Topic |
Publication Date |
Last Revised/Reviewed |
Billing and Coding: JW and JZ Modifier Guidelines |
06.27.2023 |
|
When You Don’t Respond to Additional Documentation Requests (ADRs): Quick Reference Guide |
06.16.2023 |
|
Medicare Dental Service Coverage Update |
06.08.2023 |
|
J15 Targeted Probe Educate Review Status |
05.25.2023 |
|
Targeted Probe and Educate Program to Focus on Laboratory Testing |
05.25.2023 |
|
Targeted Probe and Educate Program to Focus on Annual Wellness Visits |
05.25.2023 |
|
SPRAVATO™ (esketamine) nasal spray, CIII |
05.01.2023 |
12.21.2023 |
NCD 110.24: Chimeric Antigen Receptor (CAR) T-Cell Therapy Billing Instructions |
03.10.2023 |
|
Targeted Probe and Education Program to Focus on Spinal Pain Management Claims |
01.04.2023 |
|
MolDX: Pharmacogenomics Testing Policy Article Update |
03.14.2022 |
|
Billing and Coding Instructions: Cryoneurolysis |
01.28.2022 |
|
Triamcinolone Acetonide Injectable Suspension, for Suprachoroidal Use (Xipere™) Billing and Coding Instructions |
01.25.2022 |
|
Sinus Implant Billing and Coding Instructions |
01.21.2022 |
|
Radioactive Diagnostic Agents for Positron Emission Tomography (PET) of Prostate-Specific Membrane Antigen (PSMA) Positive Lesions in Men with Prostate Cancer Billing and Coding Instructions |
01.20.2022 |
|
Billing VEKLURY™ (Remdesivir) Antiviral Medication in Outpatient Settings |
01.18.2022 |
|
Qutenza (capsaicin 8% topical system) Billing and Coding Instructions |
11.08.2021 |
|
Piflufolastat F-18 ("Pylarify")(18F-DCFPyl or PyL) Billing and Coding Instructions |
10.21.2021 |
|
Targeted Probe and Educate (TPE) Process |
09.02.2021 |
|
CGS is Retiring Policy L34089 Human Papillomavirus (HPV) Testing |
06.25.2021 |
|
J15 Post Pay Resumptive Review Status Update 01/01/2021 – 03/31/2021 |
06.22.2021 |
|
Chimeric Antigen Receptor (CAR) T-Cell Therapy |
05.25.2021 |
|
Notification of Service Specific Post Payment Review for Psychotherapy: Codes 90832, 90834, 90837 |
04.26.2021 |
|
Vitamin D Deficiency Screening in Adults |
04.26.2021 |
|
Split/Shared Services |
03.22.2021 |
|
Notification of Service Specific Post Payment Review for Physical Therapy/Occupational Therapy: CPT Codes 97110, 97112, 97140, 97530 |
03.22.2021 |
|
CGS Coverage for PROPEL Mometasone Furoate Sinus implant |
03.18.2021 |
|
J15 Post Pay Resumptive Review Status Update 08/17/2020 – 12/31/2020 |
03.02.2021 |
|
Documentation Guidelines for Evaluation & Management (E/M) Services: Reminders and Updates |
12.23.2020 |
|
Parenteral Iron Therapy Article |
12.08.2020 |
|
Use of Human Amniotic Based Products |
12.02.2020 |
|
Non-covered Services/Category III CPT Code Utilization ADR Checklist |
10.28.2020 |
|
Coding Encounter for Aftercare and Medical Care |
08.31.2020 |
|
MACs Resume Medical Review on a Post-Payment Basis |
08.11.2020 |
|
Reducing Denials through Correct Coding |
06.18.2020 |
|
CGS is Retiring Policy L34370 Category III CPT Codes |
05.27.2020 |
|
CGS is Retiring Policy L34093 Chemotherapy and Biologicals |
04.16.2020 |
|
Micro-Invasive Glaucoma Surgery (MIGS) L37578 Update |
12.19.2019 |
|
Policy Billing and Coding Articles Updated During Annual HCPCS and ICD-10 Updates |
12.19.2019 |
|
Documentation Reminder for TAVR |
12.13.2019 |
|
J15 Targeted Probe and Educate Status Update July 1, 2019 – September 30, 2019 |
11.22.2019 |
|
J15 Targeted Probe and Educate Status Update: April 1, 2019 – June 30, 2019 |
08.29.2019 |
|
Prolonged Services (CPT Codes 99354 – 99359) |
08.21.2019 |
|
Dual Diagnosis Requirements – Claims Submission |
08.15.2019 |
|
Part B Medicare Coverage for Cochlear Implant Batteries |
08.02.2019 |
|
Cecostomy Irrigation System Billing Guidelines |
05.07.2019 |
05.31.2019 |
CGS Part B Reviews of Outpatient Psychotherapy Services |
03.26.2019 |
|
Q4 J15 Targeted Probe and Educate Status Update |
02.01.2019 |
|
CGS Part B Reviews of Frequency of E/M Office Visits |
10.30.2018 |
|
Policy Updates: New, Retired, Annual ICD-10 Changes |
10.23.2018 |
|
Targeted Probe and Education Program to Focus on Physical Therapy (PT) and Occupational Therapy (OT) Claims |
10.09.2018 |
|
Portable X-Ray Benefit |
09.19.2018 |
|
Who May Report CPT Codes 99304 – 99306 Initial Nursing Facility Care |
09.18.2018 |
|
Billing and Coding for the Rezum® System for Benign Prostatic Hyperplasia (BPH) |
08.02.2018 |
|
Independent Diagnostic Testing Facility (IDTF) Performance Standards (V10) |
05.02.2018 |
10.16.2020 |
IUD (Hormone-Eluting) for Endometrial Hyperplasia – CPT code 58999 |
04.10.2018 |
|
Additional Information Regarding NCD 80.11 – Vitrectomy |
03.07.2018 |
08.06.2018 |
Additional Information Regarding NCD110.21 – Erythropoiesis Stimulating Agents (ESAs) in Cancer and Related Neoplastic Conditions |
03.07.2018 |
08.06.2018 |
How to Avoid Lab Errors |
02.27.2018 |
08.06.2018 |
Modifier 25 |
01.11.2018 |
08.24.2018 |
What Are Acceptable Electronic Signature Notations? |
09.26.2017 |
01.14.2022 |
Non-Physicians Acting as Scribes for Physicians |
06.06.2017 |
08.24.2018 |
SLEEP LAB CREDENTIALING: Polysomnography and Other Sleep Studies (L36902) |
05.10.2017 |
08.06.2018 |
Removal of Implantable Devices |
04.12.2017 |
04.11.2019 |
Frequency of General Modalities for Outpatient Physical and Occupational Therapy |
04.10.2017 |
08.24.2018 |
Clarification of CPT Code 99153 |
03.16.2017 |
04.08.2019 |
Coding to describe STELARA® (ustekinumab) for Intravenous Administration |
01.17.2017 |
08.24.2018 |
Results of Widespread Prepayment Probe Conducted for OH and KY: Drugs Administered for Macular Degeneration |
10.25.2016 |
|
New vs Established Patients |
07.19.2016 |
08.24.2018 |
Important: JW Modifier Use Change Effective July 1, 2016 |
06.01.2016 |
06.20.2016 |
CGS-MolDX: Next Generation Sequencing (NGS) and Tier 1 and Tier 2 Coding and Billing Guidelines (CM00096) |
02.09.2016 |
|
"I'm just an employee. I have nothing to do with coding or billing." |
02.03.2016 |
|
Entries in Medical Records: Amendments, Corrections, and Delayed Entries |
01.19.2016 |
|
2016 MoPath Tier 2 Fee Schedule (CM00094) |
01.11.2016 |
|
Coding Questions: Where to Go for Help |
04.24.2015 |
08.06.2018 |
Chronic Care Management (CPT Code 99490) |
03.24.2015 |
08.24.2018 |
Solesta™ Treatment for Fecal Incontinence |
02.06.2015 |
07.23.2021 |
Signatures and Compliance: Practitioner Offices and Billing Services |
03.06.2014 |
12.13.2023 |
Teaching Physician Services: Supervision, Documentation, and HCPCS Modifier GC |
09.19.2013 |
05.07.2019 |
Breast Tomosynthesis: Coverage and Claim Submission Instructions |
09.06.2013 |
01.13.2015 |
Radiopharmaceutical Drugs – Reminder; |
03.07.2013 |
|
Reduced Services (CPT Modifier 52) and Discontinued Procedures (CPT Modifier 53): Coding, Documenting, and Payment |
03.20.2013 |
08.24.2018 |
Entries in Medical Records: Amendments, Corrections, and Addenda |
12.28.2012 |
01.19.2016 |
Electronic Medical Record Tips |
09.06.2012 |
08.06.2018 |