Medical Record Review Results

Noridian Medical Review (MR) has analyzed findings as a result of Targeted Probe and Educate (TPE) review. The goal of MR is to reduce claim errors by identifying services with top trending errors and providing relevant education. MR encourages providers to review this information to ensure compliance with documentation, billing, and coding guidelines.

Review Criteria Required Documentation Current Error Rate Review Results
CPT® 64483 - Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level Surgery and Procedure Services Documentation Requirements 64.03%
CPT® 77600 - Hyperthermia, externally generated; superficial; heating to a depth of 4cm or less Radiation Therapy Documentation Requirements 100.00%
HCPCS J7308 - Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg) Drugs, Injections and Biologicals Documentation Requirements 100.00%
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