Search Results - NGSMEDICARE

Posting Date: 04/02/2025

Have the payable diagnoses for IVIG and Rituximab changed? I don’t see all of the previously payable diagnoses in the applicable drug local coverage determinations (LCDs) and articles.

Posting Date: 04/02/2025

Does the waste with the JW modifier appended always go on the second line regardless of the billed amount? For example, the billed amount for the waste is higher than the administered amount.

Posting Date: 04/02/2025

Is the GY modifier required on the drug code and the administration code for noncovered self-administered drugs?

Posting Date: 04/02/2025

Do all established drug HCPCS codes require the dosage amount in its description on the claim?

Posting Date: 04/02/2025

Implantable Continuous Glucose Monitors (I-CGM)

Implantable Continuous Glucose Monitors (I-CGM) N/A L38623 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38623 A58116 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58116 A58342 [...]

Posting Date: 04/02/2025

MEDICAL REVIEW: Why did I receive a Comparative Billing Report?

Posting Date: 04/02/2025

MEDICAL REVIEW: Where can I find more details about the reasons my claims were denied?

Posting Date: 04/02/2025

MEDICAL REVIEW: Where can I get answers to billing questions?