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Posting Date: 12/12/2024
Billing and Coding: Omalizumab
Billing and Coding: Omalizumab drug A52448 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52448 J2357
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Posting Date: 12/12/2024
HCPCS 82947 RTPs End-Stage Renal Dialysis Providers
As of 1/1/2024, Medicare has covered HbA1c tests for diabetic screening (HCPCS 82947) when billed with ICD-10 Z13.1. Some of these claims submitted by ESRD providers have been RTP'd in error.
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Posting Date: 12/12/2024
End Stage Renal Disease Claims Returning to Providers with Reason Code 31773
Due to an issue with the October 2024 release, ESRD facility claims, type of bill 72X, are RTPing in error.
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Posting Date: 10/20/2022
Claim Billing Guidance
Claim Billing Guidance With the end of the PHE, as of 5/11/2023, this information no longer applies. We will keep the information available for PHE-related services that occurred prior to the expiration date that have not yet been billed. [...]
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