Compression burn garments are covered under the Surgical Dressings benefit when they are used to reduce hypertrophic scarring and joint contractures following a burn injury.
HCPCS Code J2275 – Injection, morphine sulfate (preservative-free sterile solution), per 10 mg (Astramorph PF, Duramorph, Infumorph) When preservative-free morphine is administered via implantable pump,… Read More »How to get paid for Morphine injection (Astramorph PF, Duramorph, Infumorph) J2275 ?
A gradient compression stocking described by codes A6531 or A6532 or a non-elastic gradient compression wrap described by code A6545 is covered when it is… Read More »Coverage for GRADIENT COMPRESSION STOCKINGS/WRAPS (A6531, A6532, A6545)
Effective April 2, 2012, Providers will need to use physician specialty code (C0) for sleep medicine services. In addition, claims submitted to DME MACs for… Read More »New Physician Specialty Code for Sleep Medicine and Sports Medicine
A4642 “Indium In-111 satumomab pendetide, diagnostic, per study dose up to 6 millicuries” INVOICEA9500 “Technetium TC-99m sestamibi, diagnostic, per study dose up to 40… Read More »2012 Allowance for Radiopharmaceuticals
These requirements apply to Part B assigned and unassigned claims (Form CMS-1500) or electronic data interchange equivalent. Unprocessable Claim – Any claim with incomplete or missing,… Read More »Incomplete or Invalid Claims Processing Terminology
Reporting Diagnostic Endoscopy and Laparoscopy on the same day If a diagnostic scout endoscopy leads to the performance of a laparoscopic or open procedure, the… Read More »Reporting Diagnostic Endoscopy along with Laproscopic, Open procedure and Surgical Endoscopy
The Department of Health and Human Services (HHS) announced a proposed rule that would delay, from October 1, 2013 to October 1, 2014, the compliance… Read More »HHS PROPOSES ONE-YEAR DELAY OF ICD-10 COMPLIANCE DATE