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Posting Date: 12/21/2023
MLN Connects® Newsletter: December 21, 2023
MLN Connects® Newsletter: December 21, 2023 News CMS Roundup (Dec 15, 2023) Opioid Use Disorder Screenings & Treatment: Medicare Pays for Services Opioid Treatment Programs: New Information for 2024 Skilled Nursing Facility [...]
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Posting Date: 12/01/2023
Self-Administered Drug Exclusion List - Medical Policy Article (Jurisdiction 6 Only)
Self-Administered Drug Exclusion List - Medical Policy Article (Jurisdiction 6 Only) SAD A53022 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53022 C9399, J0129, J0135, J0270, J0364, J0593, J0599, J0630, J0801, [...]
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Posting Date: 10/12/2023
Home Health Skilled Nursing Care: Teaching and Training for Dementia Patients with Behavioral Disturbances - Medical Policy Article
Home Health Skilled Nursing Care: Teaching and Training for Dementia Patients with Behavioral Disturbances - Medical Policy Article N/A A52845 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52845 G0299, G0300
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Posting Date: 04/19/2021
Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers
Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers pacemaker A54909 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54909 33206, 33207, 33208
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Posting Date: 09/07/2021
Billing and Coding: Ibandronate Sodium
Billing and Coding: Ibandronate Sodium drug, bone, osteoporosis A52421 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52421 J1740
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Posting Date: 07/03/2023
Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane)
Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™) drug A52450 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52450 J9264, J9267, J9259
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Posting Date: 07/03/2023
Billing and Coding: Bevacizumab and Biosimilars
Billing and Coding: Bevacizumab and Biosimilars drug, retinal A52370 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52370 A52370, C9257, J9035, Q5126, Q5129, 67028
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Posting Date: 07/03/2023
Billing and Coding: Infliximab and biosimilars
Billing and Coding: Infliximab and biosimilars drug A52423 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52423 J1745, Q5103, Q5104
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Posting Date: 03/09/2023
Billing and Coding: Implantable Automatic Defibrillators
Billing and Coding: Implantable Automatic Defibrillators N/A A56326 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56326 33202, 33203, 33215, 33216, 33217, 33218, 33220, 33223, 33224, 33225, 33230, 33231, 33240, [...]
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Posting Date: 01/11/2023
Off-Label Use of Chemotherapeutic Drugs and Biologicals for Non-Cancer Indications
Off-Label Use of Chemotherapeutic Drugs and Biologicals for Non-Cancer Indications A59217 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59217
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Posting Date: 01/11/2023
Off-Label Use of Drugs and Biologicals for Anti-Cancer Chemotherapeutic Regimen
Off-Label Use of Drugs and Biologicals for Anti-Cancer Chemotherapeutic Regimen A59218 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59218
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Posting Date: 01/06/2023
Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs drug, endometriosis, leuprolide, goserelin A52453 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52453 11981, 11982, 11983, 96402, J1950, [...]
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Posting Date: 10/02/2022
Billing and Coding: Eculizumab
Billing and Coding: Eculizumab drug, hemolysis A54548 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54548 J1300
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Posting Date: 09/30/2021
Laparoscopic Sleeve Gastrectomy (LSG) - Medical Policy Article
Laparoscopic Sleeve Gastrectomy (LSG) – Medical Policy Article morbid, obesity, weight A52447 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52447 43775
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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
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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, [...]
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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
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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
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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
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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, [...]
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