MEDICARE UNIVERSITY

Provider Enrollment, Chain, and Ownership System

Incorrect Billing of CPT 76942 with Prostate Biopsy CPT 55700 When 76872 Billed for Same Session

Incorrect Billing of CPT 76942 with Prostate Biopsy CPT 55700 When 76872 Billed for Same Session Although AMA Guidelines state it is appropriate to bill CPT codes 76942, 77002, 77012 or 77021 if imaging is performed with 55700, NCCI lists [...]

CPT Code 92229

CPT Code 92229 For CY 2021, Medicare began making payment for CPT code 92229 (Imaging of retina for detection or monitoring of disease; with point-of-care automated analysis with diagnostic report; unilateral or bilateral). In the CY 2021 [...]

Fee Schedule Lookup

GlobalPeriodCalculator Top

90-Day Global Period Calculator for Major SurgeriesTo determine when the global period ends for a major surgical procedure with a 90-day global period, please enter the date of the surgery in MM/DD/YY or MM/DD/YYYY format and select Calculate. [...]

90-Day Global Period Calculator

PTAN, HICN, MBI, DCN Converter Top Content

This tool will convert your Provider Transaction Access Number (PTAN), the beneficiary's Medicare Health Insurance Claim number (HICN), or the Medicare Beneficiary Identifier (MBI), and/or the Document Control Number (DCN) into a numeric format [...]

Beneficiary Name to Number Converter Bottom Content

Enter the numeric sequence returned below in the Phone Value = field into the IVR exactly as it appears (including the #).

PTAN, HICN, MBI, DCN Converter Bottom Content

Enter the numeric sequence returned below in the Phone Value = field into the IVR exactly as it appears (including the #).Reminder: You can also key in the beneficiary's HICN/MBI by keying the numbers and using the information in the IVR [...]