Provider Action Needed
The article is based on Change Request (CR) 5902 which amends payment files that were issued to Medicare contractors based upon the November 1, 2007, Medicare Physician Fee Schedule (MPFS) Final Rule.
Background
The Social Security Act,
Section 1848(c)(4) authorizes the Centers for Medicare & Medicaid Services (CMS) to establish ancillary policies necessary to implement relative values for physicians' services. Previously, payment files were issued to Medicare contractors based upon the November 1, 2007, Medicare Physician Fee Schedule Final Rule.
Change Request (CR) 5902 amends those payment files.
In summary, CR 5902 instructs your Medicare contractor to:
- Manually update their systems to reflect 5 base units for Current Procedural Terminology (CPT) code 01916
- Manually update their Healthcare Common Procedure Coding System (HCPCS) file to include the laboratory certification code (LC) 400 for CPT code 89060 on or after January 1, 2008
Note: See Attachment 1 of CR 5902 for a list of detailed changes for certain CPT/HCPCS codes included in the Emergency Update to the 2008 Medicare Physician Fee Schedule Database (MPFSDB). The Web address for accessing CR 5902 is in the next section of this article.
Additional Information
See the official instruction,
CR 5902 (PDF, 71 KB), issued to Palmetto GBA regarding this change.
If you have any questions, please contact our office at (866) 332-7025.