CodeMap® 
150 North Wacker Drive
Suite 2360
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-January
2024-October

ASC Fee Schedule

2025-January
2024-October

APC Codes

2025-January
2024-October

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-January
2024-October


CMS Transmittals



.

CodeMap® NCD Q1 2009 Breaking News

CodeMap® Compliance Briefing: Breaking News:  12/12/2008


Many providers utilize automated systems to screen claims for medical necessity compliance. These systems check the combination of procedure codes and diagnosis codes included with each claim to ensure compliance with both national and local coverage policies. If providers do not properly maintain automated compliance checkers, they run the risk of submitting false claims, missing the opportunity to collect an ABN from the beneficiary, and/or receiving denials from their Medicare contractor.

On Tuesday, December 9, 2008, CMS published change request 6304 concerning significant changes to the National Coverage Determinations that govern commonly performed laboratory procedures. As most of our subscribers know, NCDs play an important role in communicating the coverage requirements of many common lab procedures. These polices spell out covered ICD-9 codes, including links to specific CPT® codes, frequency limitations, and other indicati....

Sorry, access to this content requires a current subscription.

Click here for publications catalog.

--

CPT copyright 2024 American Medical Association. All rights reserved.

* The responsibility for the content of any "National Correct Coding Policy" included in this product is with the Centers for Medicare and Medicaid Services and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, nonuse, or interpretation of information contained in this product.



CodeMap® is a Registered Trademark of Wheaton Partners, LLC.