The following information is provided by Novitas Solutions.
Correction to SNF Consolidated Billing Code Lists
Correction to SNF Consolidated Billing Code Lists: Certain Healthcare Common Procedure Coding System (HCPCS) codes were not included in the 2014 annual update to the Skilled Nursing Facility (SNF) consolidated billing code editing lists. A correction to the coding lists will be implemented in October, 2014. The affected HCPCS codes for practitioner billing are Q2050 and the professional component of G0461 and G0462. The affected code for institutional provider billing is Q2050. If you have claims that have been erroneously denied, you should contact your Medicare Administrative Contractor to have the claims re-opened and re-processed.
Medical Policy Updates
The following JH Local Coverage Determinations (LCDs) which were posted for notice on June 5, 2014 are now effective:
- 3D Interpretation and Reporting of Imaging Studies (L34709)
- Autonomic Function Tests (L34788)
- Barium Swallow Studies, Modified (L34747)
- Biomarkers for Oncology (L34796)
- Chiropractic Services (L34816)
- Hyaluronan Acid Therapies for Osteoarthritis of the Knee (L32237)
- Independent Diagnostic Testing Facility (IDTF) (L34792)
- Magnetic Pelvic Floor Stimulation (MPFS) (L34612)
- Multiple Imaging in Oncology (L34790) (also revised)
- Non-Invasive Cerebrovascular Arterial Studies (L34711) (also revised)
- Non-Invasive Peripheral Venous Studies (L34714)
- Non-Vascular Extremity Ultrasound (L34716) (also revised)
- Oximetry Services (L34749)
- Pulmonary Function Testing (L34751)
- Sacral Nerve Stimulation (L34707)
- Spinal Cord Stimulation (Dorsal Column Stimulation) (L34705)
- Thrombolytic Agents (L34743)
- Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic) (L34745)
The following JH LCD has been revised:
- Biomarkers Overview (L33638)
- 3D Interpretation and Reporting of Imaging Studies (L32602)
- Barium Swallow Studies, Modified (L32621)
- Biomarkers for Oncology (L33138)
- Chiropractic Services (L32718)
- Hyaluronate Polymers (L32737)
- Oximetry Services (L32700)
- Pulmonary Function Testing (L32762)
- Sacral Nerve Stimulation (L32749)
- Spinal Cord Stimulation (Dorsal Column Stimulation) (L32753)
- Thrombolytic Agents (L32756)
- Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic) (L32681)
The following JH Local Coverage Article which was posted for notice on June 5, 2014 is now effective:
The following JH Local Coverage Articles have been added:
- Chiropractic Services (A47798)
- Non Invasive Cerebrovascular Arterial Studies (A47800)
- Non Invasive Peripheral Venous Studies (A47801)
