Medicare Bulletin - North Carolina, GR 06-10

October 2006 Medicare Bulletin - North Carolina Insert

Posted October 6, 2006

<< Back to the October 2006 Main Table of Contents

Colonoscopy LCD - Revision
North Carolina Health Professionals Shortage Areas (HPSAs)
North Carolina Mental Health Professional Shortage Areas (HPSAs)
The Following LCD’s Are Being Retired September 1, 2006 For NC:

The Following LCD’s Are Being Retired September 1, 2006 For NC:

B12 Injection	L5686
Vitamin B12 Chemistry Test	L6728
End-Diastolic Pneumatic Compression Therapy	L14398
Fluorescein Angiography	L9720
Insertable Loop Recorder	L9950
Monitored Anesthesia Care	L18966
Interventional Cardiology	L6173
Ionizied Calcium	L6217
Modified Barium Swallow Studies	L6280
PUVA	L6427
Syphilis Test	L6632

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Colonoscopy LCD - Revision

The North Carolina LCD for Colonoscopy (L5774) has been revised to remove ICD-9’s 564.0-564.89, 569.1, 569.2, and 792.1 to correct an error. These codes were inadvertently included in both the sections on diagnostic colonoscopy and the section on high risk screening. To view the entire policy, please visit the CMS Web site.

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North Carolina Mental Health Professional Shortage Areas (HPSAs)

Designated Geographic Areas

COUNTY	AREA NAME/PARTS	RURAL/URBAN
Beaufort	Tideland Beaufort	Rural
Bertie	Roanoke-Chowan Bertie	Rural
Bladen	Southeast Regional MHCA Blanden	Rural
Brunswick	Brunswick	Rural
Caldwell	Caldwell	Urban
Camden	Albermarle Camden	Rural
Cherokee²	Smokey Mountain MHCA Cherokee	Rural
Chowan	Albermarle Chowan Smokey Mountain	Rural
Clay²	Smokey Mountain MHCA Clay	Rural
Columbus	Southeast Regional Columbus	Rural
Currituck	Albermarle Currituck	Rural
Dare	Albermarle Dare	Rural
Duplin	Duplin-Sampson Duplin	Rural
Gates	Roanoke-Chowan Gates	Rural
Graham	Smokye Mountain MHCA Graham	Rural
Halifax	Halifax MHCA Halifax	Rural
Haywood²	Smokey Mountain MHCA Haywood	Rural
Hertford	Roanoke-Chowan Hertford	Rural
Hyde	Tideland Hyde	Rural
Jackson²	Smokey Mountain MHCA Jackson	Rural
Macon²	Smokey Mountain MHCA Macon	Rural
Madison¹	Madison
Martin	Tideland Martin	Rural
Northampton	Roanoke-Chowan Nothampton	Rural
Pasquotank	Albermarie Pasquotank	Rural
Perquimans	Albermarle Perquimans	Rural
Robeson	Southeast Regional Robeson	Rural
Sampson	Duplin-Sampson Sampson	Rural
Scotland	Southeast Regional Scotland	Rural
Surry	Surry-Yadkin Surry Smokey Mountain	Rural
Swain²	Smokey Mountain MHCA Swain	Rural
Tyrrell	Tideland Tyrell	Rural
Washington	Tideland Washington	Rural
Yadkin	Surry-Yadkin Yadkin	Rural

¹ Classified as a Mental Health HPSA, Effective February 2, 2005

² Classified as a Mental Health HPSA, Effective June 30, 2005

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North Carolina Health Professional Shortage Areas (HPSAs)

Designated Geographic Areas

COUNTY	AREA NAME/PARTS	RURAL/URBAN
Alexander	All	Urban
Anson	All	Rural
Beaufort	Bayboro - Aurora Richland Twp. Belhaven - Swan Quarter Bath Twp., Pantego Twp	Rural
Bertie	All	Rural
Bladen¹	All	Rural
Caldwell	Western Caldwell - Globe Twp., Johns River Twp., Mulberry Twp., Patterson Twp., Wilson Creek Twp.,	Rural
Carteret⁵	Eastern Cateret - Atlantic Twp., Cedar Island Twp., Davis Twp., Harkers Islands Twp., Marshallberg Twp., Merrimon Twp., Portsmouth Twp., Sea Level Twp., Smyrna Twp., Stacy Twp., Strait Twp.	Rural
Caswell	All	Rural
Cherokee³	Andrews Area, Valley Town Twp.	Rural
Clay	All	Rural
Columbus	All	Rural
Currituck	All	Urban
Dare	Hatteras - Ocracoke SA Hatteras Twp., Kinnakeet Twp.	Rural
Edgecombe	All	Urban
Franklin	All	Urban
Gates	All	Rural
Graham	All	Rural
Greene²	All	Rural
Guilford	Inner City Greensboro - Census Tracts 101, 107.02, 108.01, 110, 111.01, 112, 113, 114, 115	Urban

Hoke	All	Rural
Hyde	Belhaven-Swan Quarter Currituck Twp., Fairfield Twp., Lake Landing Twp., Lake Mattamuskeet Unorg., Swan Quarter Twp. Hatteras-Ocracoke Ocracoke Twp.	Rural
Lenoir	East Kinston - Census Tracts 101-105, 107	Urban
Macon¹	Franklin - Burningtown Twp., Cartoogechaye Twp., Cowee Twp., Ellijay Twp., Flats Twp., Franklin Twp., Millshoal Twp., Nantahala Twp., Smiths Bridge Twp.	Rural
Mecklenburg	Central Charlotte - Census Tracts 1, 4, 5, 6, 7, 8, 36, 37, 38.98, 39.01, 39.02, 41, 42, 45, 46, 47, 48, 49, 50, 51, 51.01, 52	Urban
Montgomery¹	All	Rural
Northampton	All	Rural

Pamlico	Bayboro - Aurora Pamlico	Rural
Pender	All	Rural
Person	All	Rural
Randolph	All	Urban
Robeson	All	Rural
Stokes	Danbury - Census Tracts 701, 702, and 703	Urban
Tyrrell	All	Rural
Warren	All	Rural
Washington	All	Rural

¹ No longer classified as a HPSA, effective August 1, 2002.
² Classifed as a HPSA, effective June 1, 2004.
³ No longer classified as a HPSA, effective December 1, 2004.

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