CMS releases updated frequently-asked questions for ICD-10 acknowledgement and end-to-end testing

Summary The Centers for Medicare & Medicaid Services (CMS) recently updated frequently-asked questions and answers for health care providers and billing houses participating in testing programs for the upcoming transition to the International Classification of Diseases, 10th Edition (ICD-10). Health care providers and billing agencies who participate in acknowledgement testing and who are selected to ... Read More

Emergency update to the 2015 Medicare physician fee schedule database

Effective date January 1, 2015 Implementation date: January 5, 2015 Summary The Centers for Medicare & Medicaid Services (CMS) recently released an emergency update to Medicare physician fee schedule database payment files. With the emergency release, CMS amended those payment files, including an updated conversion factor of $35.7547 for services furnished between January 1, 2015, ... Read More

2015 HCPCS local coverage determination changes

First Coast Service Options Inc. has revised local coverage determinations (LCDs) impacted by the 2015 Healthcare Common Procedure Coding System (HCPCS) annual update. Procedure codes have been added, revised, replaced and deleted accordingly: LCD Title Changes Allergy Testing Descriptor change for CPT® code 84600 Deleted HCPCS codes G0461 and G0462 Added CPT® codes 88341, 88342, ... Read More

Noncovered services — revision to the Part B LCD

The Medical Policy & Procedures Department evaluated the following services and determined that they are not considered medically reasonable and necessary at this time based on current available published evidence (e.g., peer-reviewed medical literature, and published studies). Therefore, the following procedure codes have been added to the Noncovered Services local coverage determination (LCD). After a ... Read More

NCD for Anesthesia in Cardiac Pacemaker Surgery

 Benefit Category Inpatient Hospital Services Outpatient Hospital Services Incident to a Physician’s Service Physicians’ Services Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service. Indications and Limitations of Coverage The use of general or monitored anesthesia during transvenous cardiac pacemaker surgery may be reasonable and ... Read More