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    • August 31, 2012

    Effective for dates of service on or after September 1, 2012, the ICD-9-CM diagnosis range that justifies reimbursement is updated for the following CPT codes: 93886, 93888, 93890, 93892 and 93893. Source: General Medicine | August 2012 | Bulletin 458

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    • August 31, 2012

    As a result of the Office of Inspector General (OIG) Report OEI-12-10-00190, Medicare contractors have been notified of questionable billing patterns of portable X-ray suppliers. The report focuses on several issues; however, contractors have been instructed to review previously paid claim data as far back as 2009. The referring provider... more

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    • August 31, 2012

    Effective for dates of service on or after September 1, 2012, CPT radiology codes 76820 ñ 76821 (doppler velocimetry, fetal, umbilical artery; middle cerebral artery) and 76825 ñ 76828 (echocardiography, fetal, cardiovascular system, real time with image documentation [2D], with or without M-mode recording; follow-up or repeat study; doppler... more

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    • August 31, 2012

    The 2012 updates to the CPT and HCPCS National Level II codes will be effective for Medi-Cal for dates of service on or after October 1, 2012. Specific policy updates and coverage guidelines are included for RADIOLOGY services in the bulletin. Updated manual replacement pages reflecting new policy or policy changes will be published in a future... more

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    • June 27, 2012

    Effective for dates of service on or after July 1, 2012, Medi-Cal will reduce its reimbursement for the professional component of Computed Tomography, Computed Tomographic Angiography, Magnetic Resonance Imaging and Magnetic Resonance Angiography procedures when more than one service of the same type of imaging is furnished by the same physician... more

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    • June 27, 2012

    Effective for dates of service on or after July 1, 2012, computed tomography angiography (CTA) CPT code 75635 (abdominal aorta and bilateral iliofemoral lower extremity runoff with contrast material[s], including noncontrast images, if performed, and image postprocessing) has been added as a benefit. Source: General Medicine | June 2012 |... more

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    • May 24, 2012

    Medicare is expanding the Multiple Procedure Payment Reduction (MPPR) to the Professional Component (PC) in addition to the Technical Component (TC) of certain diagnostic imaging procedures. Full payment is made for each PC and TC service with the highest payment under the Medicare Physician Fee Schedule (MPFS). Payment is made at 75 percent for... more

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    • February 16, 2012

    Change Request (CR) 7517 alerts providers that the annual HPSA bonus payment file for 2012 will be made available by CMS to your Medicare contractor and will be used for HPSA bonus payments on applicable claims with dates of service on or after January 1, 2012, through December 31, 2012. These files will be posted to the internet on or about... more

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