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Medicare Reimbursement Guidelines

Pulmonary Procedures and Evaluation & Management (E/M) Services performed on the same day

Recovery Auditors have identified overpayments associated with Evaluation and Management (E/M) Services (Common Procedure Terminology (CPT) 99211-99213) for Pulmonary Diagnostic Procedures. These overpayments occurred due… Read More »Pulmonary Procedures and Evaluation & Management (E/M) Services performed on the same day

ICD-9 Codes that Support Medical Necessity for Boniva, Zometa, Reclast, Prolia and Xgeva

HCPCS Code J1740 (Boniva)    733.01 Senile osteoporosis733.09* Other osteoporosisE932.0* Adrenal cortical steroids causing adverse effects in therapeutic use *When reporting ICD-9-CM code 733.09, the ICD-9-CM… Read More »ICD-9 Codes that Support Medical Necessity for Boniva, Zometa, Reclast, Prolia and Xgeva