Orthopedic Coding Alert
Reader Question:
Hold Local Medicare to NCDs
Published on Wed Jun 04, 2014
Question: Are National Coverage Determinations (NCD) binding on contractors?
Michigan Subscriber
Answer: Yes. According to a Medicare FAQ, NCDs are binding on the following:
Resource: You can find the link to the CMS FAQs at www.cms.hhs.gov. Just click on “Questions” near the top of the page.
Remember: NCDs describe Medicare coverage of the described procedure or service on a national basis.
Contractors can create their own coverage decisions for items not specifically covered or mentioned in NCDs.
Other Articles in this issue of
Orthopedic Coding Alert
- Hips:
Don't Miss Picking Up $258 More For Closed Hip Dislocation Treatments Requiring Anesthesia
Here’s how to steer clear of traumatic hip dislocation’s hidden traps. To choose the proper [...] - Spine:
Demolish Any Possible Denials for Spinal RF Ablation with These Tips
Include add-on codes for each additional level. Reporting the radiofrequency (RF) ablation procedures in the [...] - ICD-10:
CMS Answers ICD-10 Questions -- By Not Answering
Representatives stay mum about the details of the delay. The recent delay of ICD-10 until [...] - Reader Question:
Get In Perfect Alignment With Hip Injection Procedures
Question: We performed an arthrocentesis (20610) using pre-procedure and intra-procedure x-rays for needle guidance/placement. No contrast [...] - Reader Question:
Kick Off Blanket ABNs
Question: I recently started working at a practice that I think overuses ABNs. Can we ask [...] - Reader Question:
Learn if a Nurse Can Request a Consult
Question: I have a provider who documented a consultation note for a patient whom a nurse [...] - Reader Question:
Not All Team Work Qualifies For Modifier 62
Question: When two or more surgeons work together in a procedure, do they quality as co-surgeons? [...] - Reader Question:
Watch Guidelines for Finger Modifiers
Question: How do I code the procedures when our surgeon corrected two trigger fingers during the [...] - Reader Question:
Hold Local Medicare to NCDs
Question: Are National Coverage Determinations (NCD) binding on contractors? Michigan Subscriber Answer: Yes. According to a Medicare [...] - You Be the Coder:
Remove Your Doubts for Coding Joint Injections
Question: Is it correct, according to CPT®, that there are restrictions while reporting ultrasound-guided joint injection? [...]
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