083 & CPT 49084....
Medical Abbreviations LCD, LMRP, FI & Local Coverage Determinations
The definitions of the medical abbreviations LCD, LMRP, FI & LCD can be found underneath and a list with Medical...
CPT Codes & Guidelines For Haemophilus Influenzae Type B Conjugate Vaccine
The description and billing guidelines for haemophilus influenzae type B conjugate vaccine can be found below. Billing Guidelines For Haemophilus...
Evaluation and Management (E/M)
New Patient: (CPT 99201 has been deleted. To report, use CPT 99202) CPT 99202 Office or other outpatient visit for...
Annual Updates for Flu Vaccine
This recurring update notification provides the availability of payment allowances for the seasonal influenza virus vaccines as updated on an...
Horizon BCBSNJ Reimbursement Guidelines Changes
Outpatient Laboratory Claims: Referring Practitioner Required In accordance with Centers for Medicare and Medicaid Services (CMS) guidelines, Horizon BCBSNJ requires...
Reimbursement Guidelines for Behavioral Health services
Aetna will no longer allow payment for below mentioned services, Effective from December 1, 2019. H2021 — community-based services, per 15 minutesH0032...
This Change Request (CR) constitutes a maintenance update of ICD-10 conversions and other coding updates specific to NCDs effective from January 2020...
2020 ICD-10 CM New Codes Effective from October 1, 2019
New Codes: D75.A Glucose-6-phosphatedehydrogenase(G6PD)deficiencywithoutanemia D81.30 Adenosinedeaminasedeficiency,unspecified D81.31 Severecombinedimmunodeficiencyduetoadenosinedeaminasedeficiency D81.32 Adenosinedeaminase2deficiency D81.39 Otheradenosinedeaminasedeficiency I26.93 Singlesubsegmentalpulmonaryembolismwithoutacutecorpulmonale I26.94 Multiplesubsegmentalpulmonaryemboliwithoutacutecorpulmonale I48.11 Longstandingpersistentatrialfibrillation I48.19 Otherpersistentatrialfibrillation...
United Healthcare Commercial Reimbursement Policy Updates (2019)
Looking for the United healthcare physical therapy billing guidelines? The modifier GN, modifier GO or modifier GP will be required...