1. Effective with date of service July 1, 2011, the ONLY immunization administration codes covered for Medicaid recipients in the Health Check age range, 0 through… Read More »North Carolina Medicaid – Billing Guidelines for Vaccines
Updated May 9, 2020, with information from the 4/30/20 rule CMS will pay for phone calls using codes CPT 99441—99443. The 4/30/20 rule adds these… Read More »Revised Guidelines for CPT 99441, 99442 & 99443
The HCPCS code set is updated quarterly. CR 11422 informs MACs and providers of the latest updates to specific drug/biological HCPCS codes. The October 2019 quarterly… Read More »HCPCS Codes Changes effective from October 1, 2019
New Codes: 0105U: Nephrology (chronic kidney disease), multiplex electrochemiluminescent immunoassay (ECLIA) of tumor necrosis factor receptor 1A, receptor superfamily 2 (TNFR1, TNFR2), and kidney injury… Read More »Upcoming CPT (NEW) Code Changes Effective from October 1, 2019
A summary of the CPT Editorial Panel’s approved for “Glimpse of changes to come for the CPT 2020 and 2021” during the meeting in beggining… Read More »Glimpse of CPT 2020 and CPT 2021
Deleted Codes: 0104U Hereditary pan cancer (eg, hereditary breast and ovarian cancer, hereditary endometrial cancer, hereditary colorectal cancer), genomic sequence analysis panel utilizing a combination of… Read More »Upcoming CPT (DELETED) Code Changes Effective from October 1, 2019
Effective July 1, 2019, the American Medical Association (AMA) isadding 21 new lab codes and deleting one in Appendix O,Multianalyte Assays with Algorithmic Analyses and… Read More »Update Your CPT 2019 Code Book with the Latest Additions and Revisions
Listed below are the telehealth codes effective for the year 2019 and its short description 90785 Psytx complex interactive90791 Psych diagnostic evaluation90792 Psych diag eval… Read More »2019 Telehealth Codes
0159T Computer-aided detection, including computer algorithm analysis of MRI image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation, breast MRI (List… Read More »2019 Deleted CPT Codes
For 2019, the E&M section of CPT code book will have two new codes for Interprofessional Telephone/Internet/Electronic Health Record Consultations and three new codes for… Read More »New E&M; codes for the year 2019