Kt/V (K-dialyzer clearance of urea; t-dialysis time; V-patient’s total body water) All ESRD claims with dates of service on or after July 1, 2010 must indicate the applicable Kt/V reading for the dialysis patient. The reading result and the date of the reading must be reported on the claim using the following claim codes: Value…
Effective for services on or after January 1, 2012, CMS eliminates the requirement for Independent Laboratory (ILs) to bill separately for each individual Automated Multi-Channel Chemistry (AMCC) laboratory test included in organ disease panel codes for ESRD eligible beneficiaries. Organ disease panels will be paid under the Clinical Laboratory Fee Schedule and will not be subject…
Effective January 1, 2011, the MCP (Monthly Capitation Payment) physician (or practitioner) must furnish at least one face-to-face patient visit per month for the home dialysis MCP service as described by CPT codes 90963, CPT 90964, 90965 CPT Code, and CPT 90966 shown in the following table. Documentation by the MCP physician (or practitioner) should…
The below links gives you a quick reference on the CMS implementation / changes / revisions posted through Medicare Learning Network (MLN) and CMS Transmittals effective for the year 2010. Medicare contractors https://www.cms.gov/MedicareProviderSupEnroll/downloads/contact_list.pdf Emergency Update to the 2010 MPFSDB http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6796.pdf New Place of Service (POS) Code for Walk-in Retail Health Clinic http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6752.pdf 2010 Consultation services…
