SUPERSEDED LCD Reference Article Billing and Coding Article

Billing and Coding: Near-Infrared Spectroscopy in Wound and Flap Management

A59158

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Draft Articles are works in progress and not necessarily a reflection of the current billing and coding practices. Revisions to codes are carefully and thoroughly reviewed and are not intended to change the original intent of the LCD.
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Document Note

Posted: 1/19/2023
The original effective date for this article is 2/12/2023.

Note History

Contractor Information

Article Information

General Information

Source Article ID
N/A
Article ID
A59158
Original ICD-9 Article ID
Not Applicable
Article Title
Billing and Coding: Near-Infrared Spectroscopy in Wound and Flap Management
Article Type
Billing and Coding
Original Effective Date
02/23/2023
Revision Effective Date
N/A
Revision Ending Date
12/31/2023
Retirement Date
N/A

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CMS National Coverage Policy

Title XVIII of the Social Security Act, §1833(e) prohibits Medicare payment for any claim which lacks the necessary information to process the claim

CMS Internet-Only Manual, Pub. 100-04, Medicare Claims Processing Manual, Chapter 23, §30A Services Paid Under the Medicare Physician’s Fee Schedule - Physician’s Services

CMS Internet-Only Manual, Pub. 100-04, Medicare Claims Processing Manual, Chapter 30, §50A Advance Beneficiary Notice of Non-coverage (ABN) – General Statutory Authority – Applicability to Limitation on Liability (LOL)

Article Guidance

Article Text

The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for Near-Infrared Spectroscopy in Wound and Flap Management L39385.

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Coding Information

Bill Type Codes

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Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type. Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the article should be assumed to apply equally to all claims.

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Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination. Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes.

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Other Coding Information

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Coding Table Information

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Revision History Information

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Associated Documents

Medicare BPM Ch 15.50.2 SAD Determinations
Medicare BPM Ch 15.50.2
Related National Coverage Documents
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SAD Process URL 1
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SAD Process URL 2
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Public Versions
Updated On Effective Dates Status
01/02/2024 01/01/2024 - N/A Currently in Effect View
12/27/2023 01/01/2024 - N/A Superseded View
12/19/2022 02/23/2023 - 12/31/2023 Superseded You are here

Keywords

  • Wound