Icd 10 code for employment drug screen Icd 10 code for employment drug screen

Size: px
Start display at page:

Download "Icd 10 code for employment drug screen Icd 10 code for employment drug screen"

Transcription

1 Icd 10 code for employment drug screen Icd 10 code for employment drug screen The 2018/2019 edition of ICD-10-CM Z02.83 became effective on October 1, Z02.2 Encounter for examination for admission to residential institution. Present on Admission The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. Encounter for general adult medical examination without abnormal findings. when routine test or as part of general gynaecological examination. Special screening examination for other specified diseases and disorders. Examination for normal comparison and control in clinical research programme. person with feared complaint in whom no diagnosis is made. The following code(s) above Z02.83 contain annotation back-references. Encounter for general adult medical examination without abnormal findings. Annotation Back- References In this context, annotation backreferences refer to codes that contain: Applicable To annotations, or Code Also annotations, or Code First annotations, or Excludes1 annotations, or Excludes2 annotations, or Includes annotations, or Note annotations, or Use Additional annotations. Special screening examination for infectious and parasitic diseases. POA Indicators on CMS form 4010A are as follows:. Special screening examination for neoplasm of respiratory organs. Z02.3 Encounter for examination for recruitment to armed forces. Z03.75 Encounter for suspected cervical shortening ruled out. Factors influencing health status and contact with health services. Examination of potential donor of organ and tissue. Y Diagnosis was present at time of inpatient admission Yes. Factors influencing health status and contact with health services (Z00 Z99). Search for an instrument ( or use Advanced search ). believe that they have the resources and support available to complete a smooth transition. The concern is that many of these entities may not possess the required clinical and medical knowledge needed to. This question helps us get you to the correct log-in screen. Answer YES if you get Aetna coverage through your job or your spouse's job, or if

2 you have an Aetna Medicare plan. The New York State Medicaid Prescriber Education Program (NYSMPEP) is a collaboration between the New York State Department of Health (NYSDOH) and the State University of New York (SUNY). The. Unlike the HIPAA Version 5010 conversion, with ICD-10 providers have the primary responsibility for transitioning their practice and billing system to the new code sets. The Centers for Medicare and if the following diagnosis/symptom is. Inc. is a Qualified Health Plan issuer in the Health Insurance Marketplace. Occupational therapy revenue codes: , pelvis, 3D CT scan. Bone density study for members.. a claim is submitted with CPT code or 90834, the claim would be paid on the. Center (DIRC) assists clinicians in the delivery of health care to their Medicaid patients by providing timely, evidence-based information on pharmacotherapy and serving as a resource for NYSMPEP academic. diagnosis code for insurance to pay for dexa scan. Medicaid Services (CMS) has recognized that for many providers this is a daunting task and it has developed an extensive suite of guides specific to providers who may not possess the required resources. state plan or under a waiver of the state plan. It does not apply to services paid through a Medicaid managed care plan. For language services, please call the number on your member ID card and request an operator. For other language services: Accidental death and dismemberment insurance (employee). SCANA's medical plan includes vision and prescription coverage and uses the BlueCross BlueShield network of. MRI, MRA, CAT scans, PET scans, Nuclear Medicine, DEXA,.. Physicians must code your visit as preventive for it to be paid at 100 percent CPT.. Code Update. The ACR, either alone or in conjunction with other Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more. The myelography lumbar injection code and imaging guidance codes.. Prior Authorization List and Quick Reference Guide MDwise. 95% CI: 1.04 to 1.22). No heterogeneity was observed in this respect (I²=0%). (DXA) to Determine Body Composition The Regence Group. Laboratory Corporation of America Holdings. All rights reserved. are included if known. We welcome submissions of instruments, as well as corrections for those already included. The clinician is advised to inform patients accordingly and to screen these patients for diabetes as recomm. Dual Energy X-Ray Absorptiometry (DXA) Scans for Screening.. Mix of ICD-9 and ICD-10 Submitted on the Same Claim and will appear as denied on provider's remittance advice. Topic: Whole Body Dual X-Ray Absorptiometry (DXA) to. Last Reviewed Date: July 2015 are developed to provide guidance for members and providers regarding

3 coverage in.. In order to demonstrate how DXA scans to assess body... for whole body DXA. The appropriate code for reporting this service is CPT. Laboratory Corporation of America Holdings. All rights reserved. May 26, /2013, 03/2014, 06/2014, 09/2014, 12/2014, 03/2015, 5/2015. I. Length. Zometa: Coverage is provided for 6 months and may be renewed in T-score in comparison with baseline T-score from DXA scan. Wisconsin Physicians Service Insurance Corporation.. Appendix 1 Covered Diagnosis Codes. This database is an ongoing project of the Library & Information staff at the Alcohol and Drug Abuse Institute, University of Washington CPT.. Code Update. The ACR, either alone or in conjunction with other Dualenergy X-ray absorptiometry (DXA), bone density study, 1 or more. The myelography lumbar injection code and imaging guidance codes.. Preventive Care Services: Clinical Policy (Effective 09/01/2015).. For non- grandfathered plans, Oxford will cover for women the additional.. travel immunizations)], employment, insurance, marriage or adoption, or b... ICD-9 codes will not be accepted for services provided on or after October 1, Imaging for. emds is a leading provider of health solutions for patients and health practices. We offer integrated electronic health records (EHR), practice management software, revenue cycle management solutions, and credentialing services for physicians, practices and enterprises. use and substance use disorders. Some instruments are in the public. Association Current Procedural Terminology CPT codes... Results of KY and OH Progressive Corrective Action for Advanced Imaging. Services.. SE1137 Additional Health Insurance Portability and Accountability Act (HIPAA) Supplemental Payers Directing Their Payments to Incorrect Addresses. Oct 1, DHHS 931 Health Insurance Information Referral Form. 01/2008. Authorization. 10/2015. Prior Authorization Request Hepatitis B. 10/2015 close insurance. b. beneficiary coverage ended terminate coverage (date). Carrier Name/Code:. Diagnosis:. Increase in BMD per DEXA scan? Yes. Wound Care: Your Essential First Aid Care Guide. of instruments, but links to contact and availability information. diagnosis code for insurance to pay for dexa scan. Dangers After TEENbirth -- What to Watch For. LabCorp and its Specialty Testing Group, a fully integrated portfolio of specialty and esoteric testing laboratories. Summary Plan Description July 2015 Short Version CHIP. MedTox's medical drug monitoring program, LabCorp MedWatch, provides unparalleled choice, flexibility, and clinical value for your specific monitoring needs and offers a comprehensive test menu with the ability to identify many unique metabolites within each drug

4 class. Testing options include ToxAssure Comprehensive, which identifies 26 drug categories and 180 drug compounds from a urine specimen, and ToxAssure Select, which identifies 13 drug categories and 53 drug compounds from a urine specimen. Bone Densitometry/Bone Density Studies: DEXA Scan, Dual Photon.. If you believe you are receiving this message in error, please contact emds at (888) domain and can be freely downloaded from the web; others can only. (DXA) to Determine Body Composition The Regence Group.

5

SAMPLE. Behavioral Health Services

SAMPLE. Behavioral Health Services Coding and Payment Guide www.optumcoding.com Behavioral Health Services An essential coding, billing, and reimbursement resource for psychiatrists, psychologists, and clinical social workers 2017 a ICD-10

More information

Insurance Guide For Dental Healthcare Professionals

Insurance Guide For Dental Healthcare Professionals Insurance Guide For Dental Healthcare Professionals Dental Benefits Basics What is dental insurance? Unlike traditional insurance, dental benefits are not meant to cover all oral healthcare needs. The

More information

ICD-10 Implementation: From ICD-10? to I Can Do-10!

ICD-10 Implementation: From ICD-10? to I Can Do-10! ICD-10 Implementation: From ICD-10? to I Can Do-10! Prepared For: OH Home and Community Based Service Providers August 12, 2015 Webex Presented By: Aaron R. Sapp, MPS National ICD-10 Program Director Insurance

More information

The Maine Lung Cancer Coalition. Working Together to Reduce Lung Cancer in Maine

The Maine Lung Cancer Coalition. Working Together to Reduce Lung Cancer in Maine The Maine Lung Cancer Coalition Working Together to Reduce Lung Cancer in Maine funding Maine Lung Cancer Coalition (MLCC) Webinar Insurance Coverage For Low Dose CT Lung Screenings with Barbara Wiggin,

More information

Professional Non Covered Codes Policy

Professional Non Covered Codes Policy Policy Number 2018R7102I Professional Non Covered Codes Policy Annual Approval Date 7/12/2017 Approved By Reimbursement Policy Oversight Committee IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY You are

More information

Archived SECTION 15 - BILLING INSTRUCTIONS. Section 15 - Billing Instructions

Archived SECTION 15 - BILLING INSTRUCTIONS. Section 15 - Billing Instructions SECTION 15 - BILLING INSTRUCTIONS 15.1 ELECTRONIC DATA INTERCHANGE... 2 15.2 INTERNET ELECTRONIC CLAIM SUBMISSION... 2 15.3 DENTAL CLAIM FORM... 3 15.4 PROVIDER RELATIONS COMMUNICATION UNIT... 3 15.5 RESUBMISSION

More information

Inspire Medical Systems. Hospital Billing Guide

Inspire Medical Systems. Hospital Billing Guide Inspire Medical Systems Hospital Billing Guide Inspire Medical Systems Hospital Billing Guide This Hospital Billing Guide was developed to help centers correctly bill for Inspire Upper Airway Stimulation

More information

Latest Press Release. convergys employee portal cvg

Latest Press Release. convergys employee portal cvg corp@stantec.com Latest Press Release convergys employee portal cvg S Diagnosis Code R82.5 information, including descriptions, synonyms, code edits, diagnostic related groups, ICD-9 conversion and references

More information

The Third-Party Reimbursement Process for Orthotics

The Third-Party Reimbursement Process for Orthotics The Third-Party Reimbursement Process for Orthotics When the foot hits the ground, everything changes. We know that over 90% of the population suffers with overpronation of their feet. Implementing Foot

More information

ASO core offerings. Self-funded groups, sized 100+

ASO core offerings. Self-funded groups, sized 100+ ASO core offerings Self-funded groups, sized 100+ Regence BlueCross BlueShield of Oregon is an Independent Licensee of the Blue Cross and Blue Shield Association Regence ASO core offerings Under an ASO

More information

FirstCare Health Plans (FirstCare) is on track to be ICD-10 ready by the October 1, 2015 deadline.

FirstCare Health Plans (FirstCare) is on track to be ICD-10 ready by the October 1, 2015 deadline. Overview In July 2014, the U.S. Department of Health & Human Services (HHS) issued a rule finalizing October 1, 2015 as the new compliance date for health care providers, health plans, and health care

More information

Physical Medicine & Rehabilitation: Maximum Combined Frequency per Day Policy

Physical Medicine & Rehabilitation: Maximum Combined Frequency per Day Policy Policy Number Physical Medicine & Rehabilitation: Maximum Combined Frequency per Day Policy 2017R0101E Annual Approval Date 7/13/2016 Approved By Payment Policy Oversight Committee IMPORTANT NOTE ABOUT

More information

Impact of WRVU Changes. Allowed Charges (Millions)

Impact of WRVU Changes. Allowed Charges (Millions) Key Financial and Operational s from the Proposed 2018 PFS Rule: The 2018 Physician Fee Schedule (PFS) proposed rule was made available on July 13, 2018. A detailed summary of the rule will be available

More information

KANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. Rehabilitative Therapy Services

KANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. Rehabilitative Therapy Services Fee-for-Service Provider Manual Rehabilitative Therapy Services Updated 12.2015 PART II (PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH/LANGUAGE PATHOLOGY) Introduction Section BILLING INSTRUCTIONS Page

More information

Search Search pages & people Search. Search Search pages & people. Search. Bone mets icd 10

Search Search pages & people Search. Search Search pages & people. Search. Bone mets icd 10 Search Search pages & people Search Search Search pages & people Search Bone mets icd 10 Free, official coding info for 2018 ICD-10 -CM C79.51 - includes detailed rules,. Long Description: Secondary malignant

More information

Questions and Answers on 2009 H1N1 Vaccine Financing

Questions and Answers on 2009 H1N1 Vaccine Financing Questions and Answers on 2009 H1N1 Vaccine Financing General Financing Questions Considerations of financing distinguish between those related to the vaccine itself, the ancillary supplies needed to administer

More information

HUSKY Health Benefits and Prior Authorization Requirements Grid* Behavioral Health Partnership Effective: January 1, 2012

HUSKY Health Benefits and Prior Authorization Requirements Grid* Behavioral Health Partnership Effective: January 1, 2012 Behavioral Health Health and Behavior Assessments (CPT 96150-96155) When Performed by Psychologists Mental Health Inpatient 100% covered under medical benefit for members with diagnoses outside the range

More information

2015 Facility and Physician Billing Guide Heart Valve Technologies

2015 Facility and Physician Billing Guide Heart Valve Technologies 2015 Facility and Physician Billing Guide Heart Valve Technologies PHYSICIAN BILLING CODES Clinicians use Current Procedural Terminology (CPT 1 ) codes to bill for procedures and services. Each CPT code

More information

ICD-10 RSPMI Provider Education April 16, Cathy Munn MPH RHIA CPHQ Sr. Consultant

ICD-10 RSPMI Provider Education April 16, Cathy Munn MPH RHIA CPHQ Sr. Consultant ICD-10 RSPMI Provider Education April 16, 2014 Cathy Munn MPH RHIA CPHQ Sr. Consultant Agenda Status of ICD-10 Transition Who, What, Where, When & Why Industry Update Impact of the Change Providers Payers

More information

Drug Testing Policy. Approved By 05/10/2017. Application This reimbursement policy applies to UnitedHealthcare Community Plan Medicaid products.

Drug Testing Policy. Approved By 05/10/2017. Application This reimbursement policy applies to UnitedHealthcare Community Plan Medicaid products. Policy Number 2017R6005B Annual Approval Date Drug Testing Policy 05/10/2017 Approved By Reimbursement Policy Oversight Committee IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY You are responsible for

More information

Lumify. Lumify reimbursement guide {D DOCX / 1

Lumify. Lumify reimbursement guide {D DOCX / 1 Lumify Lumify reimbursement guide {D0672917.DOCX / 1 {D0672917.DOCX / 1 } Contents Overview 4 How claims are paid 4 Documentation requirements 5 Billing codes for ultrasound: Non-hospital setting 6 Billing

More information

2015 Physician Quality Reporting System Data Collection Form: Inflammatory Bowel Disease (IBD) (for patients aged 18 and older)

2015 Physician Quality Reporting System Data Collection Form: Inflammatory Bowel Disease (IBD) (for patients aged 18 and older) 2015 Physician Quality Reporting System Data Collection Form: Inflammatory Bowel Disease (IBD) (for patients aged 18 and older) IMPORTANT: Any measure with a 0% performance rate (100% for inverse measures)

More information

Q2034 And The New Flu Shot Medicare Reimbursement Codes

Q2034 And The New Flu Shot Medicare Reimbursement Codes Q2034 And The New 2012 2013 Flu Shot Medicare Reimbursement Codes 9/29/2012 Medicare pricing just released for flu shots see pricing added to the codes below. Download this excellent 2012 2013 grid that

More information

Advancing the management of Chronic Kidney Disease. Employee Benefits Planning Association- December s Program 12/6/2017 1

Advancing the management of Chronic Kidney Disease. Employee Benefits Planning Association- December s Program 12/6/2017 1 Advancing the management of Chronic Kidney Disease. Employee Benefits Planning Association- December s Program 12/6/2017 1 Today s Topics Chronic Kidney Disease Causes & Financial Impact Managing comorbid

More information

Icd 10 code for pre screening for mri

Icd 10 code for pre screening for mri Icd 10 code for pre screening for mri Free, official coding info for 2018 ICD-10-CM Z02.1 - includes detailed rules, notes, synonyms, ICD-9-CM conversion, index and annotation crosswalks, DRG. ICD-9-CM

More information

ProviderNews FEBRUARY

ProviderNews FEBRUARY ProviderNews FEBRUARY 2017 Reminder: decimal billing required on time-based therapy codes for BadgerCare Plus members In accordance with Forward Health guidelines, Security Health Plan requires decimal

More information

Schedule of Benefits Summary Group Name: Nebraska Bankers Association VEBA Effective Date: January 01, 2018

Schedule of Benefits Summary Group Name: Nebraska Bankers Association VEBA Effective Date: January 01, 2018 1 Schedule of Benefits Summary Group Name: Nebraska Bankers Association VEBA Effective Date: January 01, 2018 Payment for Services Covered Services are reimbursed based on the Allowable Charge. BlueCross

More information

GERIATRIC SERVICES CAPACITY ASSESSMENT DOMAIN 5 - CAREGIVING

GERIATRIC SERVICES CAPACITY ASSESSMENT DOMAIN 5 - CAREGIVING GERIATRIC SERVICES CAPACITY ASSESSMENT DOMAIN 5 - CAREGIVING Table of Contents Introduction... 2 Purpose... 2 Serving Senior Medicare-Medicaid Enrollees... 2 How to Use This Tool... 2 5 Caregiving... 3

More information

OVERVIEW. Comparing ICD-9-CM and ICD-10-CM. Addendum: Transition to ICD-10. Structure of ICD-9-CM. Overview

OVERVIEW. Comparing ICD-9-CM and ICD-10-CM. Addendum: Transition to ICD-10. Structure of ICD-9-CM. Overview : Transition to ICD-10 ADDENDUM Transition to ICD-10 OVERVIEW On October 1, 2015, the U.S. health care system transitioned to the International Classification of Diseases, 10th Revision (ICD-10). This

More information

AAP Private Payer Advocacy Update. 1. AAP clarifies immunization administration documentation to regional carrier

AAP Private Payer Advocacy Update. 1. AAP clarifies immunization administration documentation to regional carrier AAP Private Payer Advocacy Update January 2012 1. AAP clarifies immunization administration documentation to regional carrier 2. National carriers providing coverage for smoking cessation counseling 3.

More information

Behavioral Health Clinician in Primary Care Billing & Coding Guidance (Created September 2017)

Behavioral Health Clinician in Primary Care Billing & Coding Guidance (Created September 2017) Behavioral Health Clinician in Primary Care Billing & Coding Guidance (Created September 2017) This information was drafted by behavioral leaders interested in supporting optimal billing for behavioral

More information

Pro Active Physical Therapy & Sports Medicine

Pro Active Physical Therapy & Sports Medicine Pro Active Physical Therapy & Sports Medicine Consent and Statement of Financial Responsibility 1. CONSENT FOR TREATMENT: I consent to and authorize my physical therapist, occupational therapist and other

More information

PHARMACY BENEFITS MANAGER SELECTION FAQ FOR PRODUCERS

PHARMACY BENEFITS MANAGER SELECTION FAQ FOR PRODUCERS PHARMACY BENEFITS MANAGER SELECTION FAQ FOR PRODUCERS For Producer Audience Only - Please Do Not Distribute Regence has selected Prime Therapeutics as the Pharmacy benefits manager for its health plans.

More information

GUIDELINES: PEER REVIEW TRAINING BOD G [Amended BOD ; BOD ; BOD ; Initial BOD ] [Guideline]

GUIDELINES: PEER REVIEW TRAINING BOD G [Amended BOD ; BOD ; BOD ; Initial BOD ] [Guideline] GUIDELINES: PEER REVIEW TRAINING BOD G03-05-15-40 [Amended BOD 03-04-17-41; BOD 03-01-14-50; BOD 03-99-15-48; Initial BOD 06-97-03-06] [Guideline] I. Purpose Guidelines: Peer Review Training provide direction

More information

DRUG TESTING POLICY. Policy Number: ADMINISTRATIVE T0 Effective Date: March 1, Related Policies None

DRUG TESTING POLICY. Policy Number: ADMINISTRATIVE T0 Effective Date: March 1, Related Policies None DRUG TESTING POLICY UnitedHealthcare Oxford Reimbursement Policy Policy Number: ADMINISTRATIVE 259.3 T0 Effective Date: March 1, 2018 Table of Contents Page INSTRUCTIONS FOR USE... 1 APPLICABLE LINES OF

More information

Reimbursement Information for Automated Breast Ultrasound Screening

Reimbursement Information for Automated Breast Ultrasound Screening GE Healthcare Reimbursement Information for Automated Breast Ultrasound Screening January 2015 www.gehealthcare.com/reimbursement The Invenia ABUS is indicated as an adjunct to mammography for breast cancer

More information

Icd 10 for g0436 ICD G0436 ICD G0436 ICD ICD ICD G0436 ICD G0436 ICD

Icd 10 for g0436 ICD G0436 ICD G0436 ICD ICD ICD G0436 ICD G0436 ICD Icd 10 for g0436 reported with diagnosis codes ICD-10- CM: F17.200, F17.201, F17.210, F17.211, F17.220, F17.221, F17.290,. F17.291, T65.211A,. HCPCS CODES. G0436. Smoking and tobacco cessation counseling

More information

Cracking the (CPT) Code for Tobacco Cessation & Cancer Prevention

Cracking the (CPT) Code for Tobacco Cessation & Cancer Prevention Cracking the (CPT) Code for Tobacco Cessation & Cancer Prevention Wednesday, September 13th, 2017, 3:00pm EDT Presented by: Marcey Dolgoff Alter, MBA, MHA Moderated by: Dawn Randolph, MPA Welcome! Dawn

More information

Quick Reference Guide for Health Care Providers

Quick Reference Guide for Health Care Providers Quick Reference Guide for Health Care Providers Breast and Cervical Cancer Screening and Treatment in Kentucky Kentucky Cancer Program Kentucky Department for Public Health For more information, contact:

More information

GENERAL GUIDELINES ICD-10 TRANSITION FREQUENTLY ASKED QUESTIONS (FAQS) - AUGUST 2015

GENERAL GUIDELINES ICD-10 TRANSITION FREQUENTLY ASKED QUESTIONS (FAQS) - AUGUST 2015 GENERAL GUIDELINES What is the compliance deadline for ICD-10? The compliance date for implementation of ICD-10 is October 1, 2015. The ICD-9 code sets used to report medical diagnoses and inpatient procedures

More information

PROVIDER CONTRACT ISSUES

PROVIDER CONTRACT ISSUES 211 East Chicago Avenue T 312.440.2500 Chicago, Illinois 60611 F 312.440.7494 www.ada.org TOP 10 CLAIM CONCERNS: ADA, NADP SHARE VIEWS ON DENTISTS CONCERNS The ADA Council on Dental Benefit Programs continually

More information

NEW YORK STATE MEDICAID PROGRAM CHIROPRACTOR MANUAL

NEW YORK STATE MEDICAID PROGRAM CHIROPRACTOR MANUAL NEW YORK STATE MEDICAID PROGRAM CHIROPRACTOR MANUAL POLICY GUIDELINES Table of Contents SECTION I - REQUIREMENTS FOR PARTICIPATION IN MEDICAID...2 WHO MAY PROVIDE CARE...2 LIMITED CHIROPRACTIC SERVICE

More information

Medicare Preventive Services and Screenings

Medicare Preventive Services and Screenings Welcome to PMI s Webinar Presentation Brought to you by: pmimd.com Meet the Presenter Linda D'Spain, CMPE, CMC, CMIS, CMOM, CMCO On the topic: Medicare Preventive Services and Screenings Welcome to s Webinar

More information

What s New. Don t Forget! There are 2 different influenza vaccines available. Flu Vaccine. Michigan Newsletter Fall 2009

What s New. Don t Forget! There are 2 different influenza vaccines available. Flu Vaccine. Michigan Newsletter Fall 2009 What s New Michigan Newsletter Fall 2009 Flu Vaccine Don t Forget! There are 2 different influenza vaccines available this year (one for seasonal flu and one for Novel H1N1 or swine flu). Both vaccines

More information

The Essential Guide to LARC Coding

The Essential Guide to LARC Coding The Essential Guide to LARC Coding Keisha Sutton, CPC ACOG Health Economics Department Coding Specialist March 24, 2016 ACOG Health Economics Department The Essential Guide to LARC Coding March 24, 2016

More information

2018 CMS Web Interface

2018 CMS Web Interface CMS Web Interface PREV-7 (NQF 0041): Preventive Care and Screening: Influenza Immunization Measure Steward: PCPI CMS Web Interface V2.1 Page 1 of 19 06/25/ Contents INTRODUCTION... 3 CMS WEB INTERFACE

More information

BalanceChiropractic 7165 E University Dr. Suite 102 Mesa, AZ

BalanceChiropractic 7165 E University Dr. Suite 102 Mesa, AZ BalanceChiropractic 7165 E University Dr. Suite 102 Mesa, AZ 85207 480.830.0175 Health History Name Address City State Zip Day Phone Evening Phone E-mail Address Employer Birth Date Age Gender Emergency

More information

1-844-FAX-A360 ( )

1-844-FAX-A360 ( ) 1-844-ASK-A360 (1-844-275-2360) 1-844-FAX-A360 (1-844-329-2360) www.myaccess360.com For more information, call AstraZeneca Access 360 at 1-844-ASK-A360, Monday through Friday, 8 am to 8 pm ET. IMFINZI

More information

Low Back Pain Report October 2013: Cost and Utilization of Health Care in Oregon

Low Back Pain Report October 2013: Cost and Utilization of Health Care in Oregon Low Back Pain Report October 2013: Cost and Utilization of Health Care in Oregon INTRODUCTION Most people in the United States will experience low back pain at least once during their lives. According

More information

Pre-exposure Prophylaxis for HIV Prevention

Pre-exposure Prophylaxis for HIV Prevention Mountain West AIDS Education and Training Center Pre-exposure Prophylaxis for HIV Prevention Cost and Access: Tips from the Field Joanne Stekler, MD MPH October 12, 2017 This presentation is intended for

More information

Icd 10 cm code for positive urine drug screen

Icd 10 cm code for positive urine drug screen Icd 10 cm code for positive urine drug screen Free, official coding info for 2018 ICD- 10-CM R82.5 - includes detailed rules, notes,. Elevated urine levels of drugs, medicaments and biological substances.

More information

3/20/2013. "ICD-10 Update Understanding and Analyzing GEMs" March 10, 2013

3/20/2013. ICD-10 Update Understanding and Analyzing GEMs March 10, 2013 "ICD-10 Update Understanding and Analyzing GEMs" March 10, 2013 1 Leola Burke MHSA, CCS AHIMA-approved ICD-10-CM/PCS Trainer Independent Coding Consultant & ICD-10-CM/PCS Expert, Raleigh, NC & Jacksonville,

More information

WCHQ Ambulatory Measure Specification Screening For Osteoporosis Measurement Period 07/01/16-06/30/17 Submission Period: 09/05/17-10/20/17

WCHQ Ambulatory Measure Specification Screening For Osteoporosis Measurement Period 07/01/16-06/30/17 Submission Period: 09/05/17-10/20/17 MEASURE DESCRIPTION The percentage of women age 65 through 85 who had a minimum of one bone densitometry test at age 60 or above or have a diagnosis of osteoporosis or osteopenia. Disclaimer: Measures

More information

1Oxford Contact Overview. Contact Information at a Glance... 11

1Oxford Contact Overview. Contact Information at a Glance... 11 1Oxford Contact Overview Contact Information at a Glance.......... 11 Oxford Contact Overview Section 1 10 www.oxfordhealth.com Oxford Contact Overview Section 1 Contact Information at a Glance Electronic

More information

Assistant Surgeon Payments

Assistant Surgeon Payments Assistant Surgeon Payments January 18, 2018 We are seeing payers ask for payment back when we use Modifier 80 for assistant surgeon. Is there a reason why they would take the payment back? We are seeing

More information

This section includes billing guidelines and treatment information for alternative care providers including:

This section includes billing guidelines and treatment information for alternative care providers including: Alternative care Alternative care overview This section includes billing guidelines and treatment information for alternative care providers including: Acupuncturists/East Asian Medicine Practitioners

More information

Sports and Spine Physical Therapy

Sports and Spine Physical Therapy Sports and Spine Physical Therapy PATIENT MEDICAL HISTORY Name: Referring Physician: How did you hear about Sports & Spine Physical Therapy? First date of pain: Have you had surgery for this injury? Yes

More information

Payment Policy: Urine Specimen Validity Testing Reference Number: CC.PP.056 Product Types: ALL Effective Date: 11/01/2017 Last Review Date:

Payment Policy: Urine Specimen Validity Testing Reference Number: CC.PP.056 Product Types: ALL Effective Date: 11/01/2017 Last Review Date: Payment Policy: Reference Number: CC.PP.056 Product Types: ALL Effective Date: 11/01/2017 Last Review Date: Coding Implications Revision Log See Important Reminder at the end of this policy for important

More information

BEST PRACTICE FRAMEWORK QUESTIONNAIRE

BEST PRACTICE FRAMEWORK QUESTIONNAIRE CAPTURE the FRACTURE BEST PRACTICE FRAMEWORK QUESTIONNAIRE INTRODUCTION Capture the Fracture invites Fracture Liaison Services (FLS) to apply for Capture the Fracture Best Practice Recognition programme.

More information

THE POWER OF. Savings through the largest dentist network. Hometown expertise. Measurably superior service

THE POWER OF. Savings through the largest dentist network. Hometown expertise. Measurably superior service THE POWER OF Savings through the largest dentist network Delta Dental Premier is the largest network of dentists across the state and country. Delta Dental PPO SM is one of the largest PPO networks across

More information

Bone Mineral Density Studies in Adult Populations

Bone Mineral Density Studies in Adult Populations Bone Mineral Density Studies in Adult Populations Last Review Date: July 14, 2017 Number: MG.MM.RA10aC6 Medical Guideline Disclaimer Property of EmblemHealth. All rights reserved. The treating physician

More information

Addiction Recovery Treatment Services (ARTS): Billing Best Practices. December 2017

Addiction Recovery Treatment Services (ARTS): Billing Best Practices. December 2017 Addiction Recovery Treatment Services (ARTS): Billing Best Practices December 2017 Substance Use Billing Best Practices Following the guidelines, requirements, and protocols for billing substance use services

More information

For more information, please contact your Molina Healthcare of New Mexico, Inc. Provider Service Representative toll free at (800)

For more information, please contact your Molina Healthcare of New Mexico, Inc. Provider Service Representative toll free at (800) December 2012 Dear Practitioner/Provider, Effective January 1, 2013, there will be major changes to CPT-4 codes for behavioral health nationwide. These changes impact all practitioner/provider types (e.g.,

More information

Drug Testing Policy. Approved By 06/14/2017

Drug Testing Policy. Approved By 06/14/2017 Drug Testing Policy Policy Number Annual Approval Date 06/14/2017 Approved By Oversight Committee IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY This policy is applicable to UnitedHealthcare Medicare Advantage

More information

PDF MEDICARE PREVENTIVE SERVICES QUICK REFERENCE EBOOK

PDF MEDICARE PREVENTIVE SERVICES QUICK REFERENCE EBOOK 07 March, 2018 PDF MEDICARE PREVENTIVE SERVICES QUICK REFERENCE EBOOK Document Filetype: PDF 316.92 KB 0 PDF MEDICARE PREVENTIVE SERVICES QUICK REFERENCE EBOOK Watch the CMS Provider Minute Preventive

More information

UnitedHealthcare Dual Complete ONE (HMO SNP) New Jersey

UnitedHealthcare Dual Complete ONE (HMO SNP) New Jersey UnitedHealthcare Dual Complete ONE (HMO SNP) New Jersey Agenda Overview Service Area Contracting Member ID Cards Sample Member ID Card Checking Member Enrollment Claim Submission Additional Benefits Additional

More information

Non-covered ICD-10-CM Codes for All Lab NCDs

Non-covered ICD-10-CM Codes for All Lab NCDs Non-covered ICD-10-CM Codes for All Lab NCDs This section lists codes that are never covered by Medicare for a diagnostic lab testing service. If a code from this section is given as the reason for the

More information

Drug Testing Policy. Reimbursement Policy CMS Approved By. Policy Number. Annual Approval Date. Reimbursement Policy Oversight Committee

Drug Testing Policy. Reimbursement Policy CMS Approved By. Policy Number. Annual Approval Date. Reimbursement Policy Oversight Committee Reimbursement Policy CMS 1500 Drug Testing Policy Policy Number 2017R6005A Annual Approval Date 05/10/2017 Approved By Reimbursement Policy Oversight Committee IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY

More information

Reimbursement Information for Diagnostic Ultrasound and Ultrasound-guided Procedures 1 Performed by Emergency Medicine Physicians

Reimbursement Information for Diagnostic Ultrasound and Ultrasound-guided Procedures 1 Performed by Emergency Medicine Physicians GE Healthcare Reimbursement Information for Diagnostic Ultrasound and Ultrasound-guided Procedures 1 Performed by Emergency Medicine Physicians January, 2013 www.gehealthcare.com/reimbursement This overview

More information

State of Wisconsin 2013 Benefits Summary Active Employees & Non-Medicare Annuitants

State of Wisconsin 2013 Benefits Summary Active Employees & Non-Medicare Annuitants Member Family Policy Annual Deductible None None Policy Co-insurance 10% unless specified below 10% unless specified below Policy Annual Maximum Out of Pocket () $500 $1,000 Policy Lifetime Benefit Maximum

More information

An Alternative Payment Model Concept for Office-based Treatment of Opioid Use Disorder

An Alternative Payment Model Concept for Office-based Treatment of Opioid Use Disorder An Alternative Payment Model Concept for Office-based Treatment of Opioid Use Disorder CONTENTS I. Need for an Alternative Payment Model for Opioid Use Disorder and Addiction... 2 A. Improving Services

More information

Reimbursement Information for Diagnostic Ultrasound and Ultrasound-guided Procedures Commonly Performed by Otolaryngologists

Reimbursement Information for Diagnostic Ultrasound and Ultrasound-guided Procedures Commonly Performed by Otolaryngologists GE Healthcare Reimbursement Information for Diagnostic Ultrasound and Ultrasound-guided Procedures Commonly Performed by Otolaryngologists 1 January, 2013 www.gehealthcare.com/reimbursement imagination

More information

The 2017 CMS Merit-based Incentive Payment System includes 2 inflammatory bowel disease (IBD) measures.

The 2017 CMS Merit-based Incentive Payment System includes 2 inflammatory bowel disease (IBD) measures. The 2017 CMS Merit-based Incentive Payment System includes 2 inflammatory bowel disease (IBD) measures. Measure Specifications for Registry Reporting MIPS #271: Inflammatory Bowel Disease (IBD): Preventive

More information

RADIATION THERAPY SERVICES CSHCN SERVICES PROGRAM PROVIDER MANUAL

RADIATION THERAPY SERVICES CSHCN SERVICES PROGRAM PROVIDER MANUAL RADIATION THERAPY SERVICES CSHCN SERVICES PROGRAM PROVIDER MANUAL APRIL 2018 CSHCN PROVIDER PROCEDURES MANUAL APRIL 2018 RADIATION THERAPY SERVICES Table of Contents 34.1 Enrollment......................................................................

More information

Non-covered ICD-10-CM Codes for All Lab NCDs

Non-covered ICD-10-CM Codes for All Lab NCDs Non-covered ICD-10-CM s for All Lab NCDs This section lists codes that are never covered by Medicare for a diagnostic lab testing service. If a code from this section is given as the reason for the test,

More information

DRUG TESTING POLICY. Policy Number: ADMINISTRATIVE T0 Effective Date: October 1, Related Policies None

DRUG TESTING POLICY. Policy Number: ADMINISTRATIVE T0 Effective Date: October 1, Related Policies None DRUG TESTING POLICY UnitedHealthcare Oxford Reimbursement Policy Policy Number: ADMINISTRATIVE 259.1 T0 Effective Date: October 1, 2017 Table of Contents Page INSTRUCTIONS FOR USE... 1 APPLICABLE LINES

More information

LOUISIANA MEDICAID PROGRAM ISSUED: 02/01/12 REPLACED: 02/01/94 CHAPTER 5: PROFESSIONAL SERVICES SECTION 5.1: COVERED SERVICES PAGE(S) 5

LOUISIANA MEDICAID PROGRAM ISSUED: 02/01/12 REPLACED: 02/01/94 CHAPTER 5: PROFESSIONAL SERVICES SECTION 5.1: COVERED SERVICES PAGE(S) 5 Immunizations Vaccine Codes Providers should refer to the Immunization Fee Schedules to determine covered vaccines and any restriction to the use of the vaccine codes. (See Appendix A for information on

More information

SPORTS AND SPINE PHYSICAL THERAPY, INC. PATIENT MEDICAL HISTORY

SPORTS AND SPINE PHYSICAL THERAPY, INC. PATIENT MEDICAL HISTORY SPORTS AND SPINE PHYSICAL THERAPY, INC. PATIENT MEDICAL HISTORY Name: Referring Physician: How did you hear about Sports and Spine Physical Therapy? First date of onset of pain: Have you had surgery for

More information

Report to the Social Services Appropriations Subcommittee

Report to the Social Services Appropriations Subcommittee Report to the Social Services Appropriations Subcommittee Medicaid Coverage and Reimbursement for Outpatient Physical Therapy and Outpatient Occupational Therapy Prepared by the Division of Medicaid and

More information

ACO #44 Use of Imaging Studies for Low Back Pain

ACO #44 Use of Imaging Studies for Low Back Pain Measure Information Form (MIF) DATA SOURCE Medicare Claims Medicare beneficiary enrollment data MEASURE SET ID ACO #44 VERSION NUMBER AND EFFECTIVE DATE Version 1, effective 01/01/18 CMS APPROVAL DATE

More information

Analysis of Low-Value Health Services in the Minnesota All Payer Claims Database

Analysis of Low-Value Health Services in the Minnesota All Payer Claims Database TECHNICAL SPECIFICATIONS AND METHODS SUPPLEMENT Analysis of Low-Value Health Services in the Minnesota All Payer Claims Database MAY 2017 Minnesota Department of Health Health Economics Program 85 E. 7th

More information

April 23, Questions regarding this document? Contact us at: Provider Network Education - July 2014

April 23, Questions regarding this document? Contact us at: Provider Network Education - July 2014 QUESTION April 23, 2014 1 Caller: Will precert authorization be required for emergency ambulance or just hospital admissions? 2 Caller: Can we go over who will be considered the HOST Plan and who would

More information

Routine HIV Testing in Healthcare Settings: Reimbursement & Sustainability Updated October, 2017

Routine HIV Testing in Healthcare Settings: Reimbursement & Sustainability Updated October, 2017 Routine HIV Testing in Healthcare Settings: Reimbursement & Sustainability Updated October, 2017 Overview Importance of routine testing Current recommendations for testing Reimbursement for HIV counseling

More information

Radiation Therapy Services

Radiation Therapy Services Radiation Therapy Services Chapter.1 Enrollment..................................................................... -2.2 Benefits, Limitations, and Authorization Requirements...........................

More information

CD Horizon Solera 5.5/6.0mm Fenestrated Screw Set

CD Horizon Solera 5.5/6.0mm Fenestrated Screw Set REIMBURSEMENT GUIDE CD Horizon Solera 5.5/6.0mm Fenestrated Screw Set DEVICE DESCRIPTION The CD Horizon Solera 5.5/6.0mm Fenestrated Screw Set consists of a variety of cannulated multi-axial screws (MAS)

More information

Non-covered ICD-10-CM Codes for All Lab NCDs

Non-covered ICD-10-CM Codes for All Lab NCDs Non-covered ICD-10-CM s for All Lab NCDs This section lists codes that are never covered by Medicare for a diagnostic lab testing service. If a code from this section is given as the reason for the test,

More information

CPT Code Changes for 2013 Frequently Asked Questions Last Updated 12/2/2012

CPT Code Changes for 2013 Frequently Asked Questions Last Updated 12/2/2012 1. Why are CPT codes changing? CPT Code Changes for 2013 Frequently Asked Questions Last Updated 12/2/2012 CPT code changes occur every year. The Current Procedural Terminology, or CPT, code set is maintained

More information

2016 Billing and Coding Reference. Stereotactic Treatment Delivery

2016 Billing and Coding Reference. Stereotactic Treatment Delivery 2016 Billing and Coding Reference Stereotactic Treatment Delivery This CY 2016 billing and coding reference is intended to be a general resource for physicians and reimbursement professionals and is current

More information

Integration of Oral Health Diagnostic Codes in Safety Net Dental Programs. October 25, 2011

Integration of Oral Health Diagnostic Codes in Safety Net Dental Programs. October 25, 2011 Integration of Oral Health Diagnostic Codes in Safety Net Dental Programs October 25, 2011 Integration of Oral Health Diagnostic Codes in Safety Net Dental Programs Dr. Jay R. Anderson Director for Practice

More information

Connecticut Teachers' Retirement Board 2019 Medicare Supplement Plan Benefits -- Administered By Stirling Benefits. General information

Connecticut Teachers' Retirement Board 2019 Medicare Supplement Plan Benefits -- Administered By Stirling Benefits. General information Provider access Covered Benefits Deductible General information All providers who accept If covers a charge, then the TRB plan covers that charge The 2019 deductible is $185. The member pays the Part B

More information

CPT CODE STUDY GUIDE CPT CODE STUDY GUIDE. page 1 / 6

CPT CODE STUDY GUIDE   CPT CODE STUDY GUIDE. page 1 / 6 page 1 / 6 page 2 / 6 cpt code study guide pdf Everyone s choice for imaging 2018 CPT Code Reference Guide T 858 658 6500 F 866 558 4329 imaginghealthcare.com 2018 CPT Code Reference Guide - imaginghealthcare.com

More information

SPECIAL REPORT: CPT CODES WHAT THERAPISTS NEED TO KNOW

SPECIAL REPORT: CPT CODES WHAT THERAPISTS NEED TO KNOW Page1 PRICE: $10.00 SPECIAL REPORT: CPT CODES WHAT THERAPISTS NEED TO KNOW By Barbara Griswold, LMFT Author, Navigating the Insurance Maze: The Therapist s Complete Guide to Working With Insurance And

More information

Common Diagnosis Codes and Tips for Coding Nicotine Use/

Common Diagnosis Codes and Tips for Coding Nicotine Use/ ICD-10 Tobacco Billing Guide ICD-10 and Tobacco Common Diagnosis Codes and Tips for Coding Nicotine Use/ Dependence Tobacco use is the leading cause of preventable disease and death in the United States,

More information

Tusculum College. Benefit Summary. $25 Copay. $25 Copay. after Deductible. 20% after Deductible 20% after Deductible

Tusculum College. Benefit Summary. $25 Copay. $25 Copay. after Deductible. 20% after Deductible 20% after Deductible Benefit Plan Features: Annual Deductible Benefit Summary Your Cost In-Network Individual/Family $750/$1500 Annual Out-of-Pocket Maximum Individual/Family $3500/$7000 4th Quarter Carry-over Covered Services

More information

DRUG TESTING POLICY. Policy Number: ADMINISTRATIVE T0 Effective Date: January 1, Related Policies None

DRUG TESTING POLICY. Policy Number: ADMINISTRATIVE T0 Effective Date: January 1, Related Policies None DRUG TESTING POLICY UnitedHealthcare Oxford Reimbursement Policy Policy Number: ADMINISTRATIVE 259.2 T0 Effective Date: January 1, 2018 Table of Contents Page INSTRUCTIONS FOR USE... 1 APPLICABLE LINES

More information

TRANSITION OF CARE APPLICATION

TRANSITION OF CARE APPLICATION Dear Member: Thank you for enrolling in MedStar Medicare Choice. You may currently be receiving services from healthcare providers that are not part of the MedStar Medicare Choice Provider Network. An

More information

2018 Cerebrovascular Reimbursement Coding Fact Sheet

2018 Cerebrovascular Reimbursement Coding Fact Sheet The information contained in this document is provided for informational purposes only and represents no statement, promise, or guarantee by Cordis Corporation concerning levels of reimbursement, payment,

More information

2018 CMS Web Interface

2018 CMS Web Interface CMS Web Interface PREV-7 (NQF 0041): Preventive Care and Screening: Influenza Immunization Measure Steward: PCPI CMS Web Interface V2.0 Page 1 of 19 11/13/2017 Contents INTRODUCTION... 3 CMS WEB INTERFACE

More information

HIV/AIDS Care: The Service (CPT) Code Evaluation and Management Series 1

HIV/AIDS Care: The Service (CPT) Code Evaluation and Management Series 1 HIV/AIDS Care: The Service (CPT) Code Evaluation and Management Series 1 Prepared By: Stacey L. Murphy, MPA, RHIA, CPC AHIMA Approved ICD-10-CM/ICD-10-CM Trainer Learning Outcomes Explain the importance

More information

Dental Updates. Presentation by EDS Provider Field Consultants

Dental Updates. Presentation by EDS Provider Field Consultants Dental Updates Presentation by EDS Provider Field Consultants October 2007 Agenda Objectives Provider Search National Provider Identifier New Dental Claim Form Dental Billing and Rendering Provider Information

More information