Palmetto/J1MAC News

The following information has been received by ANCO.


****PALMETTO/J1MAC NEWS****
Diagnostic Lab Billing and Coding Guidelines
In this article, the Comprehensive Error Rate Testing (CERT) Contractor
reported an increase in errors for complete blood counts (CBC) and
urinalysis (UA) laboratory services. Data indicates two types of errors:
code selection errors and standard protocol use in place of
patient-specific physician orders. Only lab services ordered by the
physician should be provided and billed. A physician’s written order must
match the performed service. Providers may not perform additional lab
services based on internal standard or implied protocols. Providers are
encouraged to review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/88FQ5L2055?opendocument


Payment for Implantable Tissue Markers (Healthcare Common Procedure Coding
System (HCPCS) Code A4648) and Implantable Radiation Dosimeters (HCPCS Code
A4650)
This J1 Part B MLN Matters article (CR6968) clarifies that the Healthcare
Common Procedure Coding System (HCPCS) codes for implantable tissue markers
and for implantable radiation dosimeters are separately billable and
payable for physicians when used with certain CPT Codes. Providers are
encouraged to review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/88GLQQ5588?opendocument


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