READER QUESTIONS:
How to Find the Right HCPCS Jurisdiction
Published on Mon Jul 10, 2006
Question: Is there any guidance on whether to report HCPCS codes to our DMERC or local carrier?
Iowa Subscriber
Answer: CMS offers a jurisdiction list that specifies this information.
The list is at
www.cms.hhs.gov/transmittals/downloads/R893CP.pdf. More information is at
www.cms.hhs.gov/MLNMattersArticles/downloads/MM4363.pdf. CMS plans to post an Excel file with the jurisdiction data at
www.cms.hhs.gov/center/dme.asp.
What you'll find: The transmittal offers a chart that includes the HCPCS code, description, and jurisdiction. For example:
Advice for You Be the Coder and Reader Questions provided by Maggie M. Mac, CMM, CPC, CMSCS, consulting manager for Pershing, Yoakley & Associates, Clearwater, Fla; and Raequell Duran, CPC, president of Practice Solutions, Santa Barbara, Calif.