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Article Detail - JE Part A

Billing and Coding: Platelet Rich Plasma - Retirement - Effective January 23, 2022

This coverage article has been retired under contract numbers: 01111 (CA), 01211 (AS, GU, HI, NMI), 01311 (NV), and 01911 (CA, HI & Territories).

Medicare Coverage Database (MCD) Number: A58307
Summary: This coverage article has been retired due to updated information that will be included in an upcoming Local Coverage Determination (LCD) and Local Coverage Article (LCA). The Noridian guidance in the retired article may still be helpful in assessing medical necessity. Where providers have adjusted their billing and coding practices to comply with the guidance in a coverage article, they will want to be very careful in departing from these practices just because the article is retired. Provider offices remain responsible for correct documentation, coding, billing and demonstrating medical necessity under Medicare. This responsibility for correct claims submission is unchanged whether or not there is a coverage article in place.

Visit the Noridian Medicare Coverage Articles webpage to access the Retired articles in the CMS MCD.

            Last Updated Fri, 21 Jan 2022 13:25:07 +0000