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Urological Supplies

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Documentation

Document Type Description
Documentation Checklist [PDF] Suppliers may use this checklist to ensure all required documentation is gathered

 

Reviews/Audits

Review Type Description
Medical Review View notifications and findings of pre and post claim reviews completed by Noridian Medical Review Staff


Bundling

Per the bundling table listed in Policy Article A52521:

  • When the bundled code listed in Column I is billed, the codes in column II are not separately payable.
  • When the codes in Column II are provided at the same time, it must be billed with the bundled code listed in Column I.
Column I Column II
A4310 A4332
A4311 A4310, A4332, A4338
A4312 A4310, A4332, A4344
A4313 A4310, A4332, A4346
A4314 A4310, A4311, A4331, A4332, A4338, A4354, A4357
A4315 A4310, A4312, A4331, A4332, A4344, A4354, A4357
A4316 A4310, A4313, A4331, A4332, A4346, A4354, A4357
A4354 A4310, A4331, A4332, A4357
A4357 A4331
A4358 A4331, A5113, A5114
A5105 A4331, A4358, A5112, A5113, A5114
A5112 A5513, A5114
 

 

Last Updated Apr 13, 2017

The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.

Urological Supplies (HCPCS A4351, A4353, A4358) Quarterly Results of Service Specific Prepayment Review  Jun 13, 2017
Urological Supplies (HCPCS A4351, A4353, A4358) Quarterly Results of Service Specific Prepayment Review  Sep 27, 2016
Urological Supplies (HCPCS A4351, A4353, A4358) Quarterly Results of Service Specific Prepayment Review  Aug 11, 2016
Urological Supplies (HCPCS A4326) Results of Service Specific Prepayment Probe Review  Jul 18, 2016
Urinary Drainage Systems  Jun 09, 2016
Urological Supplies (HCPCS A4357) Final Edit Effectiveness Results of Service Specific Prepayment Review  Apr 07, 2016
Urological Supplies (HCPCS A4357) Final Edit Effectiveness Results of Service Specific Prepayment Review  Apr 05, 2016
LCD and Policy Article Revisions Summary for March 17, 2016 DMD   Mar 17, 2016
Urological Supplies (HCPCS A4351, A4353, A4358) Quarterly Results of Service Specific Prepayment Review  Mar 15, 2016
Urological Supplies (HCPCS A4326) Notification of Service Specific Prepayment Probe Review  Feb 12, 2016
Urological Billing Reminder  Jan 14, 2016
Urological Supplies (HCPCS A4351, A4353, A4358) Quarterly Results of Service Specific Prepayment Review  Oct 21, 2015
Urological Supplies (HCPCS A4357) Quarterly Results of Service Specific Prepayment Review  Oct 21, 2015
Correct Coding - Urinary “No-Touch” Catheters DMD   May 21, 2015