June 2004 Medicare Bulletin - Idaho Insert
Download a PDF copy
of this issue 
Table of Contents
- Arthrocentesis, Aspiration, and/or Joint Injections - LCD
- Bexxar® (tositumomab and Iodine 131-Tositumomab) - LCD
- Discontinuation of Requirement to Send Photographs and Visual Field with Claims for Blepharoplasty - Article
- Idaho Health Professional Shortage Areas (HPSAs)
- Omalizumab (Xolair®) - LCD
Arthrocentesis, Aspiration, and/or Joint Injections -LCD
Arthrocentesis, Aspiration, and/or Joint Injections -LCD
TopBexxar® (Tositumomab and Iodine131-Tositumomab) - LCD
Bexxar® (Tositumomab and Iodine131-Tositumomab) - LCD
Omalizumab (Xolair®)- LCD
Discontinuation of Requirement to Send Photographs and Visual Field with Claims for Blepharoplasty - Article
CIGNA Government Services
Contractor Information
Contractor Name
CIGNA Government Services
Contractor Number
05130
Contractor Type
Carrier
Article Information
Article Database ID Number
A19359
Article Type
Basic Article
Article Version Number
1
Article Title
Discontinuation of requirement to send photographs and visual field with claims for blepharoplasty
Is the AMA CPT / ADA CDT Copyright Statement Required?
No
CPT codes, descriptions and other data only are copyright 2003 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Clauses Apply. CDT-4 codes and descriptions are © 2002 American Dental Association. All rights reserved.
Primary Geographic Jurisdiction
ID
Article Publication Date
06/01/2004
Article Beginning Effective Date
07/01/2004
Article Ending Effective Date
Article Text
Effective July 1, 2004, CIGNA Government Services Part B for Idaho will eliminate the requirement for providers to submit visual field reports and photographs with each claim for blepharoplasty, ptosis, etc. This will not change the requirements, which will remain the same. These requirements are listed in the Idaho LMRP for Blepharoplasty, and may be accessed on the CMS or CIGNA Government Services Web sites. Claims for these procedures should be submitted with the –KX modifier appended. Use of this modifier will indicate that the criteria have been met and the requisite documentation, including visual fields and photographs, are maintained in the medical record in the provider’s office and are available to Medicare should an audit be performed. If the required documentation is not in the record, these claims will be subject to retroactive denial with recoupment of monies. This also does not indicate that any cosmetic surgery will be covered. Cosmetic surgery remains non-covered by Medicare.
Coverage Topic
Surgical Services
Doctor Office Visits
Hospital Care (Inpatient)
Outpatient Hospital Services
Other Comments
Does this Article contain a “Least Costly Alternative” provision?
No
Approval Notes
Approved?
No
Related Documents
This Article has no Related Documents.
Article Attachments
There are no attachments for this Article
Idaho Health Professional Shortage Areas (HPSAs)
Designated Geographic Areas
|
1 No longer classified as HPSA, effective 3/1/98
2 No longer classified as HPSA, effective 10/1/98
3 Classified as HPSA, effective 10/1/98
4 No longer classified as HPSA, effective 1/1/99
5 Classified as HPSA, effective 10/1/99
6 Classified as HPSA, effective 12/1/99
7 No longer classified as HPSA, effective 9/1/01
8 Classified as HPSA, effective 3/1/02
9 No longer classified as HPSA, efective 3/1/02
10No longer classified as HPSA, efective 9/1/03
11Classified as HPSA, effective 9/1/03
(04-1008)
