Search Results - NGSMEDICARE

Posting Date: 09/07/2021

Billing and Coding: IUD (Hormone-Eluting) for Endometrial Hyperplasia - CPT 58999

Billing and Coding: IUD (Hormone-Eluting) for Endometrial Hyperplasia - CPT 58999 N/A A58649 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=58649 58999

Posting Date: 09/07/2021

Billing and Coding: Hyaluronans Intra-articular Injections of

Billing and Coding: Hyaluronans Intra-articular Injections of drug, knee, ankle A52420 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52420 J7318, J7320, J7321, J7322, J7323, J7324, J7325, J7326, J7327, J7328, J7329, [...]

Posting Date: 09/07/2021

Billing and Coding: Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee

Billing and Coding: Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee – Medical Policy Article injection A52369 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52369 29877, 29999, G0289

Posting Date: 04/19/2021

Clinical Trials - Medical Policy Article

Clinical Trials – Medical Policy Article IDE, Q0, modifier A52840 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52840

Posting Date: 04/19/2021

Chiropractic Services - Medical Policy Article

Chiropractic Services – Medical Policy Article subluxation, manipulation A57889 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57889 98940, 98941, 98942

Posting Date: 04/19/2021

Blepharoplasty - Medical Policy Article

Blepharoplasty - Medical Policy Article eye, cosmetic A52837 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52837 15820, 15821, 15822, 15823, 67900, 67901, 67902, 67903, 67904, 67906, 67908, 67909, 67911, 67914, [...]

Posting Date: 04/19/2021

Billing and Coding: Removal of Benign Skin Lesions

Billing and Coding: Removal of Benign Skin Lesions cosmetic A54602 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54602 11200, 11201, 11300, 11301, 11302, 11303, 11305, 11306, 11307, 11308, 11310, 11311, 11312, [...]

Posting Date: 04/19/2021

Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs): Office, Hospital, Web, or Non-Web Based - Medical Policy Article

Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs): Office, Hospital, Web, or Non-Web Based – Medical Policy Article N/A A53018 https://www.cms.gov/medicare-coverage-database/details/article-details.aspx?articleId=53018 [...]

Posting Date: 04/19/2021

Process for Determining Self-Administered Drug Exclusions - Medical Policy Article

Process for Determining Self-Administered Drug Exclusions – Medical Policy Article SAD A53020 https://www.cms.gov/medicare-coverage-database/details/article-details.aspx?articleId=53020

Posting Date: 04/19/2021

Polysomnography and Sleep Studies - Medical Policy Article

Polysomnography and Sleep Studies – Medical Policy Article N/A A53019 https://www.cms.gov/medicare-coverage-database/details/article-details.aspx?articleId=53019 95800, 95801, 95805, 95806, 95807, 95808, 95810, 95811, G0398, G0399, G0400

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

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

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

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 [...]

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 [...]

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 [...]

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 [...]

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 [...]

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 [...]

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 [...]