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News and Publications Medical Review News and Publications

General

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 GuidePDF 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

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