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Posting Date: 01/03/2025
Billing and Coding: Eculizumab
Billing and Coding: Eculizumab drug, hemolysis A54548 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54548 J1299, Q5151, Q5152
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Posting Date: 04/04/2023
Billing and Coding: Ranibizumab, Aflibercept and Brolucizumab-dbll and Faricimab-svoa
Billing and Coding: Ranibizumab, Aflibercept and Brolucizumab-dbll and Faricimab-svoa eye, ophthalmology, macular A52451 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52451 C9399, J0177, J0178, J0179, J2777, J2778, [...]
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Posting Date: 04/02/2025
Amniotic/Placental-Derived Product Injections/Applications for Musculoskeletal Indications, Non-Wound
Amniotic/Placental-Derived Product Injections/Applications for Musculoskeletal Indications, Non-Wound L39139 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39139 A58893 [...]
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Posting Date: 03/16/2022
Telehealth Services
Telehealth Services Table of Contents General Information Originating Site Distant Site List of Covered Medicare Telehealth Services Billing Facility Fee for Originating Site Payment for Professional Fee Place of [...]
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Posting Date: 01/24/2025
Telehealth Extension 2025
Telehealth Extension 2025 A Congressional continuing resolution bill has extended telehealth coverage for services in all U.S. geographic locations through 9/30/2025. Based on this guidance, National Government Services will continue to pay [...]
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Posting Date: 06/08/2021
Hospital Acquired Conditions and Present on Admission Resource for Acute Care Hospital Facilities
Hospital Acquired Conditions and Present on Admission Resource for Acute Care Hospital Facilities The hospital is the entity required to bill POA indicators on all inpatient claims billed to Medicare. However, accurate coding of all diagnosis [...]
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Posting Date: 02/21/2025
NCCI Lookup Tool Top
National Correct Coding Initiative Lookup Tool The NCCI PTP lookup tool is designed to help providers identify when certain codes are subject to the automated code pair edits. When two codes of an edit pair are identified, the major code [...]
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