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Urological Supplies

Coverage

Documentation

Document Type Description
Documentation Checklist [PDF] Suppliers may use this checklist to ensure all required documentation is gathered
Physician Letter - Intermittent Urinary Catheterization [PDF] The letter is directed towards physicians and advises them of what is needed on the prescription and in the medical record for intermittent catheters.

 

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 Sep 08, 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.

Urinary Drainage Systems  Jun 09, 2016