FIRST COAST SERVICE OPTIONS
LOCAL COVERAGE DETERMINATION
CODING GUIDELINES
Contractor’s
Determination Number
ATHERSVCS
Contractor Name
LCD Database ID
Number
L28992 –
L29024 – Puerto Rico/Virgin
First
Coast Service Options, Inc.
Contractor
Number
09101 –
09201 – Puerto Rico/Virgin
LCD Title
Therapy and
Rehabilitation Services
Coding
Guidelines
Physical medicine
and rehabilitation services utilize the therapeutic properties of exercise,
heat, cold, electricity, ultraviolet, ultrasound, hydrotherapy, massage, and
manual therapy to improve circulation, strengthen muscles, maintain or restore
motion, and train or retrain an individual to perform the activities of daily
living.
Physical Medicine
and Rehabilitation services must be furnished to a patient who is under the
care of a physician or non-physician practitioner. All personnel who are involved in providing
therapy services must be legally authorized (licensed, or if applicable, certified
or registered) to practice by the state in which they provide the services and
must act only within the scope of their state license, certification or
registration.
Effective January
1, 2000, optometrists may refer patients for therapy services as well as
establish and review the plan of treatment.
The plan of treatment established and/or reviewed by an optometrist must
relate to disease conditions that are treated by an optometrist.
Effective
01/01/2009 CPT code 95992 –Canalith repositioning
procedure(s), (eg, Epley
maneuver, Semont maneuver), per day – is considered a
“sometimes therapy” code.
Effective
01/01/2010 CPT code 95992 – Canalith repositioning
procedure(s) (e.g., Epley maneuver, semont maneuver), per day, is removed from the online
therapy code list, which is available at http://www.cms.hhs.gov/TherapyServices/05_Annual_Therapy_Update.asp#TopOfPage.
Effective
01/01/2011 CPT code 95992 –Canalith repositioning
procedure(s) (e.g., Epley maneuver, Semont maneuver), per day has been assigned a status
indicator of A and therefore, can be performed and billed by qualified
physicians, and other qualified health care providers. CPT code 95992 is listed on the CMS online
therapy code list, which is available at http://www.cms.hhs.gov/TherapyServices/05_Annual_Therapy_Update.asp#TopOfPage]
Effective 01/01/2010
CPT code 92520 – Laryngeal function studies (i.e., aerodynamic testing and
acoustic testing) – which is considered a “sometimes therapy” code, is added to
the online therapy code list.
The online therapy
code list includes all of the “always” and “sometimes” therapy procedure codes.
(Pub. 100-04, Section 20, B).
Effective
01/01/2009 CPT code 0183T – low frequency, non-contact, non-thermal ultrasound,
including topical application(s), when performed, wound assessment and
instruction(s) for ongoing care, per day – is considered a “sometime therapy”
code. 0183T is currently in the List of
Medicare Noncovered Services LCD as an investigational procedure. Therefore this service is not payable by
Medicare and will be denied as such when billed.
Effective for dates
of service on or after July 1, 2008, the applicable revenue codes for 75x type
of bills are as follows: 0270, 0274, 0279, 029X, 0410, 0412, 0419, 042X, 043X,
044X, 0550, 0559, 0560, 0569, 0636, 0771, 0900, 0911, 0914 and 0919.
Speech-Language
Pathology Services
Speech-language
pathology (SLP) services are included in the list of therapy services in Pub. 100-04, chapter 5, section 20. Policies for outpatient
therapy services are in Pub. 100-02, chapter 15, section 220
and 230. Most of the CPT codes that apply to SLP services are un-timed
codes that may only be billed once for each encounter. A common error is the
billing of un-timed codes for multiple units of time. For example, the
evaluation code 92506 is billed once a day regardless of the number of types of
evaluation included or the length of time that is involved. Bill the code that
most appropriately describes the service that is being provided.
General
policy for evaluation and treatment of conditions related to the auditory
system
For evaluation
of auditory processing disorders and speech-reading or lip-reading, by a
speech-language pathologists use the un-timed code 92506 with “1” as the unit
of service, regardless of the duration of the service on a given day. This
“always therapy” evaluation code must be provided by speech-language
pathologists according to the policies in Pub. 100-02, chapter 15, sections 220
and 230. The codes 92620 and 92621 are diagnostic audiological
tests and may not be used for SLP services. For treatment of auditory processing
disorders or auditory rehabilitation/auditory training (including
speech-reading or lip-reading), 92507, and 92508 are used to report a single
encounter with “1” as the unit of service, regardless of the duration of the
service on a given day. These codes always represent SLP services. See Pub.
100-02, chapter 15, sections 220 and 230 for SLP policies. These SLP evaluation
and treatment services are not covered when performed or billed by
audiologists, even if they are supervised by physicians or nonphysician
practitioners. For evaluation of auditory rehabilitation to instruct the use of
residual hearing provided by an implant or hearing aid related to hearing loss,
the timed codes 92626 and 92627 are used. These are not “always therapy” codes.
Evaluation of auditory rehabilitation shall be appropriately provided by an
audiologist or speech-language pathologist. Evaluation services may be billed
by an audiologist. Also, these services may be provided incident to a physician
or nonphysician ractitioner’s service by a speech
language pathologist, or personally by a physician or nonphysician practitioner
within their scope of practice. Evaluation of auditory rehabilitation is a
covered diagnostic test when performed and billed by an audiologist and is a SLP
evaluation service covered under the SLP benefit when performed by a
speech-language pathologist. General policies for post implant services. The
services of a speech-language pathologist may be covered for SLP services
provided after implantation of auditory devices. For example, a speech-language
pathologist may provide evaluation and treatment of speech, language,
cognition, voice, and auditory processing using code 92506 and 92507. Use 92626
and 92627 for auditory (aural) rehabilitation evaluation following cochlear
implantation or for other hearing impairments.
Hot or Cold
Modality (CPT code 97010)
Hot or cold packs
are used primarily in conjunction with therapeutic procedures to provide
analgesia, relieve muscle spasm and reduce inflammation and edema. The payment for hot or cold packs is bundled
into the payment for other services.
Therefore, when hot or cold packs are used in conjunction with other
procedures or modalities, the payment for the hot or cold packs
is not separately reimbursable.
Hot or cold packs
applied in the absence of associated procedures or modalities, or used alone to
reduce discomfort are considered not medically necessary and therefore, are not
covered.
Electrical
Stimulation (Manual) (CPT code 97032)
This modality
requires direct (one-on-one) patient contact by the provider.
Ultrasound
Application (CPT code 97035)
When phonopheresis is performed, use procedure code 97035.
Therapeutic
Exercise (CPT code 97110)
For guidelines
regarding Complex Decongestive Physiotherapy services, please refer to the
Complex Decongestive Physiotherapy Policy (97110).
Aquatic
Therapy with Therapeutic Exercise (CPT code 97113)
Aquatic therapy
(CPT code 97113) should not be billed in situations where no exercise is being
performed in the water environment (e.g., debridement of ulcers).
Aquatic therapy
with therapeutic exercise (97113) should not be billed when there is not
one-on-one contact between therapist and patient. For example, an aqua aerobic class of more
than one patient with the instructor directing the class from a distance would
not be considered reasonable and necessary and therefore, not a covered
service.
Manual
Therapy (CPT code 97140)
For guidelines
regarding Complex Decongestive Physiotherapy services, please refer to the
Complex Decongestive Physiotherapy Policy (97110).
Therapeutic
Procedure(s), group (2 or more individuals) (CPT code 97150)
Documentation must
be submitted with the claim identifying the specific treatment technique(s)
used in the group, how the treatment technique will restore function, the
frequency and duration of the particular group setting, and the treatment goal
in the individualized plan. The number
of persons in the group must also be furnished.
Other
Therapeutic Procedures (CPT codes 97532 and 97533)
This service is not
considered to be outpatient physical therapy and is, therefore, noncovered when billed by an Independent Practicing
Physical Therapist (Specialty 65).
Wheelchair
Management (CPT code 97542)
When billing 97542
for wheelchair propulsion training, documentation must relate the training to
expected functional goals that are attainable by the patient.
Physical
Performance Test or Measurement (CPT code 97750)
These services are not to be used in lieu of evaluation or re-evaluation
services. It would not be appropriate
to report a code from the 95831-95834 or the 95851-95852 series in addition to
97750. It is not medically reasonable
and necessary to bill this service as part of a routine assessment/evaluation
of rehabilitation services (97001, 97002, 97003 or 97004).
Orthotics
Management and Training (97760):
Orthotic training
(CPT code 97760) for a lower extremity performed during the same visit as gait
training (CPT code 97116) or self-care/home management training (CPT code
97535) should not be reported unless documentation in the medical record shows
that distinct treatments were rendered.
In addition, the
casting and strapping codes should not be reported in addition to code
97760. If casting and strapping of a
fracture, injury, or dislocation is performed, procedure codes 29000-29590
should be reported. Please refer to the
LMRP/LCD policy (29580) for further guidelines regarding strapping.
Manual Muscle
Testing and
Codes 95831-95834
identify manual muscle testing procedures. Use of these codes specifies testing
of muscle strength as graded by the examiner according to standardized grading
scales. The code descriptors defines the use of these codes including the body
area(s) addressed, manual muscle testing, and the preparation of a formal,
written report of the findings as a necessary component of the procedure.
Use of the manual
muscle testing codes requires testing of muscle strength, comparison of values
by the examiner to a standardized grading scale and creation of a formal,
written report of the findings. Muscle testing performed without recording
specific values for the muscles tested, or one that does not include a separate
report, should not be reported with codes 95831-95834. Instead, this effort
should be included as part of the E/M service or part of 97001-97002.
It would not be
expected that these services would be routinely billed as a re-evaluation, as
this is not the purpose of these codes.
Timed and
Untimed Codes
When reporting
service units for HCPCS codes where the procedure is not defined by a specific
timeframe (“untimed” HCPCS), the provider enters “1” in the field labeled units. For untimed codes, units are reported based
on the number of times the procedure is performed, as described in the HCPCS
code definition (often once per day).
Example: A beneficiary received a speech-language pathology evaluation
represented by HCPCS “untimed” code 92506. Regardless of the number of minutes
spent providing this service only one unit of service is appropriately billed
on the same day.
Several CPT codes
used for therapy modalities, procedures, and tests and measurements specify
that the direct (one on one) time spent in patient contact is 15 minutes.
Providers report procedure codes for services delivered on any single calendar day using CPT codes
and the appropriate number of 15
minute units of service.
Example: A beneficiary received occupational therapy (HCPCS “timed”
code 97530 which is defined in 15 minute units) for a total of 60 minutes. The
provider would then report revenue code 043X and 4 units.
Counting
Minutes for Timed Codes in 15 Minute Units
When only one service is provided in a day, providers should not bill for
services performed for less than 8 minutes. For any single timed CPT code in the same day measured in 15 minute units,
providers bill a single 15-minute unit for treatment greater than or equal to 8
minutes through and including 22 minutes.
If the duration of a single modality or procedure in a day is greater than or equal to
23 minutes through and including 37 minutes, then 2 units should be
billed. Time intervals for 1
through 8 units are as follows:
|
Units |
Number of Minutes |
|
1 unit |
≥ 8 minutes through 22
minutes |
|
2 units |
≥ 23 minutes through 37
minutes |
|
3 units |
≥ 38 minutes through 52 minutes |
|
4 units |
≥ 53 minutes through 67 minutes |
|
5 units |
≥ 68 minutes through 82 minutes |
|
6 units |
≥ 83 minutes through 97 minutes |
|
7 units: |
≥ 98 minutes through 112 minutes |
|
8 units |
≥ 113 minutes through 127 minutes |
The pattern remains
the same for treatment times in excess of 2 hours.
If a service represented by a 15 minute timed code is performed in a
single day for at least 15 minutes, that service shall
be billed for at least one unit. If the service is performed for at least 30
minutes, that service shall be billed for at least two units, etc. It is not appropriate to count all minutes of
treatment in a day toward the units for one code if other services were
performed for more than 15 minutes. When more than one service represented by
15 minute timed codes is performed in a single day, the total number of minutes
of service (as noted on the chart above) determines the number of units billed.
If any 15 minute timed service that is performed for 7 minutes or less
than 7 minutes on the same day as another 15 minute timed service that was also
performed for 7 minutes or less and the total time of the two is 8 minutes or
greater than 8 minutes, then bill one unit for the service performed for the
most minutes . This is correct because the total time
is greater than the minimum time for one unit. The same logic is applied when
three or more different services are provided for 7 minutes or less than 7
minutes.
Pub. 100-02, chapter 15,
section 230.3B Treatment Notes indicates that the amount of time for each
specific intervention/modality provided to the patient is not required to be
documented in the Treatment Note. However, the total number of timed minutes
must be documented. These examples indicate how to count the appropriate number
of units for the total therapy minutes provided.
Example 1:
24 minutes of neuromuscular reeducation, code 97112,
23 minutes of therapeutic exercise, code 97110,
Total timed code treatment time was 47 minutes.
See the chart above. The 47 minutes falls within the range for 3 units
= 38 to 52 minutes. Appropriate billing
for 47 minutes is
only 3 timed units. Each of the codes is performed for more than
15 minutes, so each shall be billed for at least 1 unit. The correct
coding is 2 units of code 97112 and one unit of code 97110, assigning more timed units to the service that took
the most time.
Example 2:
20 minutes of neuromuscular reeducation (97112)
20 minutes therapeutic exercise (97110),
40 Total timed code minutes.
Appropriate billing for 40 minutes is 3 units. Each service was done at
least 15 minutes and should be billed for at least one unit, but the total
allows 3 units. Since the time for each service is the same, choose either code
for 2 units and bill the other for 1 unit. Do not bill 3 units for either one
of the codes.
Example 3:
33 minutes of therapeutic exercise (97110),
7 minutes of manual therapy (97140),
40 Total timed minutes
Appropriate billing for 40 minutes is for 3 units. Bill
2 units of 97110 and 1 unit of 97140. Count the first
30 minutes of 97110 as two full units. Compare the remaining time for
97110 (33-30 = 3 minutes) to the time spent on 97140 (7 minutes) and bill the
larger, which is 97140.
Example 4:
18 minutes of therapeutic exercise (97110),
13 minutes of manual therapy (97140),
10 minutes of gait training (97116),
8 minutes of ultrasound (97035),
49 Total timed minutes
Appropriate billing is for 3 units. Bill the procedures you spent the
most time providing. Bill 1 unit each of 97110, 97116, and
97140. You are unable to bill for the ultrasound because the total time
of timed units that can be billed is constrained by the total timed code
treatment minutes (i.e., you may not bill 4 units for less than 53 minutes
regardless of how many services were performed). You would still document the
ultrasound in the treatment notes.
Example 5:
7 minutes of neuromuscular reeducation (97112)
7 minutes therapeutic exercise (97110)
7 minutes manual therapy (97140)
21 Total timed minutes
Appropriate billing is for one unit. The qualified professional (See
definition in Pub 100-02/15, sec. 220) shall select one appropriate CPT code (97112, 97110, 97140)
to bill since each unit was performed
for the same amount of time and only one unit is allowed.
NOTE: The above
schedule of times is intended to provide assistance in rounding time into
15-minute increments. It does not imply that any minute until the eighth should
be excluded from the total count. The total
minutes of active treatment counted for all 15 minute timed codes includes all direct treatment time
for the timed codes. Total treatment minutes-- including minutes
spent providing services represented by untimed codes — are also documented.
For documentation in the medical record of the services provided see Pub.
100-02, chapter 15, section 230.3: Documentation, Treatment Notes.
Specific
Limits for HCPCS
The following list
of codes may be billed, when covered, only at or below the number of units indicated
in the chart per treatment day. Chart does not include all of the codes
identified as therapy codes. Use this chart in the following manner:
·
The
codes that are allowed one unit for “allowed units” in the chart may be billed
no more than once per provider, per discipline, per date of service, per
patient.
·
The
codes allowed 0 units in the column for “allowed units”, may not be billed
under a plan of care indicated by the discipline in that column. Some codes may
be billed by one discipline (e.g., PT) and not by others (e.g., OT or SLP).
·
When
physicians/NPPs bill “always therapy” codes they must follow the policies of
the type of therapy they are providing, e.g., utilize a plan of care, bill with
the appropriate therapy modifier (GP, GO, GN), bill the allowed units on the
chart below for PT, OT or SLP depending on the plan. A physician/NPP shall not
bill an “always therapy” code unless the service is provided under a therapy
plan of care. Therefore, NA stands for “Not Applicable” in the chart below.
·
When
a “sometimes therapy” code is billed by a physician/NPP, but as a medical
service, and not under a therapy plan of care, the therapy modifier shall not
be used, but the number of units billed must not exceed the number of units
indicated in the chart below.
*Please note that this chart only
contains the codes that apply to this LCD. To view the entire chart please see
the Internet only Manual, Pub 100-04, Medicare Claims Processing Manual,
Chapter 5, Section 20.2.
|
HCPCS |
Code description |
Timed or Untimed |
PT allowed units |
OT allowed units |
SLP allowed units |
Physician/NPP NOT under
therapy POC |
|
92506 |
Speech/hearing evaluation |
Untimed |
0 |
0 |
1 |
NA |
|
95833 |
Limb muscle testing, manual |
Untimed |
1 |
1 |
0 |
1 |
|
95834 |
Limb muscle testing, manual |
Untimed |
1 |
1 |
0 |
1 |
|
97001 |
PT evaluation |
Untimed |
1 |
0 |
0 |
NA |
|
97002 |
PT re-evaluation |
Untimed |
1 |
0 |
0 |
NA |
|
97003 |
OT evaluation |
Untimed |
0 |
1 |
0 |
NA |
|
97004 |
OT re-evaluation |
Untimed |
0 |
1 |
0 |
NA |
The progress notes
should be written using measurements and functional accomplishments. Use statements which can be used to assess
the patient s response to therapy such as:
·
“able to perform exercises as prescribed for 15 reps”
·
“able to safely transfer from bed to wheelchair with standby
assistance”
·
“can now abduct shoulder 120 degrees”
·
“can bridge now sufficiently to pull slacks up over hips”
Avoid terms such
as:
·
doing well
·
improving
·
less pain
·
increased range of motion
·
increased strength
·
tolerated treatment well
Use of the KX Modifier: When services qualify for an automatic
process exception, provider/suppliers should add a KX modifier to each line of
the claim that contains a service that exceeds caps. This modifier represents the
provider/supplier’s attestation of medical necessity. Medical records continue to be subject to
review for possible misrepresentation, fraud or patterns of abuse. If the contractor determines that the
provider/supplier has inappropriately used the modifier, the provider/supplier
may be subject to sanctions resulting from providing inaccurate information on
a claim. The exception process for
therapy services is effective until further notice.
CMS has identified
HCPCS codes that are “always therapy” services.
These codes are listed in the Claims Processing Manual, Chapter 5,
Section 20(B), “Applicable Outpatient Rehabilitation
HCPCS Codes.” Therapy services include
only physical therapy, occupational therapy and speech-language pathology
services. Therapy modifiers are GP for physical therapy, GO for occupational therapy, and
GN for speech-language pathology.
Underlined codes are “always therapy” services, regardless of who performs them. These codes always require therapy modifiers
(GP, GO, GN).
The
provider/supplier should notify beneficiaries of the therapy financial
limitations at their first therapy encounter with the beneficiary.
Providers/suppliers should inform beneficiaries that beneficiaries are
responsible for 100 percent of the costs of therapy services above each
respective therapy limit, unless this outpatient care is furnished directly or
under arrangements by a hospital.
Patients who are residents in a Medicare certified part of a SNF may not
utilize outpatient hospital services for therapy services over the financial
limits, because consolidated billing rules require all services to be billed by
the SNF.
NEMB - It is the provider’s
responsibility to present each beneficiary with accurate information about the
therapy limits, and that, where necessary, appropriate care above the limits
can be obtained at a hospital outpatient therapy department. Although use of the NEMB form is not a
Medicare requirement the provider/supplier should use the Notice of Exclusion
from Medicare Benefits (NEMB Form No. CMS 20007), or a similar form of their own design to inform
beneficiaries of the therapy financial limitation and the cap exclusion
process. When using the NEMB
form, the beneficiary checks the appropriate box,
and the provider and writes the reason for denial in the space provided at the
top of the form. The following reason is suggested: “Services do not qualify
for exception to therapy caps. Medicare will not pay for physical therapy and
speech-language pathology services over (add the dollar amount of the cap and
the year or the dates of service to which it applies, e.g., $1740 in 2006 or
$1780 in 2007 or $1810 in 2008) unless the beneficiary qualifies for a cap
exception.” Providers are to supply this
same information for occupational therapy services over the limit for the same
time period, as appropriate. The NEMB
form can be found at: http://www.cms.hhs.gov/medicare/bni/
The therapy
cap for 2011 for physical therapy and speech language pathology services
combined is $1870. The therapy cap for 2011 for
occupational therapy service is $1870.
For 2012, the annual limit on the allowed amount for
outpatient physical therapy and speech-language pathology combined is $1880;
the limit for occupational therapy is $1880.
Note: The NEMB form will be discontinued beginning
March 1, 2009. Beginning on this date,
providers may use the revised ABN (CMS-R-131) in place of the NEMB or a similar
form of their own design.
ABN - An Advance Beneficiary
Notice (ABN) is required to be given to a beneficiary whenever the treating
clinician determines that the services being provided are no longer expected to
be covered because they do not satisfy Medicare’s medical necessity
requirements. The ABN informs the
beneficiary of their potential financial obligation to the provider and
provides guidance regarding appeal rights.
The ABN applies to services that are provided BEFORE the
cap is exceeded.
Note: The ABN-G will no longer be effective
beginning March 1, 2009. Beginning on
this date, providers must use the revised ABN (CMS-R-131). The revised ABN can be found at: http://www.cms.hhs.gov/BNI/Downloads/ABNFormsInstructions.zip
After the cap is
exceeded, only voluntary notice, such as the NEMB or the revised ABN (beginning
3/1/09) is appropriate, regardless of whether the services were excepted from the cap.
For example, if services are provided over the cap for an excepted
condition, when the therapist determines that the services no longer meet the
criteria for reasonable and necessary services, a voluntary notice, such as the
NEMB or the revised ABN may be provided to the patient.
At the time the
clinician determines that skilled services are not necessary, the clinical
goals have been met, or that there is no longer potential for the
rehabilitation of health and/or function in a reasonable time, the beneficiary
should be informed. If the beneficiary
requests further services, inform the beneficiary that Medicare will not likely
provide additional coverage. Use the ABN
form for this purpose if the services are within the cap, and use the
NEMB/revised ABN for services after the cap is exceeded.
Access to
Accrued Amount
- All providers and contractors may access the accrued amount of therapy
services from the ELGA screen inquiries into CWF. Providers/suppliers may access remaining
therapy services limitation dollar amount through the 270/271 eligibility
inquiry and response transaction.
Providers who bill to FIs will also find the amount a beneficiary has
accrued toward the financial limitations on the HIQA. Some suppliers and providers billing to
carriers may, in addition, have access the accrued amount of therapy services
from the ELGB screen inquiries into CWF.
Suppliers who do not have access to these inquiries may call the
contractor to obtain the amount accrued.
Comments
For additional
Coverage Guidelines, please see:
Pub. 100-02, Medicare Benefit
Policy Manual, Chapters 12 and 15
Pub. 100-04, Medicare Claims
Processing Manual, Chapter 5
Revision History
|
Date |
Revision |
|
03/01/2012 |
7- Revised the coding Guidelines to change language
per Technical Direction Letter TDL-12245 regarding the therapy cap
extension. This effective date of this
revision is based on dates of service on or after March 1, 2012 until further
notice. |
|
01/01/2012 |
6- Revised the Coding Guidelines to change language
per CR 7529 regarding the change in the dollar amount of the therapy cap. The effective date of this revision is
based on date of service. |
|
01/01/2011 |
5- Revised the
Coding Guidelines to change language per CR7300 regarding the change in dollar
amount of the therapy cap. Claims
processed on or after January 14, 2012 for dates of service on or after
January 1, 2011. |
|
01/01/2011 |
4- Annual 2011
HCPCS Update. Revised references to Canalith repositioning procedure. The effective date of
this revision is based on date of service. |
|
01/01/2010 |
3 - Revised the Coding Guidelines per CR 6719, regarding
therapy services online list of therapy procedure codes. The effective date of this revision is
based on date of service. |
|
04/06/2009 |
2 - Revised to
change language per CR 6321, regarding Notice of Exclusion from Medicare
Benefits (NEMB) form; Advance Beneficiary Notice (ABN) form; access to
accrued amount information, and change in dollar amount of the therapy
cap. Changes in language per CR 6397,
regarding billing information for the Canalith
repositioning procedures. This
revision is effective for claims processed on or after 04/06/2009 for dates
of service on or after 01/01/2009. |
|
03/02/2009 |
1 – Revision to
add language regarding CPT codes 0183T and 95992 in conjunction with Change
Request 6254 dated October 31, 2008 and JSM/TDL – 09132, dated January 21,
2009. Revisions are effective for
0183T for claims processed on or after 01/05/2009 for dates of service on or
after 01/01/2009. Revisions are
effective for 95992 for claims processed on or after 03/02/2009 for dates of
service on or after 01/01/2009. |
|
02/16/2009 – |
Original |
Document formatted: 03/23/2012 (RA/et)