| A |
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|
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| Advanced Notification - Diagnosis Coding Guidelines - (R47) |
PDF |
142kB |
07/14/2024 |
| Advanced Notification - Modifier - Bilateral Procedures - (M50) |
PDF |
153kB |
07/14/2024 |
| Advanced Notification - Never Events - (R05) |
PDF |
153kB |
07/14/2024 |
| Advanced Notification - Omnibus Reimbursement Policy - (R24) |
PDF |
236kB |
06/15/2024 |
| Advanced Notification - Unacceptable Primary/Principal Diagnosis - (R38) |
PDF |
151kB |
06/16/2024 |
| Advanced Practice Health Care Providers - (R37) |
PDF |
143kB |
02/01/2022 |
| Ambulance Services - (R18) |
PDF |
193kB |
06/11/2022 |
| Anesthesia Services - (R39) |
PDF |
313kB |
10/14/2023 |
| C |
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|
|
| Care Integration Services - (R32) |
PDF |
137kB |
06/11/2022 |
| COVID-19 Interim Billing Guidelines - (R33) |
PDF |
236kB |
01/24/2023 |
| D |
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|
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| Dialysis Services and Supplies - (R16) |
PDF |
174kB |
09/26/2023 |
| DRG Clinical Review Program - (R20) |
PDF |
75kB |
01/10/2019 |
| DRG Readmissions - (R35) |
PDF |
69kB |
10/18/2021 |
| Drug Testing Billing Requirements - (R25) |
PDF |
94kB |
08/23/2023 |
| E |
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|
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| Emergency Room Services - (R36) |
PDF |
211kB |
10/05/2023 |
| Evaluation and Management Services - (R30) |
PDF |
344kB |
|
| F |
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|
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| Facility Routine Services, Supplies and Equipment - (R12) |
PDF |
582kB |
10/24/2023 |
| Frequency Editing - (R34) |
PDF |
374kB |
02/16/2023 |
| G |
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|
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| Genetic Testing Panels - (R28) |
PDF |
89kB |
08/25/2023 |
| Global Maternity Obstetric Package - (R11) |
PDF |
240kB |
10/24/2023 |
| Global Surgical Package and Related Modifiers (24, 54, 55, 56, 57, 58, 76, 77, 78 and 79) - (R23) |
PDF |
100kB |
05/28/2019 |
| H |
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| Hospital Acquired Conditions - (R19) |
PDF |
175kB |
02/10/2022 |
| Hospital Acquired Conditions - ICD-10 Code List |
XLSX |
355kB |
02/10/2022 |
| Hospital in the Home - (R42) |
PDF |
158kB |
10/01/2023 |
| I |
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| Implant Billing Requirements - (R13) |
PDF |
80kB |
01/17/2019 |
| L |
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|
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| Laboratory Services - (R17) |
PDF |
239kB |
8/22/2023 |
| M |
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| Modifier - Assistant Surgeon, assistant-at-Surgery, Co-Surgeon (Two-Surgeons), and Surgical Team - (M62, M66, M80, M81, M82, AS) |
PDF |
163kB |
04/26/2022 |
| Modifier - Assistant Surgeon, Co-Surgeon (Two-Surgeons), and Surgical Team Code List |
XLSX |
261kB |
07/08/2021 |
| Modifier - Bilateral Procedures - (M50) |
PDF |
71kB |
03/23/2023 |
| Modifier - Distinct Procedural Service - (M59) |
PDF |
109kB |
05/16/2021 |
| Modifier - Distinct Procedural Service Code List - CMS/NCCI Documentation Requirement List - (M59) |
XLS |
56kB |
08/19/2013 |
| Modifier - Healthcare Common Procedure Coding System (HCPCS) National Level II Modifiers (MHCPCS) |
PDF |
392kB |
03/12/2023 |
| Modifier - Increased Procedural Services - (M22) |
PDF |
168kB |
07/18/2023 |
| Modifier - Multiple Procedures - (M51) |
PDF |
63kB |
02/10/2020 |
| Modifier - Professional Component - (M26) |
PDF |
151kB |
08/17/2023 |
| Multiple Births - (R03) |
PDF |
234kB |
05/09/2023 |
| Multiple Procedure Reduction - Radiology - (R01) |
PDF |
116kB |
02/09/2021 |
| N |
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| Never Events - (R05) |
PDF |
100kB |
02/09/2021 |
| Newborn Inpatient Level of Care Billing Guidelines - (R29) |
PDF |
80kB |
04/18/2019 |
| O |
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| Omnibus Reimbursement Policy - (R24) |
PDF |
231kB |
04/12/2024 |
| P |
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|
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| Pharmacy and Infusion Services - (R14) |
PDF |
165kB |
09/18/2018 |
| Physician Interpretation and Report (I&R) Services - (R26) |
PDF |
73kB |
01/28/2021 |
| Postoperative Continuous Local Delivery of Analgesia - (R06) |
PDF |
75kB |
12/18/2018 |
| Precertification - (R21) |
PDF |
102kB |
01/02/2019 |
| Preventive Medicine Evaluation and Management Service and Problem Based Evaluation and Management Service on the Same Day - (R02) |
PDF |
92kB |
01/05/2021 |
| Procedure and Place of Service - (R43) |
PDF |
301kB |
03/15/2024 |
| Professional Bundled Services - (R44) |
PDF |
162kB |
11/12/2023 |
| Professional Services Performed by Facility Owned Practices - (R40) |
PDF |
228kB |
02/16/2023 |
| R |
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|
|
| Refractive Vision Services - (R10) |
PDF |
67kB |
12/19/2019 |
| Related Services, Supplies, Drugs, and Equipment - (R27) |
PDF |
65kB |
11/15/2018 |
| Respiratory Services and Supplies - (R15) |
PDF |
219kB |
03/27/2023 |
| Revenue Code Billing Requirements - (R41) |
PDF |
294kB |
04/14/2024 |
| Robotic Assisted Surgery - (R04) |
PDF |
121kB |
07/18/2023 |
| U |
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|
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| Unacceptable Principal Diagnosis - (R38) |
PDF |
71kB |
08/13/2022 |
| Unlisted Codes - (R08) |
PDF |
75kB |
09/26/2023 |
| V |
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|
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| Virtual Care - (R31) |
PDF |
371kB |
07/13/2023 |