MLN Matters Number: MM6180
Related Change Request (CR) #: 6180
Related CR Release Date: August 22, 2008
Effective Date: January 1, 2008
Related CR Transmittal #: R1580CP
Implementation Date: October 6, 2008
Provider Types Affected
Physicians and providers who submit claims to Medicare Carriers or Part A/B Medicare Administrative Contractors (A/B MACs) for services rendered to Medicare beneficiaries paid based on the MPFSDB.
Key Points of CR 6180
- Changes in the October Update to the 2008 MPFSDB are as follows:
| CPT codes and modifier | Action |
| 15878 and 15879 |
Bilateral indicator = 1 |
| 92557 and 92567 |
PC/TC Indicator = 9 |
| 93660—26 |
Multiple Procedure Indicator= 2 |
| HCPCS codes | Action |
| G0398, G0399, and G0400 |
PC/TC Indicator = 1 |
- Changes effective March 13, 2008, for HCPCS code G0398–TC (HCPCS modifier), G0398–26 (CPT modifier), G0399-TC (HCPCS modifier), G0399-26 (CPT modifier), G0400-TC (HCPCS modifier) and G0400-26 (CPT modifier) are as described in Attachment 1 of CR 6180
- An editorial change was made to the long descriptor of HCPCS code G0250 as noted in Attachment 1 of CR 6180
Make certain your billing staffs are aware of these changes. Your Medicare contractor will retroactively adjust claims if you bring such claims to their attention.
Background
This article is based on CR 6180, which states that payment files were issued to contractors based upon the 2008 MPFS Final Rule. CR 6180 amends those payment files.
Additional Information
You may see the official instruction (CR 6180) issued to your Medicare Carrier or A/B MAC, by going to www.cms.hhs.gov/Transmittals/downloads/R1580CP.pdf (PDF, 128 KB).
If you have questions, please contact our Provider Contact Center at our toll free number, (866) 332-7025.
Disclaimer
This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents. CPT only copyright 2007 American Medical Association.