October 2022

A listing of the individual articles included in the Jurisdiction F Medicare A News bulletin dated October 2022 is provided. Each article title functions as a hyperlink to a specific article.

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Articles Source
2022 ICD-10 Local Coverage Determination (LCD) and Local Coverage Article (LCA) Updates
2022 ICD-10 Local Coverage Determination (LCD) and Local Coverage Article (LCA) Updates
Additional 2022 ICD-10 Local Coverage Determination (LCD) and Local Coverage Article (LCA) Updates
Appeals and Timely Filing
Appropriate Use of Fax Numbers
Billing and Coding MRI and CT Scans of the Head and Neck (A57215) R6 - Effective October 1, 2022
Billing and Coding: Artificial Hearts and Percutaneous Endovascular Cardiac Assist Procedures and Devices (A52967) R12 - Effective October 1, 2022
Billing and Coding: Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography (A57184) - R2 - Effective October 01, 2022
Billing and Coding: Cataract Surgery in Adults (A57196) - R4 - Effective January 01, 2022
Billing and Coding: Complex Drug Administration Coding (A58533) - R10 - Effective July 21, 2022
Billing and Coding: Hydration Services (A52732) - R6 - Effective May 07, 2020
Billing and Coding: Hydration Services (A52732) - R7 - Effective May 07, 2020
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55323) R8 - Effective July 1, 2022
Billing and Coding: JW Modifier Billing Guidelines (A55932) R3 - September 29, 2022
Billing and Coding: Micro-Invasive Glaucoma Surgery (MIGS) - R5 - Effective October 3, 2022
Billing and Coding: MolDX: APC and MUTYH Gene Testing (A57353) Retirement - Effective August 20, 2022
Billing and Coding: MolDX: BRCA1 and BRCA2 Genetic Testing (A57355) Retirement - Effective August 20, 2022
Billing and Coding: MolDX: Genetic Testing for Lynch Syndrome (A54996) Retirement - Effective August 20, 2022
Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer (A58681) R1 - Effective August 08, 2022
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57527) - R8 - Effective July 1, 2022
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58726) - R4 - Effective October 1, 2022
Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection (A58170) - R3 - Effective July 14, 2022
Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection (A58170) - R3 - Effective March 24, 2022
Billing and Coding: MolDX: Myriad’s BRACAnalysis CDx (A55295) - R8 - Effective July 28, 2022
Billing and Coding: MolDX: Phenotypic Biomarker Detection from Circulating Tumor Cells (A58183) - R3 - Effective June 02, 2022
Billing and Coding: Positron Emission Tomography Scans Coverage - R35 - Effective July 1, 2022
Billing and Coding: Pulmonary Thromboembolectomy (A59099) Retirement - Effective July 9, 2022
Billing and Coding: Routine Foot Care (A57957) - R11 - Effective October 01, 2022
Billing and Coding: Wound and Ulcer Care R2 - Effective February 3, 2022
Billing for Hospital Part B Inpatient Services CR12816
Canceled Claims Missing Indicator and Causing Overlap - Resolved 08/30/22 Alert
Cataract Surgery in Adults (L37027) - R2 - Effective October 01, 2019
CERT Documentation Deadline August 22, 2022
CERT Redetermination Deadline September 13, 2022
Changes to the Laboratory NCD Edit Software for January 2023 CR12888
Claim Status Category and Claim Status Codes Update CR12778
Coding Resources to Answer Your Questions
Correct Medicare Contact Information for Beneficiaries
CORRECTION: Monkeypox & Smallpox vaccines: Include Product Code on Claims
Coverage Article - Revised Article Notification - Computed Tomography Cerebral Perfusion Analysis (CTP) (A58225) - R1 - Effective June 3, 2022
Coverage Article - Revised Article Notification - Intensity Modulated Radiation Therapy (IMRT) (A58245) - R3 - Effective December 23, 2021
COVID-19 Monoclonal Antibody Therapy Q0222 Injection, Bebtelovimab, 175 mg Payment Allowance Update
COVID-19 Novavax Vaccine, Adjuvanted New Codes
DME Certificates of Medical Necessity (CMN) Discontinued by CMS for Dates of Service Starting January 2023
Exceptions to ASP Payment Methodology - Claims Processing Manual Changes CR12854
Facet Joint Interventions for Pain Management Questions and Answers
Final LCD Non-Invasive Fractional Flow Reserve (FFR) for Ischemic Heart Disease and Associated Billing and Coding: Non-Invasive Fractional Flow Reserve (FFR) for Ischemic Heart Disease - Effective September 18, 2022
Final Nerve Blockade for Treatment of Chronic Pain and Neuropathy LCD and Associated Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Effective September 4, 2022
Flu Shot: Encourage Preferred Vaccines for Patients 65+
Healthy Aging: Recommend Services for Your Patients
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