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Posting Date: 04/19/2021
New Local Coverage Determination (LCD) Request Process
New Local Coverage Determination (LCD) Request Process N/A A56198 https://www.cms.gov/medicare-coverage-database/details/article-details.aspx?articleId=56198
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Posting Date: 04/19/2021
Local Coverage Determination (LCD) Reconsideration Process - Medical Policy Article
Local Coverage Determination (LCD) Reconsideration Process - Medical Policy Article N/A A52842 https://www.cms.gov/medicare-coverage-database/details/article-details.aspx?articleId=52842
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Posting Date: 04/19/2021
Investigational Device Exemption Requests - Medical Policy Article
Investigational Device Exemption Requests - Medical Policy Article IDE, clinical, Q0 modifier A52841 https://www.cms.gov/medicare-coverage-database/details/article-details.aspx?articleId=52841
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Posting Date: 04/19/2021
CPT Code 87641 (Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique) - Medical Policy Article
CPT Code 87641 (Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique) - Medical Policy Article staph, MRSA A52379 [...]
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Posting Date: 12/26/2023
Tobacco Counseling via Telehealth
Tobacco Counseling via Telehealth Health equity in telehealth is the opportunity for everyone to receive the health care they need and deserve, regardless of social or economic status. Medicare Part B covers intermediate and intensive tobacco [...]
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Posting Date: 12/28/2023
Micro-invasive Glaucoma Surgery Update
Micro-invasive Glaucoma Surgery Update The MIGS LCD, L37244, and Billing and Coding Article, A56588, will not become final and therefore have been removed from the Medicare Coverage Database. Accordingly, at this time there will be no change [...]
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Posting Date: 12/28/2023
January 2024 Billing and Coding Articles Updates
January 2024 Billing and Coding Articles Updates Billing and Coding: Denosumab (Prolia ™, Xgeva ™) (A52399) Coding Information #2 has been removed based on Transmittal 12397 (CR 13468), Payment of Codes for Chemotherapy Administration and [...]
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Posting Date: 01/02/2024
January Code Set Update for PC Print: January 2024
January Code Set Update for PC-Print: January 2024 The PC-Print January code set update will be available on our website 1/3/2024. The update contains the following enhancements: CR13303 Implement Operating Rules - Phase III Electronic [...]
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Posting Date: 12/28/2023
Improving Customer Experience
Improving Customer Experience We are committed to improving your experience. Please watch this two-minute video that explains how each day we review comments from providers who submit surveys to let us know what is working well and how we can [...]
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Posting Date: 01/02/2024
New Version of PC-ACE: January 2024
New Version of PC-ACE: January 2024 PC-ACE Version 6.1 contains several CMS mandates and product enhancements including but not limited to the items listed below. MLN Matters® MM13248 Revised: Processing Services During Disenrollment from [...]
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