Part B Insider (Multispecialty) Coding Alert
MEDICAL DEVICES:
Medicare Won't Cover New E-Stim Code
Published on Wed May 07, 2003 
PDF
PDF
The Centers for Medicare & Medicaid Services has established a HCPCS code for electromagnetic stimulation, but Medicare won't cover the procedure, according to Feb. 28 program memorandum A-03-015. Starting April 1, carriers will automatically deny claim lines for the new code, E0761.
CMS told carriers last summer to make their own determinations about covering E-Stim.
Meanwhile, CMS issued a new program memo, AB-03-028, clarifying that the program won't cover sacral nerve stimulation for bill types 22X and 23X. As before, the program will cover the therapy for bill types 13X, 14X, 71X, 73X, 75X and 85X in the case of test stimulation procedures, and 11X, 13X and 85X for implantation procedures.
Other Articles in this issue of
Part B Insider (Multispecialty) Coding Alert
- MEDICARE:
Bush Wants Physicians to Pay for Medicare Appeals, Claims Errors
Physicians who make a mistake while filling out a Medicare claim will pay a price [...] - REIMBURSEMENT:
July Will Be Shakedown Time for Physicians
If you thought your nightmares were over now that Congress has rescued physician payments from [...] - REIMBURSEMENT:
Medicare Physician Payments 'Adequate,' Says MedPAC
Physicians should enjoy the meager payment increase they wrangled from Congress last month. It could [...] - HIPAA:
HIPAA Trumps State Law, Court Rules
Physicians will still have to lay bare their patient records in legal proceedings in spite [...] - MEDICAL REVIEW:
Don't Let Bogus Review Policies Fool You
Three Medicare carriers are pressuring physicians to choke off home care visits for patients who [...] - PHYSICIAN OFFICE LABS:
POLs' Supervision Puzzle Solved
Tired of playing guessing games when it comes to your physician office lab? CMS has [...] - STUDIES & SURVEYS:
It's Only Wise to Apologize
Physicians might not be giving their patients the information or emotional support they need after [...] - CODING:
NCCI Spells Extra Pain for Anesthesiologists
You may think you know all the ins and outs of the 19,000 edits in [...] - FEDERAL INVESTIGATIONS:
Knee-Jerk Reactions Spell Serious Trouble
How many times did it happen when you were a kid? You faced a weekend's [...] - FEDERAL INVESTIGATIONS:
9 Tips for Tackling an Investigation
If you find the feds at your door one false step can bring dire consequences. [...] - DIAGNOSIS CODING:
Suppliers Fidget Over Added Digits
Durable medical equipment suppliers are preparing to play "guess the diagnosis code" with all your [...] - DISEASE MANAGEMENT:
Medicare Tries Disease Management
Can the Medicare program get smart about managing chronic disease? Seems we're about to find [...] - INDUSTRY NOTES:
Value Anesthetic Add-Ons Properly, CMS Tells Carriers
Carriers must recognize both base units and time units for primary and add-on anesthesia codes, the [...] - EVALUATION & MANAGEMENT:
AHIMA and AHA Form E&M Panel
It's up to providers to prove once and for all that E/M doesn't stand for [...] - QUALITY OF CARE:
Physicians Poised for More CMS Scrutiny
Physicians might already feel that they're being monitored more than enough, but the feds see [...] - COURTS AND CASES:
Missed Deadline Costs Home Infusion Provider $185,000
A deadline is a deadline, and infusion provider Caremark Therapeutic Services wasn't able to bypass [...] - FRAUD AND ABUSE:
Wake-Up Call for Telemarketing Suppliers
Disturbing people during dinner could be the least risky problem in telemarketing to home medical [...] - What NOT to Do if the Feds Come Calling
Don't: Stand in the way - either literally or figuratively. "Never attempt to obstruct an [...] - MEDICAL DEVICES:
Medicare Won't Cover New E-Stim Code
The Centers for Medicare & Medicaid Services has established a HCPCS code for electromagnetic stimulation, [...]
View All