CMS
Medlearn Matters MM3888
Publication Date: June 24, 2005
Effective Date: October 01, 2005
The Ninth Revision of the International Classification of Diseases, Clinical Modification (ICD-9-CM) will apply for claims with service dates on or after October 01, 2005 and discharges and through dates on or after October 01, 2005 for institutional providers.
CMS
Medlearn Matters MM3923
Publication Date: July 22, 2005
Effective Date: October 01, 2005
Remark and reason code changes approved by Medicare February 28, 2005 include:
| Type | Code | New/
Modified/ Deactivated/ Retired |
Current Narrative | Comment |
| Remark | N345 | New | Date range not valid with units submitted. | Not Medicare Initiated. |
| Remark | N346 | New | Missing/incomplete/invalid oral cavity designation code. | Not Medicare Initiated. |
| Remark | N347 | New | Your claim for a referred or purchased service cannot be paid because payment has already been made for this same service to another provider by a payment contractor representing the payer. | Medicare Initiated. |
| Remark | MA100 | Modified | Missing/incomplete/invalid date of current illness or symptoms. | Modified effective as of March 30, 2005. |
| Remark | MA128 | Modified | Missing/incomplete/invalid FDA approval number. | Modified effective on March 30, 2005. |
| Remark | 166 | New | These services were submitted after this payer's responsibility for processing claims under this plan ended. | New as of February 2005. |
Medi-Cal
Medi-Cal Update, General Medicine Bulletin 372
Publication Date: July 2005
Effective Date: August 01, 2005
Current Medi-Cal policy states that all claims for laboratory procedures (CPT-4 codes 80000 - 89999) require a diagnosis code. Effective for dates of service on or after August 01, 2005, this policy will be strictly enforced. Claims for laboratory procedures submitted without a diagnosis code will be returned to the provider for correction with a Resubmission Turnaround Document (RTD). If the RTD is not returned, or is returned without a diagnosis code, the claim will be denied.
This information is reflected in the Pathology: Billing and Modifiers section of the Part 2 provider manual.