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NEWS YOU CAN USE: Hepatitis B Vaccine Codes Back in the Game

Submit your claims for Hepatitis B vaccines with recently reinstated CPT codes 90740, 90743, 90744, 90746, and 90747, and wait for your check in the mail, because CMS accepts them as of April 1.

Though the Food and Drug Administration (FDA) is still sitting on approval of drug-eluting stents and you can't yet use them on the outpatient side, familiarize your billing system with HCPCS codes G0290 and G0291 and APC 656 so you can report the stents as soon as they pass the test.


For low osmolar contrast media (LOCM) services rendered April 1 or later, you can again report HCPCS codes A4644, A4645, and A4646, so turn off edits in your software that indicate you have to meet certain requirements for billing these codes.


Though CMS won't apply the edit to all services, put Outpatient Code Editor (OCE) Edit 15 back in your system for services furnished on or after April 1. Limited edits are back in action for certain services, according to Program Memo A-03-019, dated March 14, and CDM mixups will cause countless errors.


Get ready for the barrel of new K codes CMS will roll into effect starting July 1, according to Program Memos AB-03-043, AB-03-044, and AB-03-45 dated April 11.

Two are permanent codes for surgical dressings K0620 (Tubular elastic dressing, any width, per linear yard) and K0621 (Gauze, packing strips, non- impregnated, less than or equal to two inches, per linear yard) and the other 14 are temporary codes for dialysis supplies, speech generating devices, automatic defibrillators and supplies, and thoracic lumbar sacral orthosis (TLSO) supplies.


While in the past Medicare has covered positron emission tomography (PET) scans for many diagnoses, an April 16 announcement declared its decision to expand coverage to patients with thyroid cancer and those with the potential for cardiac diseases including hypertension, congestive heart failure, coronary artery disease, and stroke.

 

- Published on 2003-04-01