September 2004 Medicare Bulletin - Tennessee Insert

<< Back to the September 2004 Main Table of Contents

Blepharoplasty (L6062) - LMRP Revision
Cardiac Output Monitoring by Thoracic Electrical Bioimpedance (TEB) - LCD Article
Cardiac Output Monitoring by Thoracic Electrical Bioimpedance (TEB) - LCD Conversion
Chest X-Ray (L6097) - LMRP Revision
Debridement of Ulcers and Wounds (L6082) - LCD Article
Debridement of Ulcers and Wounds - LCD Conversion
Ibritumomab Tiuxetan Therapy (Zevalin) - LCD Article
Ibritumomab Tiuxetan Therapy (Zevalin) - LCD Conversion
Intracardiac Radiofrequency Catheter Ablation (L6585) - LMRP Revision
Low Osmolar - LMRP Revision
Lumbar Spine MRI (L5768) - LMRP Revision
Myocardial Perfusion Imaging (L6693) - LMRP Revision,
Oxaliplatin for Injection (Eloxatin™) (L11006) - LCD Conversion
Resynchronization Therapy for Congestive Heart Failure (Biventricular Pacing) - LCD Article
Resynchronization Therapy for Congestive Heart Failure (Biventricular Pacing) - LCD Conversion
Telemetric Gastrointestinal Capsule Imaging (A21230) - LCD Article
Telemetric Gastrointestinal Capsule Imaging (A21230) - LCD Conversion
Tennessee Health Professional Shortage Areas (HPSAs)
Tennessee Mental Health Professional Shortage Areas
Tennessee Teleconference for Chiropractic and Billing Staff
T-Wave Alternans Testing - LCD Article,
T-Wave Alternans Testing (L10772) - LCD Conversion
Updated Surgical Add-On Code(s) Listing - Tennnessee

Tennessee Teleconference for Chiropractors and Billing Staff

CIGNA Government Services will be conducting a training session via teleconference for Tennessee chiropractors and their billing staff on Wednesday, September 15, from 9:00-10:00 Central Time (10:00-11:00 Eastern Time). The focus of this call will be “New Requirements for Chiropractic Billing of Active/Corrective Treatment and Maintenance Therapy” that will be effective October 1, 2004. Please register online at http://www.cignamedicare.com/wrkshp/tn. As part of the registration you may submit topics of interest to be addressed during the session by the Carrier Medical Director and Provider Education staff. If you do not have Internet access, please contact Lynne Jordan at 615.782.4526 to register. We will include the toll-free conference dial-in number and the access code with your registration confirmation.

(04-1231)

Top

ZZZ ADD-ON CODE	PRIMARY CODE
G0184	67221
G0236	76090,76091, G0204, G0206
G0241	G0240
G0247	G0245-G0246
G0275	93508, 93510-93511, 93524, 93526-93529, 93531-93533, 93539-93541, 93543-93545
G0278	93508, 93510-93511, 93524, 93526-93529, 93531-93533, 93539-93541, 93543-93545
G0289	29873, 29875, 29880-29889
11001	11000
11101	11100
11201	11200
11732	11730
11922	11921
13102	13101
13122	13121
13133	13132
13153	13152
15001	15000
15101	15100
15121	15120
15201	15200
ZZZ ADD-ON CODE	PRIMARY CODE
15221	15220
15241	15240
15261	15260
15343	15342
15351	15350
15401	15400
15787	15786
16036	16035
17003	17000
17310	17304-17307
19001	19000
19126	19125
19291	19290
19295	19102
19340	19140 - 1916219180 - 1924019316 - 193181935719364 - 1936919370 – 19371, 19380
20931	Codes 20930-20938 are reported in addition to codes for the definitive procedure(s) without modifier 51. Report only one bone graft code per operative session
20937	Codes 20930-20938 are reported in addition to codes for the definitive procedure(s) without modifier 51. Report only one bone graft code per operative session
20938	Codes 20930-20938 are reported in addition to codes for the definitive procedure(s) without modifier 51. Report only one bone graft code per operative session
22103	22100 – 22102
22116	22110 – 2211222114
22216	22210 – 22214
ZZZ ADD-ON CODE	PRIMARY CODE
22226	22220 – 22224
22328	22325 – 22327
22522	22520, 22521
22534	22532, 22533
22585	22554 - 22558
22614	22600 – 22612
22632	22630
22840	22325 – 2232722548 – 22812
22842	22325 – 2232722548 – 22812
22843	22325 – 2232722548 – 22812
22844	22325 – 2232722548 – 22812
22845	22325 – 2232722548 – 22812
22846	22325 – 2232722548 – 22812
22847	22325 – 2232722548 – 22812
22848	22325 – 2232722548 – 22812
22851	22325 – 2232722548 – 22812
26125	26123
26861	26860
26863	26862
27358	27355 - 27357
27692	27690 - 27691
31632	31628
31633	31629
32501	32480 – 32484
ZZZ ADD-ON CODE	PRIMARY CODE
33141	33400 – 33496, 33510 – 33536
33225	33206-33208, 33212-33214, 33216-33217, 33222, 33233-33235, 33240, 33249
33508	33510-33523
33517	33533 – 33536
33518	33533 – 33536
33519	33533 – 33536
33521	33533 – 33536
33522	33533 – 33536
33523	33533 – 33536
33530	33400 - 3349633510 - 3353633863
33572	33510 - 3351633533 - 33536
33924	33470 – 3347533600 – 3361933684 – 3368833692 – 3369733735 – 3376733770 – 3378633918 – 33922
33961	33960
34808	34800, 34813, 34825, 34826
34813	34812
34826	34825
35390	35301
35400	35201 – 35381, 35585, 35566, 35556
35500	35501 – 35587
35572	33510-33523, 34502, 34520, 35001-35002, 35011-35022, 35102-35103, 35121-35152, 35231-35256, 35501-35587, 35879-35907
35600	33533 – 33536
35681	List separately in addition to primary procedure
35682	35501 – 35587
35683	35501 – 35587
35685	35656, 35666, 35671
35686	35556, 35566, 35571, 35583-35587,35623, 35656, 35666, 35671
ZZZ ADD-ON CODE	PRIMARY CODE
35697	33877, 35081
35700	35556355663557135583 - 3558735656,35666 - 35671
36218	36216 or 36217
36248	36246 or 36247
37206	37205
37208	37207
37250	36215 – 36248, 37200 – 37208,61624, 61626
37251	37250
38102	List separately in addition to primary procedure.
38746	List separately in addition to primary procedure.
38747	List separately in addition to primary procedure.
43635	43631 - 43634
44015	List separately in addition to primary procedure.
44121	44120
44128	44126 – 44127
44139	44140 – 44147
44203	44202
44955 and 47001	When done for indicated purpose at time of other major procedure (not as separate procedure)
44701	44140, 44145, 44150, 44604
47550	47600 – 47620
48400	43260 - 43272
49568	49560 - 49566
49905	List separately in addition to primary procedure.
ZZZ ADD-ON CODE	PRIMARY CODE
56606	56605
58611	43020 - 4363443638 - 4401044020 - 4412044125 - 4413044140 - 4495044960 - 4700047010 - 4818048500 - 4956649570 - 4990059510 - 59515
59525	59510 – 5951559618 – 59622
60512	60500 - 60505
61316	61304, 61312-61313, 61322-61323, 61340, 61570-61571, 61680-61705
61517	61510, 61518
6160961610	61607 - 61608
6161161612	61605 - 61606
61795	61304-61692 61700-6171163001-6309122100-2232822548-228516185531254-31256, 31267, 31276, 31287-31288, 31290-31294
61864	61863
61868	61867
62148	62140-62147
62160	61107, 61210, 62220, 62223, 62225, 62230
63035	63020 - 63030
63043	63040
63044	63042
63048	63045 - 63047
63057	63055 - 63056
63066	63064
ZZZ ADD-ON CODE	PRIMARY CODE
63076	63075
63078	63077
63082	63081
63086	63085
63088	63087
63091	63090
63103	63101, 63102
63308	63300 - 63307
64472	64470
64476	64475
64480	64479
64484	64483
64623	64622
64627	64626
64727	64702 - 64726
64778	64776
64783	64782
64787	64774 - 64786
64832	64831
64837	64834 - 64836
64859	64856 - 64857
64872	64831 – 64865
64874	64831 – 6487264876
64876	64831 - 64865
64901	64885 - 64893
64902	64885, 64886, 64895 - 64898
66990	65820, 65875, 65920, 66985-66986, 67038-67040
67225	67221
67320	67311 – 67318
67331	67311 – 67318
ZZZ ADD-ON CODE	PRIMARY CODE
67332	67311 – 67318
67334	67311 – 67318
67335	67311 - 67334
67340	67311 – 6732067331 – 67334
69990	Surgical procedure not excluded in CPT-4 definition of 69990
74301	74300
75774	75600 – 75790, 36215 – 36248
75946	75945
75964	75962
75968	75966
75993	75992
75996	75995
75998	36555-36585
76085	76092, G0202
76125	Xray procedure where dye or Isotope is used
76802	76801
76810	76805
76812	76811
76937	36555-36585
78020	78018
78478	78460 – 78464, 78465
78480	78460 – 78465
78496	78472
87904	87903
88141	88142 - 88154, 88164 – 88167, 88174-88175, G0123, P3000
88155	88142 – 88145, 88150 – 88154,88164 – 88167
88311 and 88312	List separately in addition to primary procedure.
90472	90471
90781	90780
92547	92541 – 92546
92973	92980, 92982
92974	92980, 92982, 92995, 93508
92978	During therapeutic intervention including imaging supervision, interpretation and report. List separately in addition to code for primary procedure.
92979	92978
92981	92980
ZZZ ADD-ON CODE	PRIMARY CODE
92984	92980,92982,92995,G0290
92996	92980,92982,92995
92998	92997
93320	93303 – 9331793350
93321	93303 – 9331793350
93325	76825 – 7682893303 – 9332193350
93571	92980-92984, 92995-92996, 93508, 93539-93540, 93545, G0290
93572	93571
93609	93620, 93651 - 93652
93613	93620, 93651 – 93652
93621	93620
93622	93620
93623	93620 – 93622
93662	93621, 93622, 93651, 93652
95920	92585, 95925 – 95937, 95822, 9586095861, 95867, 95868, 95900, 95904
95962	95961
95967	95966
95973	95972
95975	95974
96412	96410
96423	96422
96570	31641, 43228
96571	31641, 43228
97546	97545
99292	99291
99354	99201-99205, 99212-99215,99241-99245
99355	99354
99356	99221-99223, 99231-9923399251-99255, 99261-99263,99301-99303, 99311-99313
99357	99356

September 2004 Medicare Bulletin - Tennessee Insert

Table of Contents

Tennessee Teleconference for Chiropractors and Billing Staff

Blepharoplasty (L6062) - LMRP Revision

Cardiac Ouput Monitoring by Thoracic Electrical Bioimpedance (TEB) – LCD Article

Cardiac Ouput Monitoring by Thoracic Electrical Bioimpedance (TEB) – LCD Conversion

Chest X-Ray (L6097)– LMRP Revision

Debridement of Ulcers and Wounds - LCD Article

Debridement of Ulcers and Wounds (L6082) - LCD Conversion

Ibritumomab Tiuxetan Therapy (Zevalin) - LCD Article

Ibritumomab Tiuxetan Therapy (Zevalin) - LCD Conversion

Intracardiac Radiofrequency Catheter Ablation (L6585)- LMRP Revision

Lumbar Spine MRI (L5768) - LCD Conversion / Revision

Myocardial Perfusion Imaging (L6693) - LMRP Revision

Oxaliplatin for Injection (EloxatinTM) (L11006) - LCD Conversion

Resynchronization Therapy for Congestive Heart Failure (Biventricular Pacing) (L6853) - LCD Article

Resynchronization Therapy for Congestive Heart Failure (Biventricular Pacing) (L6853) - LCD Conversion

Telemetric Gastrointestinal Capsule Imaging (A21230) - LCD Article

Telemetric Gastrointestinal Capsule Imaging (A21230) - LCD Conversion

T-Wave Alternans Testing - LCD Article

T-Wave Alternans Testing - LCD Conversion

Low Osmolar Contrast Material (L5761) - LMRP Revision

Updated Surgical Add-On Code(s) Listing

CHART FOR ZZZ (ADD-ON) CODE

Tennessee Mental Health Professional Shortage Areas (HPSAs)

Designated Geographic Areas

Tennessee Health Professional Shortage Areas (HPSAs)

Designated Geographic Areas

Oxaliplatin for Injection (Eloxatin^TM) (L11006) - LCD Conversion