Hcpcs coverage issues manual

HCPCS COVERAGE ISSUES MANUAL REFERENCE SECTION NUMBER: Type: Value Domain: Definition: NUMBER IDENTIFYING THE REFERENCE SECTION OF THE COVERAGE ISSUES MANUAL. Registration Authority: Centers for Registration Authority: Centers for Medicare Medicaid Services. Hcpcs Coverage Issues Manual Reference Section Number discretion, to modify its coverage determination guidelines and medical policies as necessary. Durable Medical Equipment Provider: a person or entity that is properly licensed, if applicable, under Florida law; Medicare Coverage Issues Manual. HCPCS priced under one methodology HCPCS Multiple Pricing Indicator Code Description Coverage Issues Manual Reference Section Number #1 Number identifying the reference section of the coverage issues manual. Coverage Code D A code denoting Medicare coverage status. Coverage Code Description Special coverage instructions apply.

Color-coded Coverage Instructions The Optum HCPCS Level II book provides colored symbols for each coverage and reimbursement instruction. A legend to these symbols is provided on the bottom of each two-page spread. Yellow Color Bar—Carrier Discretion Issues that are left to “carrier discretion” are covered with a yellow bar. HCPCS Medicare Carriers Manual reference section number - number identifying a section of the Medicare Carriers Manual. HXR: HCPCS Cross reference code - an explicit reference crosswalking a deleted code or a code that is not valid for Medicare to a valid current code (or range of codes). HPN: HCPCS processing note number identifying the processing note contained in Appendix A of the HCPCS Manual. HTD. coverage for CPAP in the use of obstructive sleep apnea (OSA). Medicare contractors must develop a method for monitoring compliance for CPAP devices. This revision to the Coverage Issues Manual is a national coverage decision (NCD). NCDs are binding on all Medicare carriers, intermediaries, peer review organizations, Health Maintenance.

1 Jan A physician shall not separately report these services simply because HCPCS/CPT codes exist for them. Specific issues unique to this section of. 1 Nov CMS's Coverage Issues Manual can be found on the. CMS website. Similarly, for Medicaid-linked plans, the Texas Medicaid Provider Procedures. Local coverage determinations (LCDs) Bulletins/newsletters Program Memoranda and instructions Coverage issues and Medicare coding policies Program integrity.