|
|
In This Issue.........
NPI Articles:
All Providers:
Adult Care Home:
Ambulatory Surgical Centers:
Case Management Agencies:
Certified Dialysis Providers:
Dental Providers:
Durable Medical Equipment:
Durable Medical Equipment:
Federally Qualified Health Centers:
Health Departments:
Health Department Dental Centers:
Home Health Agencies:
Home Infusion Therapists:
Hospice Providers:
Hospital Outpatient Clinics:
Independent Practitioners:
Local Education Agencies:
Local Health Departments:
Nurse Midwives:
Nurse Facility Providers:
Nurse Practitioners:
Orthotic and Prosthetic Providers:
Personal Care Services, Personal Care Services-Plus:
Pharmacies:
Physicians:
Rural Health Centers:
UB-92 / UB-04 Providers:
N.C. Medicaid will hold National Provider Identifier (NPI) seminars during the month of February 2008. Seminars are intended for providers that would like more detailed information on how NC Medicaid will be implementing NPI. New information as well as future changes will be addressed at these seminars. Providers are encouraged to attend.
The seminars are scheduled at the locations listed below. Pre-registration is required. Due to limited seating, registration is limited to two staff members per office. Unregistered providers are welcome to attend if space is available.
Providers may register for the NPI seminars by registering online at www.ncdhhs.gov/dma/prov.htm. Sessions will begin at 9:00 a.m. and end at 12:00 p.m. Providers are encouraged to arrive by 8:45 a.m. to complete registration.
Please see directions and contact phone numbers for venues.
|
February 5, 2008 |
February 6, 2008 |
|
February 14, 2008 |
February 19, 2008 |
|
February 20, 2008 |
February 26, 2008 |
|
February 27, 2008 |
Directions to A/B Tech Community College, Enka Campus (828) 254.1921
Take I-40 to Exit 44. At
the traffic light at the end of the exit ramp, turn right. Go to the fourth
traffic light and turn left on Sand Hill Road. Go to the second entrance on the
left and turn onto the campus. The Haynes Conference Center will be on your
right and the Incubator will be on your left. You may park on the left or in
the lots straight ahead of you.
Directions to Park Inn Gateway Conference Center, Hickory, NC (828)
328-5101
Exit 123B off of I-40 to 321 North (half a mile) take Exit 44. Park
Inn Hickory is on the right hand side.
Directions
to Holiday Inn Select- Winston-Salem (800) 465-4329
From the East or West: Take I-40 to NC Hwy 52 North,
travel 8 miles to exit 115B (University Pkwy South). Hotel is on the right.
From the North: Take Hwy 52 South, to UNIVERSITY PKWY exit- EXIT 115.
Keep RIGHT at the fork to go on UNIVERSITY PKWY.
From the South: Take Hwy 52 North to exit 115B (University Pkwy South).
Hotel is on the right.
Directions to Hilton University Place, Charlotte NC (704) 547-7444
Exit from
I-85 North or South at exit 45A, W.T. Harris Boulevard East. Hilton Charlotte University Place is 1/4 mile on the left in the University Place complex.
The hotel is the highrise building in the complex, totally visible from Harris Boulevard. Then left turn at J M Keynes Drive goes directly into the hotel parking
lot.
Directions to Martin Community College, Williamston, NC (252) 792-1521
From
the West: U.S. Hwy. 64 to Williamston,
Exit 512 from Hwy. 64.
Turn
right on NC Hwy. 125 (Prison Camp Rd.) and left on Kehukee Park Road. Martin Community College will be on the right. Sign before Exit 512 states Senator Bob Martin Agricultural Center and Martin Community College. If you are coming in on
Alternate Hwy. 64 (business), college will be on right.
From the North: U.S. Highways 13 and 17 run together from Windsor to Williamston. Both run in to Alternate Hwy. 64 (business) at Holiday Inn. Continue straight on Hwy. 64 West. College will be on left just outside of town.
From the East: From Jamesville/Plymouth on U.S. Hwy. 64 traveling west in
Williamston, turn left at the stoplight at McDonald's. Keep straight at the Holiday Inn Intersection on Hwy. 64 West. College is on the left just outside of Williamston.
From the South: From Washington, take U.S. Hwy. 17 North to Williamston. At the Holiday Inn intersection in Williamston, take a left on Hwy. 64 West. College will be on the left just outside Williamston.
From Greenville, take Hwy. 264 bypass. Exit route Hwy. 11 & 13 North. Turn right on Route 903 through Stokes N.C.; take the first left after going through Stokes (still on Hwy. 903). After entering Martin County, turn right at yellow, blinking light onto Prison Camp Road (also known as State Road #1142). Pass Senator Bob Martin Eastern Agricultural Center, and keep on Prison Camp Rd. Turn left on Kehukee Park Road. College is on the right.
Directions to Jane S. McKimmon Center – Raleigh (919) 515-2277
Traveling East on I-40: Take Exit 295 and turn left onto Gorman Street. Travel approximately 2.5 miles. The McKimmon Center is located on the right at the corner of Gorman Street and Western Boulevard.
Traveling West on I-40: Take Exit 295 and turn right onto Gorman Street. Travel approximately 2.5 miles. The McKimmon Center is located on the right at the corner of Gorman Street and Western Boulevard.
Directions to Coastline Convention Center – Wilmington (910) 763-6739
From I-40 East / Raleigh Durham Area: Follow Interstate 40 East to Wilmington. As you approach Wilmington, turn right onto MLK Parkway/74 West/Downtown. Continue on route to downtown and it will become 3rd Street. Follow 3rd Street for five blocks until you reach Red Cross Street. Turn right onto Red Cross Street and follow for two blocks. Turn right onto Nutt Street. Second drive way on left is the entrance to the convention center.
From Hwy 17 S. (Jacksonville area): Stay on Hwy 17 S. as it turns into Market Street. Follow Market Street until you see the sign for 74 West / Downtown (MLK Parkway). Take 74 West (MLK Parkway) to downtown (approx 4 miles), turn right on Red Cross Street, come 2 blocks, turn right on Nutt Street. Second drive way on left is the entrance to the convention center.
From Hwy 17 N. or Hwy 74-76 (Myrtle Beach or Fayetteville area): Come across the Cape Fear Memorial Bridge into Wilmington. Take a left at the first stoplight onto 3rd Street and come downtown. Follow 3rd Street to Red Cross Street and turn left at the stoplight. Go to the bottom of the hill (approximately 3 blocks). Take a right onto Nutt Street, turn left into the main parking lot of the Coast Line Center.
EDS, 1-800-688-6696 or 919-851-8888
Beginning in January 2008, paper Remittance and Status (RA) Reports will display the billing provider’s NPI in addition to the Medicaid Provider Number. The NPI will appear directly above the Medicaid Provider Number on each page of the RA. Attending provider NPIs will not be displayed. The NPI shown on the RA will be the NPI reported to N.C. Medicaid for the billing Medicaid Provider Number. If no NPI appears, N.C. Medicaid does not have your NPI in the provider database and you need to report it as soon as possible. To report an NPI, visit the DMA NPI and Address Database at www.ncdhhs.gov/dma/npi.htm.
EDS, 1-800-688-6696 or 919-851-8888
Providers are now required to include the last four digits of their ZIP codes in the billing address and service facility location address fields on all claims. Once NPI is implemented, the ZIP+4 will be an important component for claims processing. Therefore, it is imperative for providers to begin including this information on claims. Requirements for each claim form regarding ZIP+4 are listed below.
To determine your ZIP+4, visit the U.S. Postal Service Web site, www.usps.com, and use the ZIP Code Lookup function.
NPI – Get it! Share It! Use It! Getting one is free – Not having one can be costly!
EDS, 1-800-688-6696 or 919-851-8888
This article is for informational purposes only. N.C. Medicaid is currently not accepting claims containing NPI only. As NPI implementation approaches, providers will begin seeing the following new and modified NPI EOB codes:
NEW EOB CODES FOR NPI:
MODIFIED EOB CODES FOR NPI:
NPI – Get it! Share It! Use It! Getting one is free – Not having one can be costly!
EDS, 1-800-688-6696 or 919-851-8888
N.C. Medicaid has designed a mapping solution to crosswalk the NPI to the Medicaid Provider Number. Ideally, each NPI will crosswalk to only one Medicaid Provider Number. If the NPI crosswalks to multiple Medicaid Provider Numbers, the mapping solution will attempt to determine the appropriate Medicaid Provider Number by taking the claim through a series of steps. The taxonomy will play an important role in determining the appropriate Medicaid Provider Number to use for claim processing. Therefore, N.C. Medicaid strongly recommends that providers use the table below when choosing an appropriate taxonomy. This will assist N.C. Medicaid in crosswalking to the correct Medicaid Provider Number in the event the provider chooses not to apply for a unique NPI for each of its Medicaid Provider Numbers.
NOTE: The taxonomies recommended below are to be used for claims processing only. Providers are not required to change the taxonomy that was previously reported to NPPES or N.C. Medicaid Provider Enrollment. Currently, N.C. Medicaid does not compare the taxonomy submitted on claims to what was reported to Provider Enrollment or NPPES.
|
Provider Type/Service Provided |
Taxonomy Code |
|---|---|
|
Nursing Home - Skilled Nursing Level of Care |
314000000X |
|
Nursing Home - Intermediate Care Level of Care |
313M00000X |
|
Nursing Home – Vent Level of Care |
314000000X |
|
Nursing Home – Head Level of Care |
310500000X |
|
Nursing Home – Indian Facility Billing Skilled Nursing Level of Care |
314000000X |
|
Nursing Home – Indian Facility Billing Intermediate Nursing Level of Care |
313M00000X |
|
Adult Care Home Level of Care |
310400000X |
|
Adult Care Home Enhanced Level of Care |
310400000X |
|
Adult Care Home Special Care Alzheimer’s Level of Care |
311500000X |
|
Swing Bed – Any Facility |
275N00000X |
|
Personal Care Services |
3747P1801X |
|
All Case Management Services (HIV, At Risk, MCC and CSC) |
251B00000X |
|
Home Health |
251E00000X |
|
Home Infusion Therapy (HIT) |
251F00000X |
|
Durable Medical Equipment |
332B00000X |
|
Pharmacy Prescription Services |
333600000X |
|
Federally Qualified Health Clinic (FQHC) – All services |
261QF0400X |
|
Rural Health Clinic (RHC) – All Services |
261QR1300X |
|
Physician - Groups |
193200000X
(Multi-specialty) |
|
Physician – Individuals |
Any of the Allopathic and Osteopathic Taxonomies |
|
Private Duty Nurses |
215J00000X |
|
Nurse Practitioners – All Services except psychiatric related services |
363L00000X |
|
Nurse Practitioners – Mental Health/Psychiatric |
363LP0808X |
|
Clinical Nurse Specialist – Mental Health/Psychiatric |
364SP0808X |
|
Hospice Services Provided at Any Location |
251G00000X |
|
Hospital – Rehabilitation Services (‘T’ suffix on Medicaid Provider Number) |
273Y00000X |
|
Hospital – Psychiatric Services (‘S’ suffix on Medicaid Provider Number) |
273R00000X |
|
Hospital – General Services |
282N00000X |
|
Hospital – Critical Access |
282NC0060X |
|
Area Mental Health (LME) |
261QM0801X |
|
Psychiatric Residential Treatment Facility (PRTF) |
323P00000X |
|
Residential Child Care |
322D00000X |
|
Independent and Outpatient Mental Health Services – Group |
Any of the Behavioral Health and Social Service Taxonomies |
|
Community Intervention Services (All Enhanced Benefits |
251S00000X |
|
Psychiatric Hospital – Inpatient |
283Q00000X |
|
Health Department – All Services |
251K00000X |
|
Ambulance |
341600000X |
|
Respiratory Therapists Group/Individual |
227800000X |
|
Audiologists Group/Individual |
231H00000X |
|
Hearing Aid Dealer – Hearing Aid |
237700000X |
|
Speech Pathologists Group/Individual |
235Z00000X |
|
Physical Therapists Group/Individual |
225100000X |
|
Occupational Therapists Group/Individual |
225X00000X |
|
Chiropractic Group/Individual |
111N00000X |
|
Optometry Group/Individual |
152W00000X |
|
Optical Supply Dealer – Eyewear Supplier |
332H00000X |
|
Optical Supply Dealer – Optician |
156FX1800X |
|
Podiatry Group/Individual |
213E00000X |
EDS, 1-800-688-6696 or 919-851-8888
N.C. Medicaid recommends for NPI mapping that the following taxonomies are submitted on claims when nursing home services are provided.
|
Provider Type - Service Provided |
Taxonomy Code |
|---|---|
|
Nursing Home - Skilled Nursing Level of Care |
314000000X |
|
Nursing Home - Intermediate Care Level of Care |
313M00000X |
|
Nursing Home – Vent Level of Care |
314000000X |
|
Nursing Home – Head Level of Care |
310500000X |
|
Nursing Home – Indian Facility Billing Skilled Nursing Level of Care |
314000000X |
|
Nursing Home – Indian Facility Billing Intermediate Nursing Level of Care |
313M00000X |
EDS, 1-800-688-6696 or 919-851-8888
N.C. Medicaid recommends for NPI mapping that the following taxonomy is submitted on claims when case management services are provided.
|
Provider Type/Service Provided |
Taxonomy Code |
|---|---|
|
All Case Management Services (HIV, At Risk, MCC and CSC) |
251B00000X |
EDS, 1-800-688-6696 or 919-851-8888
N.C. Medicaid recommends for NPI mapping that the following taxonomy is submitted on claims when personal care services are provided.
|
Provider Type/Service Provided |
Taxonomy Code |
|---|---|
|
Personal Care Services |
3747P1801X |
EDS, 1-800-688-6696 or 919-851-8888
N.C. Medicaid recommends for NPI mapping that the following taxonomy is submitted on claims when home health services are provided.
|
Provider Type/Service Provided |
Taxonomy Code |
|---|---|
|
Home Health |
251E00000X |
EDS, 1-800-688-6696 or 919-851-8888
N.C. Medicaid recommends for NPI mapping that the following taxonomy is submitted on claims when home infusion therapy services are provided.
|
Provider Type/Service Provided |
Taxonomy Code |
|---|---|
|
Home Infusion Therapy (HIT) |
251F00000X |
EDS, 1-800-688-6696 or 919-851-8888
N.C. Medicaid recommends for NPI mapping that the following taxonomy is submitted on claims when billing for DME supplies.
|
Provider Type/Service Provided |
Taxonomy Code |
|---|---|
|
Durable Medical Equipment |
332B00000X |
EDS, 1-800-688-6696 or 919-851-8888
N.C. Medicaid recommends for NPI mapping that the following taxonomies are submitted on claims when adult care home services are provided.
|
Provider Type/Service Provided |
Taxonomy Code |
|---|---|
|
Adult Care Home Level of Care |
310400000X |
|
Adult Care Home Enhanced Level of Care |
310400000X |
|
Adult Care Home Special Care Alzheimer’s Level of Care |
311500000X |
EDS, 1-800-688-6696 or 919-851-8888
N.C. Medicaid recommends for NPI mapping that the following taxonomy is submitted on claims when services are provided at health departments.
|
Provider Type/Service Provided |
Taxonomy Code |
|---|---|
|
Health Department – All Services |
251K00000X |
EDS, 1-800-688-6696 or 919-851-8888
N.C. Medicaid recommends for NPI mapping that the following taxonomies are submitted on claims when services are provided at FQHC/RHC. This will ensure accurate mapping for federal funding.
| Provider Type/Service Provided |
Taxonomy Code |
|---|---|
|
Federally Qualified Health Clinic (FQHC) – All services |
261QF0400X |
|
Rural Health Clinic (RHC) – All Services |
261QR1300X |
EDS, 1-800-688-6696 or 919-851-8888
N.C. Medicaid recommends for NPI mapping that the following taxonomy is submitted on claims when billing for hospice services.
|
Provider Type/Service Provided |
Taxonomy Code |
|---|---|
|
Hospice Services Provided at Any Location |
251G00000X |
NOTE: For hospice services being provided in a nursing home facility, N.C. Medicaid recommends for NPI mapping of the attending/rendering provider, the following taxonomies are submitted on the claim at the attending/rendering level.
|
Provider Type/Service Provided |
Taxonomy Code |
|---|---|
|
Nursing Home - Skilled Nursing Level of Care |
314000000X |
|
Nursing Home - Intermediate Care Level of Care |
313M00000X |
EDS, 1-800-688-6696 or 919-851-8888
Effective January 1, 2008, with the exception of pharmacy, all submitted claims must contain the Medicaid Provider Number, NPI, and Taxonomy. This data is needed to ensure that providers’ claims are mapping and paying to the correct Medicaid Provider Number prior to NPI implementation.
Beginning in March 2008, claims will deny if one of the above data elements is missing. For placement of data on the 837 transaction, consult the HIPAA Implementation Guide at www.wpc-edi.com. The NCECS Webtool now contains fields to report this information. For UB and ADA paper claims, consult the New Claim Form Instructions Special Bulletin at http://www.ncdhhs.gov/dma/bulletin/NewClaimForm0607.pdf.
Please note the following change for CMS-1500 paper claim forms: Report the Billing Taxonomy in Box 19, and the Attending Taxonomy (if applicable) in Box 32b. Placement of NPI and Medicaid provider number on paper claims remain the same.
Reminder: on CMS-1500 and UB paper claims, the ZZ qualifier must precede the taxonomy. Qualifiers are not used on the ADA form.
NPI – Get it! Share It! Use It! Getting one is free – Not having one can be costly!
EDS, 1-800-688-6696 or 919-851-8888
The Division of Medical Assistance (DMA) has implemented a searchable National Provider Identifier (NPI) and address database. Providers can access the database by NPI or Medicaid provider number, at http://www.ncdhhs.gov/dma/NPI.htm.
Please access the database as soon as possible to verify your NPI, site address, and billing address.
If your NPI is not in the database, previously submitted documentation was either not sufficient to update the database or has not been submitted at all. Providers should print the form and submit your NPI with a copy of your National Plan and Provider Enumeration System (NPPES) certification.
Provider Services
DMA, 919-855-4050
New fields are now available on the NCECS Webtool for submitting NDC and NPI information. The NDC fields include: the 11 digit National Drug Code and the NDC units (quantity). Physicians, nurse practitioners, nurse midwives, Federally Qualified Health Centers, Rural Health Clinics, local health departments, and non-hospital based dialysis centers are required to submit NDCs when billing for rebatable drugs through the Physician’s Drug Program (PDP). For more information regarding NDC, see the October 2007 NDC Special Bulletin.
The NPI fields include: attending provider NPI, referring provider NPI, billing provider taxonomy and attending provider taxonomy. The existing NPI field now has the ability to save data. Effective January 1, 2008, NCECSWeb users are required to submit the NPI, Medicaid Provider Number, and taxonomy on all claims. For more information regarding NPI, see the DMA NPI webpage: www.ncdhhs.gov/dma/npi.htm.
EDS, 1-800-688-6696 or 919-851-8888
Effective with date of service Jan. 1, 2008, the Centers for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA) have added some new Current Procedural Terminology (CPT) codes, deleted others, and changed the descriptions of some existing codes. (For complete information regarding all CPT codes and descriptions, refer to the 2008 edition of Current Procedural Terminology, published by the American Medical Association.) New CPT codes that are covered by the N.C. Medicaid program are effective with date of service Jan. 1, 2008. Claims submitted with deleted codes will be denied for dates of service on or after Jan .1, 2008. Previous policy restrictions continue in effect unless otherwise noted.
|
New Covered CPT Codes (effective 01/01/2008) |
|||||||||
|---|---|---|---|---|---|---|---|---|---|
|
99367 |
99477 |
01935 |
01936 |
20555 |
21073 |
22206 |
22207 |
22208 |
24357 |
|
24358 |
24359 |
27267 |
27268 |
27269 |
27726 |
27767 |
27768 |
27769 |
29828 |
|
29904 |
29905 |
29906 |
29907 |
32421 |
32422 |
32550 |
32551 |
32560 |
33257 |
|
33258 |
33259 |
33864 |
34806 |
35523 |
36593 |
41019 |
49203 |
49204 |
49205 |
|
49440 |
49441 |
49442 |
49446 |
49450 |
49451 |
49452 |
49460 |
49465 |
50385 |
|
50386 |
51100 |
51101 |
51102 |
52649 |
55920 |
57285 |
57423 |
58570 |
58571 |
|
58572 |
58573 |
60300 |
67041 |
67042 |
67043 |
67113 |
67229 |
68816 |
75557 |
|
75561 |
80047 |
82610 |
83993 |
84704 |
86356 |
86486 |
87500 |
87809 |
90769 |
|
90770 |
90771 |
96125 |
|||||||
|
End-Dated CPT Codes (effective 12/31/2007) |
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
|
01905 |
24350 |
24351 |
24352 |
24354 |
24356 |
32000 |
32002 |
32005 |
32019 |
|
|
32020 |
36540 |
36550 |
43750 |
47719 |
49200 |
49201 |
51000 |
51005 |
51010 |
|
|
52510 |
60001 |
67038 |
74350 |
75552 |
75553 |
75554 |
75555 |
75556 |
78615 |
|
|
86586 |
99361 |
99362 |
99371 |
99372 |
99373 |
|||||
|
New CPT Codes Not Covered Pending Further Review |
||||
|---|---|---|---|---|
|
75559 |
75563 |
95980 |
95982 |
|
|
New CPT Codes Not Covered |
|||||||||
|---|---|---|---|---|---|---|---|---|---|
|
99366 |
99368 |
99406 |
99407 |
99408 |
99409 |
99441 |
99442 |
99443 |
99444 |
|
20985 |
20986 |
20987 |
27416 |
28446 |
36591 |
36592 |
50593 |
75558 |
75560 |
|
75562 |
75564 |
88381 |
89322 |
89331 |
90284 |
90661 |
90662 |
90663 |
90776 |
|
93982 |
95981 |
98966 |
98967 |
98968 |
98969 |
99174 |
99605 |
99606 |
99607 |
|
CPT Codes from Previous CPT Updates That Are Now Covered (effective 01/01/2008) |
|||||||||
|---|---|---|---|---|---|---|---|---|---|
|
22523 |
22524 |
22525 |
51798 |
||||||
Billing Information
|
CPT CODE |
BILLING INFORMATION |
DIAGNOSIS EDITING |
PRIOR APPROVAL |
|---|---|---|---|
|
68816 |
This procedure is approved for recipients ages 1 and older. |
N/A |
N/A |
|
82610 |
Cystatin C is covered only for the FDA-approved indication, renal function testing. |
N/A |
N/A |
|
90769 90770 90771 |
These procedures are not billable when the service is provided in a facility. |
N/A |
N/A |
|
99367 |
This procedure is for 30 minutes or more of a physician’s time during a medical team conference. The code will be allowed once per conference per day. This procedure will be covered only as a replacement for deleted CPT codes 99361 and 99362, and only when it is used as described in Clinical Coverage Policy 1A-5, “Case Conference for Sexually Abused Children,” available online at http://www.ncdhhs.gov/dma/mp/mpindex.htm. |
Allowed diagnoses for this procedure are outlined in the policy. |
N/A |
Additional information will be published as necessary in future general Medicaid bulletins.
Clinical Policy and
Programs
DMA, 919-855-4260
Effective with dates of service January 1, 2008, reimbursement rates for the following dental procedures were increased. No adjustments will be accepted from providers for these dental rate changes. Providers are reminded to bill their usual and customary charges rather than the Medicaid rate.
|
CDT |
Description |
Reimbursement |
|---|---|---|
|
D0170 |
Re-evaluation - limited, problem focused (established patient; not post-operative visit) |
24.99 |
|
D0240 |
Intraoral - occlusal film |
15.19 |
|
D0250 |
Extraoral - first film |
22.54 |
|
D0260 |
Extraoral - each additional film |
18.62 |
|
D0270 |
Bitewing - single film |
10.78 |
|
D0290 |
Posterior-anterior or lateral skull and facial bone survey film |
47.04 |
|
D0310 |
Sialography |
100.94 |
|
D0320 |
Temporomandibular joint arthrogram, including injection |
205.80 |
|
D0340 |
Cephalometric film |
49.98 |
|
D0470 |
Diagnostic casts |
40.80 |
|
D0473 |
Accession of tissue, gross and microscopic examination |
50.96 |
|
D1110 |
Prophylaxis - adult |
35.35 |
|
D1120 |
Prophylaxis - child |
25.50 |
|
D2161 |
Amalgam - four or more surfaces, primary or permanent |
100.10 |
|
D2390 |
Resin-based composite crown, anterior |
163.35 |
|
D2931 |
Prefabricated stainless steel crown - permanent tooth |
150.00 |
|
D2934 |
Prefabricated esthetic coated stainless steel crown - primary tooth |
181.77 |
|
D2940 |
Sedative filling |
41.65 |
|
D2950 |
Core buildup, including any pins |
102.90 |
|
D2951 |
Pin retention - per tooth, in addition to restoration |
24.99 |
|
D2970 |
Temporary crown (fractured tooth) |
132.79 |
|
D3310 |
Root canal therapy - anterior (excluding final restoration) |
269.50 |
|
D3320 |
Root canal therapy - bicuspid (excluding final restoration) |
318.50 |
|
D3330 |
Root canal therapy - molar (excluding final restoration) |
389.55 |
|
D3351 |
Apexification/recalcification - initial visit |
131.32 |
|
D3352 |
Apexification/recalcification - interim medication replacement |
95.55 |
|
D3353 |
Apexification/recalcification - final visit |
191.10 |
|
D3410 |
Apicoectomy/periradicular surgery - anterior |
246.96 |
|
D4210 |
Gingivectomy or gingivoplasty - four or more contiguous teeth per quadrant |
236.18 |
|
D4211 |
Gingivectomy or gingivoplasty - one to three teeth per quadrant |
87.71 |
|
D4240 |
Gingival flap procedure, including root planing - four or more contiguous teeth per quadrant |
278.32 |
|
D4241 |
Gingival flap procedure, including root planing - one to three teeth per quadrant |
235.20 |
|
D4341 |
Periodontal scaling and root planing - four or more contiguous teeth per quadrant |
95.55 |
|
D4342 |
Periodontal scaling and root planing - one to three teeth per quadrant |
61.25 |
|
D4355 |
Full mouth debridement to enable comprehensive evaluation and diagnosis |
70.56 |
|
D4910 |
Periodontal maintenance |
51.94 |
|
D5110 |
Complete denture - maxillary |
612.50 |
|
D5120 |
Complete denture - mandibular |
612.50 |
|
D5130 |
Immediate denture - maxillary |
664.44 |
|
D5140 |
Immediate denture - mandibular |
664.44 |
|
D5211 |
Maxillary partial denture - resin base |
454.23 |
|
D5212 |
Mandibular partial denture - resin base |
454.23 |
|
D5213 |
Maxillary partial denture - cast metal framework with resin denture bases |
656.60 |
|
D5214 |
Mandibular partial denture - cast metal framework with resin denture bases |
656.60 |
|
D5410 |
Adjust complete denture - maxillary |
33.32 |
|
D5411 |
Adjust complete denture - mandibular |
33.32 |
|
D5421 |
Adjust partial denture - maxillary |
33.32 |
|
D5422 |
Adjust partial denture - mandibular |
33.32 |
|
D5520 |
Replace missing or broken teeth - complete denture (each tooth) |
68.11 |
|
D5620 |
Repair cast framework |
109.76 |
|
D5640 |
Replace broken teeth - per tooth |
68.60 |
|
D5650 |
Add tooth to existing partial denture |
83.30 |
|
D5730 |
Reline complete maxillary denture (chairside) |
142.10 |
|
D5731 |
Reline complete mandibular denture (chairside) |
142.10 |
|
D5740 |
Reline maxillary partial denture (chairside) |
139.65 |
|
D5741 |
Reline mandibular partial denture (chairside) |
139.65 |
|
D5750 |
Reline complete maxillary denture (laboratory) |
180.81 |
|
D5751 |
Reline complete mandibular denture (laboratory) |
180.81 |
|
D5760 |
Reline maxillary partial denture (laboratory) |
176.40 |
|
D5761 |
Reline mandibular partial denture (laboratory) |
176.40 |
|
D6985 |
Pediatric partial denture, fixed |
359.17 |
|
D7111 |
Extraction, coronal remnants - deciduous tooth |
49.00 |
|
D7140 |
Extraction, erupted tooth or exposed root |
60.50 |
|
D7210 |
Surgical removal of erupted tooth |
104.00 |
|
D7220 |
Removal of impacted tooth - soft tissue |
118.09 |
|
D7230 |
Removal of impacted tooth - partially bony |
158.60 |
|
D7240 |
Removal of impacted tooth - completely bony |
183.75 |
|
D7241 |
Removal of impacted tooth - completely bony, with unusual surgical complications |
220.50 |
|
D7250 |
Surgical removal of residual tooth roots (cutting procedure) |
113.19 |
|
D7270 |
Tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth |
200.90 |
|
D7280 |
Surgical access of an unerupted tooth |
180.81 |
|
D7283 |
Placement of device to facilitate eruption of impacted tooth |
203.35 |
|
D7285 |
Biopsy of oral tissue - hard (bone, tooth) |
143.08 |
|
D7310 |
Alveoloplasty in conjunction with extractions - four or more tooth spaces, per quadrant |
107.80 |
|
D7311 |
Alveoloplasty in conjunction with extractions - one to three tooth spaces, per quadrant |
100.80 |
|
D7320 |
Alveoloplasty not in conjunction with extractions - four or more tooth spaces, per quadrant |
157.29 |
|
D7321 |
Alveoloplasty not in conjunction with extractions - one to three tooth spaces, per quadrant |
141.12 |
|
D7411 |
Excision of benign lesion greater than 1.25 cm |
221.48 |
|
D7412 |
Excision of benign lesion, complicated |
292.04 |
|
D7413 |
Excision of malignant lesion up to 1.25 cm |
243.04 |
|
D7414 |
Excision of malignant lesion greater than 1.25 cm |
355.74 |
|
D7415 |
Excision of malignant lesion, complicated |
426.30 |
|
D7440 |
Excision of malignant tumor - lesion diameter up to 1.25 cm |
196.00 |
|
D7450 |
Removal of benign odontogenic cyst or tumor - lesion diameter up to 1.25 cm |
186.20 |
|
D7451 |
Removal of benign odontogenic cyst or tumor - lesion diameter greater than 1.25 cm |
238.63 |
|
D7465 |
Destruction of lesion(s) by physical or chemical method, by report |
146.51 |
|
D7472 |
Removal of torus palatinus |
274.40 |
|
D7473 |
Removal of torus mandibularis |
272.93 |
|
D7485 |
Surgical reduction of osseous tuberosity |
245.98 |
|
D7490 |
Radical resection of mandible with bone graft |
3,109.05 |
|
D7530 |
Removal of foreign body from mucosa, skin or subcutaneous alveolar tissue |
132.30 |
|
D7540 |
Removal of reaction producing foreign bodies, musculoskeletal system |
245.00 |
|
D7560 |
Maxillary sinusotomy for removal of tooth fragment or foreign body |
400.82 |
|
D7610 |
Maxilla - open reduction (teeth immobilized, if present) |
1,604.75 |
|
D7620 |
Maxilla - closed reduction (teeth immobilized, if present) |
1,260.77 |
|
D7630 |
Mandible - open reduction (teeth immobilized, if present) |
1,581.23 |
|
D7640 |
Mandible - closed reduction (teeth immobilized, if present) |
1,242.15 |
|
D7650 |
Malar and/or zygomatic arch - open reduction |
1,434.72 |
|
D7660 |
Malar and/or zygomatic arch - closed reduction |
1,219.12 |
|
D7670 |
Alveolus - closed reduction, may include stabilization of teeth |
498.82 |
|
D7680 |
Facial bones - complicated reduction with fixation and multiple surgical approaches |
2,408.35 |
|
D7710 |
Maxilla - open reduction |
1,690.50 |
|
D7720 |
Maxilla - closed reduction |
1,230.88 |
|
D7730 |
Mandible - open reduction |
1,715.00 |
|
D7740 |
Mandible - closed reduction |
1,327.90 |
|
D7750 |
Malar and/or zygomatic arch - open reduction |
1,512.14 |
|
D7760 |
Malar and/or zygomatic arch - closed reduction |
1,673.84 |
|
D7770 |
Alveolus - open reduction stabilization of teeth |
980.00 |
|
D7780 |
Facial bones - complicated reduction with fixation and multiple surgical approaches |
2,884.14 |
|
D7810 |
Open reduction of dislocation |
1,565.55 |
|
D7820 |
Closed reduction of dislocation |
191.10 |
|
D7830 |
Manipulation under anesthesia |
250.88 |
|
D7840 |
Condylectomy |
2,025.17 |
|
D7850 |
Surgical discectomy, with/without implant |
2,041.34 |
|
D7870 |
Arthrocentesis |
129.85 |
|
D7920 |
Skin graft |
895.23 |
|
D7940 |
Osteoplasty - for orthognathic deformities |
1,321.53 |
|
D7941 |
Osteotomy - mandibular rami |
3,454.01 |
|
D7943 |
Osteotomy - mandibular rami with bone graft; includes obtaining the graft |
3,181.08 |
|
D7944 |
Osteotomy - segmented or subapical |
2,642.08 |
|
D7945 |
Osteotomy - body of mandible |
2,744.00 |
|
D7946 |
LeFort I (maxilla - total) |
3,218.32 |
|
D7947 |
LeFort I (maxilla - segmented) |
3,253.11 |
|
D7950 |
Osseous, osteoperiosteal, or cartilage graft of the mandible or maxilla |
1,006.95 |
|
D7960 |
Frenulectomy (frenectomy or frenotomy) - separate procedure |
168.07 |
|
D7972 |
Surgical reduction of fibrous tuberosity |
269.50 |
|
D7982 |
Sialodochoplasty |
611.03 |
|
D7983 |
Closure of salivary fistula |
401.80 |
|
D7990 |
Emergency tracheotomy |
453.25 |
|
D7991 |
Coronoidectomy |
1,440.60 |
|
D8670 |
Periodic orthodontic treatment visit (as part of contract) |
92.40 |
|
D9110 |
Palliative (emergency) treatment of dental pain - minor procedure |
44.59 |
|
D9220 |
Deep sedation/general anesthesia - first 30 minutes |
141.61 |
|
D9221 |
Deep sedation/general anesthesia - each additional 15 minutes |
60.27 |
|
D9242 |
Intravenous conscious sedation/analgesia - each additional 15 minutes |
56.35 |
|
D9410 |
House/extended care facility call |
78.40 |
|
D9440 |
Office visit - after regularly scheduled hours |
61.25 |
|
D9610 |
Therapeutic parenteral drug, single administration |
36.75 |
For current pricing on these and all dental codes, please refer to the fee schedule on the Division of Medical Assistance (DMA) Web site at http://www.ncdhhs.gov/dma/fee/fee.htm. For coverage criteria and additional billing guidelines, please refer to Clinical Coverage Policy 4A, Dental Services, and Clinical Coverage Policy 4B, Orthodontic Services, on DMA’s Web site at http://www.ncdhhs.gov/dma/mp/mpindex.htm.
Dental
Program
DMA,
919-855-4280
Effective with date of service Jan. 1, 2008, the following new CPT code has been added to the list of appropriate codes that independent practitioner and Local Education Agency speech language pathologists and occupational therapists may bill.
|
New CPT Code |
Description |
|---|---|
|
96125 |
Standardized cognitive performance testing (e.g., Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report. (1 unit = 1 hour) |
Clinical Coverage Policies 10B, Independent Practitioners, and 10C, Local Education Agencies, have been updated to reflect this code addition and are available on the Division of Medical Assistance Web site at http://www.ncdhhs.gov/dma/mp/mpindex.htm.
EDS, 1-800-688-6696 or 919-851-8888
Effective with date of service Dec. 31, 2007, the following codes were end dated and removed from the Orthotics and Prosthetics (O&P) fee schedule.
|
L0960 |
L1855 |
L1858 |
L1870 |
L1880 |
|
L3800 |
L3805 |
L3810 |
L3815 |
L3820 |
|
L3825 |
L3830 |
L3835 |
L3840 |
L3845 |
|
L3850 |
L3855 |
L3860 |
L3907 |
L3910 |
|
L3916 |
L3918 |
L3920 |
L3922 |
L3924 |
|
L3926 |
L3928 |
L3930 |
L3932 |
L3934 |
|
L3936 |
L3938 |
L3940 |
L3942 |
L3944 |
|
L3946 |
L3948 |
L3950 |
L3952 |
L3954 |
|
L3985 |
L3986 |
Effective with date of service Jan. 1, 2008 the following code description change was made:
|
Code |
New Description |
|---|---|
|
L3806* |
Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustment. |
Effective with date of service Jan. 1, 2008 the following codes were added to the O&P fee schedule:
|
New Code |
Description |
Modifier |
Lifetime Expectancy/QuantityLimitations |
|---|---|---|---|
|
L3925* |
Finger orthosis, proximal interphalangeal (PIP)/distal interphalangeal (DIP), nontorsion joint/spring, extension/flexion, may include soft interface material, prefabricated, includes fitting and adjustment. |
New |
6 months: ages 00-20; 1 year ages 21 and older |
|
L3927* |
Finger orthosis, proximal interphalangeal (PIP)/distal interphalangeal (DIP), without joint/spring, extension/flexion, (e.g. static or ring type), may include soft interface material, prefabricated, includes fitting and adjustment. |
New |
6 months: ages 00-20; 1 year ages 21 and older |
|
L3929* |
Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment. |
New |
6 months: ages 00-20; 1 year ages 21 and older |
|
L3931* |
Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment. |
New |
6 months: ages 00-20; 1 year ages 21 and older |
|
L7611* |
Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric |
New |
1 year: ages 00-20 |
|
L7612* |
Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric |
New |
1 year: ages 00-20 |
|
L7613* |
Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric |
New |
1 year: ages 00-20 |
|
L7614* |
Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric |
New |
1 year: ages 00-20 |
|
L7621* |
Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined |
New |
1 year: ages 00-20; 3 years ages 21 and older |
|
L7622* |
Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined |
New |
1 year: ages 00-20; 3 years ages 21 and older |
Please refer to the O&P Fee Schedule on DMA Web site at www.ncdhhs.gov/dma/fee/fee.htm.
Note: In the tables above, HCPCS codes with an asterisk (*) require prior approval and bold type indicates the item is covered by Medicare. A Certificate of Medical Necessity and Prior Approval (CMNPA) must be completed for all items, regardless of the requirement for prior approval. The coverage criteria for these items have not changed. Refer to the Clinical Coverage Policy 5B, Orthotics and Prosthetics, on the Web site at www.ncdhhs.gov/dma/mp/mpindex.htm, for detailed coverage information.
EDS, 1-800-688-6696 or 919-851-8888
Effective with date of service December 31, 2007, in order to comply with the Centers for Medicare and Medicaid Services (CMS) HCPCS coding changes, the following codes were end dated and removed from the DME fee schedule:
|
W4210 |
B4086 |
E2618 |
Effective with date of service January 1, 2008 the following code description changes were made:
|
Code |
New Description |
|---|---|
|
B4034 |
Enteral Feeding Supply Kit; Syringe Fed, Per Day |
|
E0630 |
Patient Lift, Hydraulic or Mechanical, Includes Any Seat, Sling, Strap(s) Or Pad(s) |
|
E2205 |
Manual Wheelchair Accessory, Handrim Without Projections (Includes Ergonomic or Contoured), Any Type, Replacement Only, Each |
|
E2373 |
Power Wheelchair Accessory, Hand Or Chin Control Interface, Compact Remote Joystick, Proportional, Including Fixed Mounting Hardware |
Effective with date of service January 1, 2008 the following codes were added to the DME fee schedule:
|
New Code |
Description |
Modifier |
Lifetime Expectancy/QuantityLimitations |
|---|---|---|---|
|
A7027 |
Combination, oral/nasal mask used with CPAP device, each |
New |
2/year |
|
A7028 |
Oral cushion for combination oral/nasal mask, replacement only, each |
New |
2/year |
|
A7029 |
Nasal pillows for combination oral/nasal mask, replacement only, pair |
New |
2/year |
|
B4087 |
Gastrostomy/Jejunostomy tube, standard, any material, any type, each |
New |
2/month |
|
B4088 |
Gastrostomy/Jejunostomy tube, low-profile, any material, any type, each |
New |
2/month |
|
E2227 |
Manual Wheelchair accessory, gear reduction drive wheel, each |
New |
1 year |
|
E2228 |
Manual wheelchair accessory, wheel braking system and lock, complete, each |
New |
1 year |
|
E2312* |
Power wheelchair accessory, hand or chin control interface, mini-proportional remove joystick, proportional, including fixed mounting hardware, each |
New |
4 yrs/ 2yrs 00-20 |
|
E2313* |
Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each |
New |
4 yrs/ 2yrs 00-20 |
Note: For these and all maximum allowable rates, please refer to the DME fee schedule found the website http://www.dhhs.state.nc.us/dma/fee/fee.htm.
In the tables above, HCPCS codes with an asterisk (*) require prior approval and bold type indicates the item is covered by Medicare. A Certificate of Medical Necessity and Prior Approval form must be completed for all items regardless of the requirement for prior approval. The coverage criteria for these items have not been changed. Refer to the Clinical Coverage Policy 5A, Durable Medical Equipment on DMA’s website at www.ncdhhs.gov/dma/mp/mpindex.htm for detailed coverage information. Also for these and all maximum allowable rates, please refer to the DME fee schedule found on DMA’s website at http://www.dhhs.state.nc.us/dma/fee/fee.htm.
EDS, 1-800-688-6696 or 919-851-8888
The following HCPCS procedure code changes have been made to comply with the Centers for Medicare and Medicaid Services (CMS) HCPCS procedure code changes.
End-Dated Codes with No Replacement Codes
Effective with date of service Dec. 31, 2007, HCPCS procedure code A9527 (iodine I-125 sodium iodide solution, therapeutic, per millicurie) was end-dated. Claims submitted for dates of service on or after Jan. 1, 2008, using the end-dated code will be denied. This therapeutic radiopharmaceutical agent is used for research purposes only.
New HCPCS Procedure Codes
The following HCPCS procedure codes were added to the list of covered codes for the Physician’s Drug Program effective with date of service Jan. 1, 2008.
|
New HCPCS Code |
Description | Unit |
|---|---|---|
|
J1573 |
Hepatitis B immune globulin, (Hepagam B), IV |
0.5 ml |
|
A9564 |
Radiopharmaceutical: Chromic phosphate P-32 suspension, therapeutic |
Per mCi |
|
A9600 |
Radiopharmaceutical: Strontium Sr-89 chloride, therapeutic |
Per mCi |
|
A9605 |
Radiopharmaceutical: Samarium Sm-153 lexidronamm, therapeutic |
Per 50 mCi |
End-Dated Codes with Replacement Codes
The following HCPCS procedure codes were end-dated with date of service Dec. 31, 2007, and replaced with new codes effective with date of service Jan. 1, 2008. Claims submitted for dates of service on or after Jan. 1, 2008, using the end-dated codes will be denied.
End-Dated HCPCS Code |
Description |
Unit |
New HCPCS Code |
Description |
Unit |
|---|---|---|---|---|---|
|
Q4079 |
Natalizumab (Tysabri) |
1 mg |
J2323 |
Natalizumab (Tysabri) |
1 mg |
|
Q4083 |
Hyalgan or Supartz, for intra-articular injection |
J7321 |
Hyaluronan or derivative, Hyalgan or Supartz, for intra-articular injection |
Per dose |
|
|
Q4084 |
Synvisc, for intra-articular injection |
J7322 |
Hyaluronan or derivative, Synvisc, for intra-articular injection |
Per dose |
|
|
Q4085 |
Euflexxa, for intra-articular injection |
J7323 |
Hyaluronan or derivative, Euflexxa, for intra-articular injection |
Per dose |
|
|
Q4086 |
Orthovisc, for intra-articular injection |
J7324 |
Hyaluronan or derivative, Orthovisc, for intra-articular injection |
Per dose |
|
|
Q4087 |
Immune globulin, Octagam, IV non-lyophilized |
500 mg |
J1568 |
Immune globulin, Octagam, IV non-lyophilized (e.g. liquid) |
500 mg |
|
Q4088 |
Immune globulin, Gammagard liquid, IV, non-lyophilized |
500 mg |
J1569 |
Immune globulin, (Gammagard liquid), IV, non-lyophilized (e.g. liquid) |
500 mg |
|
Q4089 |
Rho(D) immune globulin, (Rhophylac), IM or IV, non-lyophilized |
100 IU |
J2791 |
Rho(D) immune globulin, (Human) Rhophylac, IM or IV, non-lyophilized |
100 IU |
|
Q4090 |
Hepatitis B immune globulin, (Hepagam B), IM, |
0.5 ml |
J1571 |
Hepatitis B immune globulin, (Hepagam B), IM |
0.5 ml |
|
Q4091 |
Immune globulin (Flebogamma), IV, non-lyophilized (e.g. liquid) |
500 mg |
J1572 |
Immune globulin (Flebogamma), IV, non-lyophilized (e.g. liquid) |
500 mg |
|
Q4092 |
Immune globulin (Gamunex) IV, non-lyophilized (e.g. liquid) |
500 mg |
J1561 |
Immune globulin (Gamunex) IV, non-lyophilized (e.g. liquid) |
500 mg |
|
Q4095 |
Zoledronic acid (Reclast) |
1 mg |
J3488** |
Zoledronic acid (Reclast) |
1 mg |
|
S0180 |
Etonogestrel contraceptive implant system, including implants and supplies |
J7307* |
Etonogestrel contraceptive implant system, including implants and supplies |
Note:*Implanon must be billed with the family planning (FP) modifier and with the appropriate CPT administration code, also billed with FP.
**Zoledronic acid (Reclast) has been included in the PDP since July 1, 2007, for Paget’s disease of the bone (N.C. general Medicaid bulletin, July 2007). The FDA has recently approved its use for post-menopausal osteoporosis as well and Medicaid has added it to the PDP for this purpose, effective with date of service Sept. 1, 2007.
The ICD-9-CM diagnosis codes required for billing Reclast are 731.0 [Osteitis deformans without mention of bone tumor (Paget's disease of bone)] OR 733.01 (Post-menopausal osteoporosis).
New Codes That Were
Previously Billed with the Miscellaneous Drug Codes
J3490, J3590, and J9999
Effective with date of service Jan. 1, 2008, the N.C. Medicaid program covers the individual HCPCS procedure codes for the drugs listed in the following table. Claims submitted for dates of service on or after Jan. 1, 2008, using the unlisted drug codes J3490, J3590, or J9999 for these drugs will be denied. An invoice is not required.
|
Old HCPCS Code |
Description |
Old Unit |
New HCPCS Code |
New Unit |
|---|---|---|---|---|
|
J3590 |
Eculizumab (Soliris) |
300 mg |
J1300 |
10 mg |
|
J3490 |
Idursulfase (Elaprase) |
1 mg |
J1743 |
1 mg |
|
J3590 |
Protein C Concentrate, human (Ceprotin) |
1 IU |
J2724 |
1 IU |
|
J3590 |
Ranibizumab (Lucentis) |
0.5 |
J2778 |
0.1 mg |
|
J9999 |
Panitumumab (Vectibix) |
100 mg/ml |
J9303 |
10 mg |
|
J3490 |
Histrelin implant (Supprelin LA) |
50 mg |
J9226 |
50 mg |
|
J3590 |
Pegylated interferon alfa-2b (Peg-Intron) |
10 mcg |
S0146 |
10 mcg per 0.5 ml |
Refer to the fee schedule for the Physician’s Drug Program on DMA’s Web site at http://www.ncdhhs.gov/dma/fee/fee.htm for the latest available fees.
EDS, 1-800-688-6696 or 919-851-8888
The following new 2008 ICD-9-CM procedure codes have been implemented effective with date of service October 1, 2007.
|
00.94 |
01.10 |
01.16 |
01.17 |
07.83 |
07.84 |
07.95 |
07.98 |
32.20 |
32.30 |
|
32.39 |
32.41 |
32.49 |
32.50 |
32.59 |
33.20 |
34.06 |
34.20 |
34.52 |
50.13 |
|
50.14 |
70.53 |
70.54 |
70.55 |
70.63 |
70.64 |
70.78 |
70.93 |
70.94 |
70.95 |
|
88.59 |
92.41 |
||||||||
The following new 2008 ICD-9-CM diagnosis codes have been implemented effective with date of service October 1, 2007.
|
040.41 |
040.42 |
058.10 |
058.11 |
058.12 |
058.21 |
058.29 |
058.81 |
058.82 |
058.89 |
|
079.83 |
200.30 |
200.31 |
200.32 |
200.33 |
200.34 |
200.35 |
200.36 |
200.37 |
200.38 |
|
200.40 |
200.41 |
200.42 |
200.43 |
200.44 |
200.45 |
200.46 |
200.47 |
200.48 |
200.50 |
|
200.51 |
200.52 |
200.53 |
200.54 |
200.55 |
200.56 |
200.57 |
200.58 |
200.60 |
200.61 |
|
200.62 |
200.63 |
200.64 |
200.65 |
200.66 |
200.67 |
200.68 |
200.70 |
200.71 |
200.72 |
|
200.73 |
200.74 |
200.75 |
200.76 |
200.77 |
200.78 |
202.70 |