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Article - Billing and Coding: Hypoglossal Nerve …

    https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=58075&Cntrctr=381&name=&DocType=Future&ContrVer=1&CntrctrSelected=381*1
    Under ICD-10 Codes that Support Medical Necessity Group 1: Paragraph Dual diagnosis requirement added verbiage to read “Coverage for new insertion of a hypoglossal nerve stimulation device on patients who meet coverage criteria set …

CMS Manual System - Centers for Medicare

    https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R128CP.pdf
    61888 Revision or removal of cranial neurostimulator pulse generator or receiver 95961 Functional cortical and subcortical mapping by stimulation and/or recording of electrodes …

Vagus Nerve Stimulation (VNS) - Paramount Health …

    https://www.paramounthealthcare.com/assets/documents/MedicalPolicy/PG0237_Vagus_Nerve_Stimulation.pdf
    61888 Revision or removal of cranial neurostimulator pulse generator or receiver 64553 Percutaneous implantation of neurostimulator electrode array; cranial nerve 64568 …

CPT® Code 61888 - Neurostimulators (Intracranial) …

    https://www.aapc.com/codes/cpt-codes/61888
    61888, Under Neurostimulators (Intracranial) Procedures on the Skull, Meninges, and Brain. The Current Procedural Terminology (CPT ®) code 61888 as maintained by American …

MCD Search - Centers for Medicare & Medicaid Services

    https://www.cms.gov/medicare-coverage-database/search.aspx
    NCDs are national policy granting, limiting or excluding Medicare coverage for a specific medical item or service. These are developed and published by CMS and apply to all …

LCD - Knee Orthoses (L33318) - Centers for Medicare

    https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33318&CptHcpcsCode=l1833
    Coverage Indications, Limitations, and/or Medical Necessity For any item to be covered by Medicare, it must 1) be eligible for a defined Medicare benefit category, 2) …

Medical Necessity/No Payable Diagnosis - JE Part B

    https://med.noridianmedicare.com/web/jeb/topics/claim-submission/reason-code-guidance/med-nec-no-pay-dx
    Missing diagnosis that supports medical necessity; Next Step. View medical documentation to determine that appropriate diagnosis code was submitted; …

Medicare Coverage - General Information | CMS

    https://www.cms.gov/Medicare/Coverage/CoverageGenInfo
    People with Medicare, family members, and caregivers should visit Medicare.gov, the Official U.S. Government Site for People with Medicare, for the latest …

Certificate of Medical Necessity CMS 484 - Centers …

    https://downloads.cms.gov/medicare-coverage-database/lcd_attachments/33797_4/CMS484_508.Compliant.pdf
    CERTIFICATE OF MEDICAL NECESSITY DME 484.3 CMS-484 — OXYGEN DEPARTMENT OF HEALTH AND HUMAN SERVICES Form ApprovedCENTERS FOR …

Coding for Medically Necessary Contact Lenses

    https://www.reviewofcontactlenses.com/article/coding-for-medically-necessary-contact-lenses
    All requests for medically necessary contact lenses must be submitted by network provider for review and approval by our medical director before a claim will be …



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