Benefit Category Inpatient Hospital ServicesOutpatient Hospital Services Incident to a Physician’s ServicePhysicians’ 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 necessary…
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…
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…
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,…
Effective date January 1, 2015Implementation date: January 5, 2015 SummaryThe 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, and March…
