Searching CMS/AMA Opinions (334)
Title |
State | Source | Date |
|---|---|---|---|
| Regional Blocks Exception to Medical Direction | NC, SC, VA, WV | Palmetto | 06/10/16 |
| MAC LCD Inapplicable to General Anesthesia | AR, CO, LA, MS, NM, OK, TX | Novitas Medicare | 11/10/15 |
| Medical Direction - CRNA Relieved By Personally Performing MD Should Be Billed As Medically Directed | KY, OH | CGS Medicare | 10/09/15 |
| Medical Direction: Emergence | NC, SC, VA, WV | Medicare (Palmetto) | 05/12/15 |
| Ventilator Management Bundled | All States | NCCI CCS | 03/06/15 |
| MI.Medicaid Anesthesia CLE | MI | Medicaid | 01/01/15 |
| Medical Direction: Emergence | KS, MO | Medicare (WPS) | 01/28/14 |
| Medical Direction: Anesthesiologist Present at Extubation to Meet Emergence Element | KS, MO | Medicare (WPS) | 01/28/14 |
| Time: Pre-OR Versed | James Bazan | 08/14/13 | |
| Medical Direction: CRNA Relieved By Personally Performing MD Should Be Billed As Medically Directed | NY | Medicare (NGS) | 05/10/13 |
| PDAC Letter Indicating Appropriate HCPCS Code for Scoliosis Bracing System | TX | Noridian - DME-PDAC | 04/16/13 |
| Incomplete Medical Direction - QZ Modifier: CRNA OK to Bill QZ | TX | Medicare (Novitas) | 03/27/13 |
| Fluoroscopy: Billing Guidelines for 77003 | All States | AMA | 01/28/13 |
| Medical Direction: Exceptions | KS, MO | Medicare (WPS) | 12/03/12 |
| NPs can Provide Critical Care | MO | Medicaid | 11/20/12 |
| Moderate Sedation: Personal Attendance by Physician | All States | AMA | 09/05/12 |
| Lines - Time Need Not be Documented for Pediatric Patients | All States | AMA | 09/05/12 |
| Medical Direction: Exceptions | IL, WI | Medicare (WPS) | 08/14/12 |
| Incomplete Medical Direction - QZ Modifier: Do Not Bill QZ | IL, MN, WI | Medicare (WPS) | 08/14/12 |
| Labor Epidural - Billing: Insertion Only (62311 or 62319) Insertion & Management (01967 + time) | All States | Medicare (Tricare-South) | 04/18/12 |
| MAC: Policy Does Not Apply to General Anesthesia | TX | Medicare (Trailblazer) | 03/16/12 |
| Spinal Cord Stimulators: Stimulator Lead Removal (63663) | All States | AMA | 02/27/12 |
| High Complexity Urine Drug Screens (G0434) | All States | Medicare (Palmetto) | 02/15/12 |
| Medicaid Provider: TX Medicaid Allows AA to Enroll as Medicaid Provider | TX | Medicaid | 10/26/11 |
| Moderate Sedation: Guidelines for 99144 | All States | AMA | 06/22/11 |
| Modifier QZ: Cannot Bill QZ for Anesthesiology Assistants | CO, TX | Medicare (Trailblazer) | 06/08/11 |
| Labor Epidural - Billing: Only Bill Face-to-Face time. | MI | Medicaid | 05/17/11 |
| Medical Direction: Exceptions | KY | Medicare (CGS) | 05/06/11 |
| Incomplete Medical Direction: Bill QZ if all elements are not met | KY | Medicare (Cigna) | 05/06/11 |
| Time: Deduction - MD Placing Line in OR when 2nd Provider Administering Anesthesia | AMA | 03/17/11 | |
| High Complexity Urine Drug Screens Performed by Physician's Lab | All States | Medicare (Pinnacle) | 02/14/11 |
| Spinal Hardware Injection - Billing 64999 | All States | AMA | 02/07/11 |
| Gastostomy Tube Placed Via Endoscopy Can Be Coded 00740 or 00702 | All States | AMA | 01/07/11 |
| Liver/Pancreatic Biopsy via Endoscopic Ultrasonography Coded 00740 | All States | AMA | 11/18/10 |
| MILD Procedure Should be Coded as 22899 or 64999 | All States | Medicare (WPS) | 11/01/10 |
| Ultrasound (76942): Documentation Requirement | All States | AMA | 10/27/10 |
| Medical Direction: Exceptions | AL | Medicare (Cahaba) | 06/03/10 |
| MILD Procedure, Investigational and Not Covered | All States | Medicare (Cigna) | 05/25/10 |
| Ultrasound (76942): Regional Anesthesia | All States | AMA | 01/31/10 |
| E&M: Daily Management of Acute Pain Blocks via Catheter | TX | Medicare (Trailblazer) | 01/21/10 |
| Post-Op Pain Rounds (99231 OK for 64416, 64446, 64448, and 64449) | TX | Medicare (Trailblazer) | 01/21/10 |
| Time Definition | All States | 42 CFR 414.46 | 01/01/10 |
| Labor Epidural - Time | All States | Tricare-Northern Regional | 08/26/09 |
| Dye Study for Intrathecal Pump | All States | AMA | 07/16/08 |
| Epidural Injections | SD | Medicare (Noridian) | 06/19/08 |
| Epidural Catheters | TN | Medicare (Cigna) | 04/14/08 |
| Incomplete Medical Direction: QZ Modifier | PA | Medicare (Highmark) | 04/20/07 |
| Medical Direction: Exceptions | MD | Medicare (Trailblazer) | 03/27/07 |
| Medical Direction: Exceptions | TN | Medicare (Cigna) | 01/19/07 |
| Time: Emergence Definition | TN | Medicare (Cigna) | 01/19/07 |
| Fluoroscopy: Multiple Levels | TX | Medicare (Trailblazer) | 08/18/06 |
| ASC: Excessive Costs Procedures | LA | Medicare (Pinnacle) | 07/18/06 |
| Fluoroscopy: Multple Levels | TX | Medicare (Trailblazer) | 07/14/06 |
| Office Anesthesia | KS, MO, NE | Medicare (Wheatlands) | 07/10/06 |
| Ganglion Impar Sympathetic Block | All States | AMA | 06/07/06 |
| Supervision of SRNA | AR | Medicare (Pinnacle) | 06/06/06 |
| Spinal Cord Stimulators: Stimulator Lead Removal | All States | AMA | 05/08/06 |
| Fluoroscopy: Multiple Instances | All States | AMA | 05/02/06 |
| Bier Blocks | All States | AMA | 05/02/06 |
| CSE (Combined Spinal Epidural) | All States | AMA | 04/17/06 |
| Split Billing: Handoffs | ND | Medicare (Noridian) | 04/03/06 |
| Split Billing: Handoffs | OH | Medicare (Palmetto) | 03/08/06 |
| Daily Pain Rounds | All States | AMA | 03/07/06 |
| Medical Direction: Exceptions | OH | Medicare (Palmetto) | 02/09/06 |
| CCI Edits | All States | NCCI | 02/07/06 |
| Cryoablation: Freezing | All States | AMA | 02/07/06 |
| Multiple Anes Procedures- Same DOS | NC | Medicare (Cigna) | 01/23/06 |
| CCI Edits | All States | NCCI | 01/12/06 |
| Contrast | KS, MO, NE | Medicare (Wheatlands) | 12/02/05 |
| Medical Direction: Exceptions | PA | Medicare (Highmark) | 10/31/05 |
| E&M: Homebound Service | TX | Medicare (Trailblazer) | 10/28/05 |
| CRNA: Chronic Pain | LA | Medicare (Pinnacle) | 10/20/05 |
| Incident To | LA | Medicare (Pinnacle) | 10/14/05 |
| Incomplete Medical Direction: QZ Modifier | TX | Medicare (Trailblazer) | 10/11/05 |
| TEEs: Monitoring | PA | Medicare (HGS) | 09/22/05 |
| Supervision of SRNA | TX | Medicare (Trailblazer) | 09/08/05 |
| Contrast | FL | Medicare (First Coast) | 08/22/05 |
| Medical Direction: Exceptions | GA | Medicare (Cahaba) | 08/22/05 |
| Leased Hospital Space | ND | Medicare (Empire) | 07/05/05 |
| Medical Direction: Frequent Monitoring | NC | Medicare (Cigna) | 06/01/05 |
| TEEs | PA | Medicare (HGS) | 05/25/05 |
| Medical Direction: Exceptions | KS, MO, NE | Medicare (Wheatlands) | 05/11/05 |
| Vertebroplasty: S1 & S2 | FL | Medicare (First Coast) | 05/10/05 |
| Medical Direction: Post-op Pain | ND | Medicare (NAS) | 04/26/05 |
| Spinal Cord Stimulators | NC | Medicare (Cigna) | 04/14/05 |
| Incomplete Medical Direction: QZ Modifier | KY | Medicare (Tricare South) | 04/05/05 |
| Incomplete Medical Direction: QZ Modifier | AR | BCBS (Arkansas) | 03/28/05 |
| Modifiers: 78 - 79 | AR | Medicare (BCBS-AR) | 03/21/05 |
| Contrast | NY | Medicare (Empire) | 02/27/05 |
| Contrast | NY | Medicare (Empire) | 02/21/05 |
| Medical Direction: Post-op Pain | ND | Medicare (Noridian) | 01/31/05 |
| Incident To | NY | Medicare (Empire) | 01/23/05 |
| Pumps: Psychological Testing | KS, MO, NE | Medicare (Wheatlands) | 01/17/05 |
| MAC: Chronic Pain | ND | Medicare (Noridian) | 12/22/04 |
| Medical Direction: Exceptions | NC | Medicare (CIGNA) | 12/21/04 |
| Contrast | NY | Medicare (Empire) | 11/29/04 |
| Conscious Sedation | All States | AMA | 09/28/04 |
| Medical Direction: Exceptions | SD | Medicare (Noridian) | 08/17/04 |
| Pulsed Radiofrequency | All States | AMA | 08/13/04 |
| Incomplete Medical Direction: QZ Modifier | MN | Medicaid | 06/14/04 |
| Incomplete Medical Direction: QZ Modifier | NE | Medicaid | 06/14/04 |
| Incomplete Medical Direction: QZ Modifier | IA | Medicaid | 06/03/04 |
| Transforaminal Epidural: catheter for multiple levels | All States | AMA | 05/19/04 |
| Kyphoplasty | All States | AMA | 05/18/04 |
| Sling Procedure: TVT | All States | AMA | 05/18/04 |
| Fluoroscopy: ASCs | CA | Medicare (NHIC) | 05/11/04 |
| SI Joint Injections: without imaging | LA | Medicare (Pinnacle) | 03/25/04 |
| Enrollment: Mobile Anesthesiologists | NY | Medicare (Empire) | 03/11/04 |
| Medical Direction: Exceptions | VA | Medicare (TrailBlazer) | 03/11/04 |
| Endoscopy: Drugs in the Office Setting | NY | Medicare (Empire) | 01/09/04 |
| Fluoroscopy: Bundled | All States | Tricare | 11/25/03 |
| Incomplete Medical Direction: Bill QZ if all elements are not met | TX | Medicare (TrailBlazer) | 11/18/03 |
| TEEs | All States | AMA | 11/18/03 |
| Incomplete Medical Direction: Billing QZ is accepted, but rare. M/D is "industry standard" | HI | Medicare (TrailBlazer) | 11/03/03 |
| Cancelled Visits | NY | Medicare (Empire) | 09/23/03 |
| Post-Op Pain: Epidural | AR | Medicare (BCBS-AR) | 09/19/03 |
| Peripheral Nerve Blocks: with SI Joint Injections | All States | AMA | 09/18/03 |
| SI Joint Injections: with Peripheral Nerve Blocks | All States | AMA | 09/18/03 |
| Trigger Points: | All States | AMA | 09/18/03 |
| Post-Op Pain: Epidural when Spinal for the case | All States | AMA | 09/18/03 |
| Lysis of Adhesions: Injection vs. Catheter | All States | AMA | 09/12/03 |
| Transforaminal Epidural: catheter for multiple levels | All States | AMA | 09/12/03 |
| E&M: New v. Established | ND | Medicare (Noridian) | 09/03/03 |
| Lysis of Adhesions: Injection vs. Catheter | All States | AMA | 08/26/03 |
| Transforaminal Epidural: catheter for multiple levels | FL | Medicare (First Coast) | 08/26/03 |
| Piriformis Injection | All States | AMA | 08/20/03 |
| Split Billing: Handoffs and Exceptions to Medical Direction | FL | Medicare (First Coast) | 08/15/03 |
| Medical Direction: Exceptions | FL | Medicare (First Coast) | 08/15/03 |
| Psychological Testing | MD | Medicare (TrailBlazer) | 08/14/03 |
| Psychological Testing | MD | Medicare (TrailBlazer) | 08/14/03 |
| Drugs: Quantity | All States | SADMERC | 07/14/03 |
| Drugs: Wastage | KS, MO, NE | Medicare (Wheatlands) | 07/07/03 |
| Post-Op Pain: Epidural | CO | Medicare (Noridian) | 06/17/03 |
| Epidurography | All States | AMA | 06/13/03 |
| Biofeedback | NY | Medicare (Empire) | 06/09/03 |
| Fluoroscopy: Specific Billing Guidelines | CA | Medicare (NHIC) | 05/16/03 |
| Post-Op Pain: Epidural | CA | Medicare (NHIC) | 05/16/03 |
| Daily Pain Rounds: 2003 | NY | Medicare (Empire) | 05/15/03 |
| Neurostimulators | LA | Medicare (BCBS-AR) | 05/07/03 |
| Daily Pain Rounds: 2003 | AK, AZ, CO, HI, NV, ND, OR, SD, WA, WY | Medicare (Noridian) | 05/05/03 |
| TEEs | All States | Medicare (AdminaStar Federal) | 04/17/03 |
| Pumps | KS, MO, NE | Medicare (Wheatlands) | 03/21/03 |
| Daily Pain Rounds: 2003 | KS, MO, NE | Medicare (Wheatlands) | 03/12/03 |
| Daily Pain Rounds: 2003 | NJ | Medicare (Empire) | 03/12/03 |
| BIS Monitoring | All States | AMA | 03/11/03 |
| Daily Pain Rounds: 2003 | TX | Medicare (TrailBlazer) | 02/11/03 |
| Daily Pain Rounds: 2003 | AR | Medicare (BCBS-AR) | 02/05/03 |
| On-Call Services | All States | AMA | 01/30/03 |
| Incomplete Medical Direction: QZ Modifier | SC | Medicare (Palmetto) | 01/13/03 |
| Monitoring: Interoperative | CT | Medicare (First Coast) | 01/10/03 |
| Handoffs: Medical Direction | CT | Medicare (First Coast) | 01/10/03 |
| Incomplete Medical Direction: QZ Modifier | CT | Medicare (First Coast) | 01/10/03 |
| Transforaminal Epidural: | All States | AMA | 01/08/03 |
| Split Billing: Handoffs | KS, MO, NE | Medicare (Wheatlands) | 11/05/02 |
| Lines: Bundled | KS, MO, NE | Medicare (Wheatlands) | 09/20/02 |
| Medical Direction: Frequent Monitoring | AL, KS, MO, NE | Medicare (Wheatlands)) | 09/20/02 |
| Ventilator Management | KS, MO, NE | Medicare (Wheatlands)) | 09/20/02 |
| Fluoroscopy: Revised Billing Guidelines | All States | AMA | 07/24/02 |
| Endoscopy: Gastrointestinal | NY | Medicare (Empire) | 07/18/02 |
| Neurostimulators: 2-phase coding | All States | AMA | 06/17/02 |
| PACU: Time | CO | Medicare (Noridian) | 05/17/02 |
| Time: PACU | CO | Medicare (Noridian) | 05/17/02 |
| Time: Lines & Epidurals | CO | Medicare (Noridian) | 05/17/02 |
| MAC: Bone Marrow | AR, LA, NM, OK | Medicare (BCBS-AR) | 05/06/02 |
| Medical Direction: Exceptions | PA | Medicare (HGS) | 05/01/02 |
| Labor: Add-On Codes | AR | Medicaid | 04/22/02 |
| Trigger Points | NY | Medicare (Empire) | 04/09/02 |
| Lines: Billing Time | NY | Medicare (Empire) | 03/12/02 |
| Modifiers: 22, 60 | All States | AMA | 03/06/02 |
| Handoffs: Billing in name Group | KS, MO, NE | Medicare (Wheatlands) | 02/25/02 |
| Incomplete Medical Direction: QZ Modifier | CT | Medicare (First Coast) | 02/21/02 |
| Post-Op Pain: Test Dose | TX | Medicare (TrailBlazer) | 01/20/02 |
| Epidurography | FL | Medicare (First Coast) | 01/18/02 |
| Facet Joint Injections | FL | Medicare (First Coast) | 01/18/02 |
| Peripheral Nerve Blocks | FL | Medicare (First Coast) | 01/18/02 |
| Pacemakers | NY | Medicare (Empire) | 01/14/02 |
| Post-Op Pain: Epidural | PA | Medicare (HGS) | 12/11/01 |
| Nucleoplasty | FL | Medicare (First Coast) | 11/01/01 |
| Pumps: NPs | NY | Medicare (Empire) | 10/24/01 |
| Post-Op Pain - Billing 01996 in place of 62319 | TX | Medicaid | 10/18/01 |
| Labor Epidural: Continuous Labor and C-Section | WA | Medicaid | 10/04/01 |
| Fluoroscopy: Billing Guidelines | All States | AMA | 10/03/01 |
| Fluoroscopy: Revised Billing Guidelines | All States | AMA | 10/03/01 |
| Facets: 00635 for chronic pain | TX | Medicare (TrailBlazer) | 10/01/01 |
| Transforaminal Epidurals: 00635 for chrnoic pain | TX | Medicare (TrailBlazer) | 10/01/01 |
| Critical Care: Handoffs | MO | Medcaid | 09/27/01 |
| Critical Care: Handoffs | KS | Medicaid | 09/24/01 |
| Neo-Natal Intensive Care | All States | AMA | 09/20/01 |
| Post-Op Pain: Billing for Post-op pain now allowed. Policy AN-006 Terminated. | WI | Medicare (WPS) | 09/17/01 |
| Incomplete Medical Direction: Bill QZ if all elements are not met | FL | Medicare (First Coast) | 09/06/01 |
| Incomplete Medical Direction: QZ Modifier | KY | Medicare (AdminaStar Federal) | 08/29/01 |
| Conscious Sedation | TX | Medicare (Trailblazer) | 08/24/01 |
| Nucleoplasty | TX | Medicare (TrailBlazer) | 08/24/01 |
| Critical Care: Handoffs | MO | Medicaid | 08/17/01 |
| Fluoroscopy: Specific Billing Guidelines | AR | Medicare (BCBS-AR) | 07/31/01 |
| TEEs: Monitoring | WA | Medicare (Noridian) | 07/20/01 |
| Lines: During Medical Direction | TX | Medicare (TrailBlazer) | 07/12/01 |
| Medical Direction: MD Taking Short Breaks | TX | Medicare (TrailBlazer) | 07/12/01 |
| Medical Direction: Post-Op Pain Epidurals | TX | Medicare (TrailBlazer) | 07/12/01 |
| Medical Direction: Exceptions | TX | Medicare (TrailBlazer) | 07/12/01 |
| MAC: LESI | FL | Medicare (First Coast) | 07/12/01 |
| Epidurography | FL | Medicare (First Coast) | 07/05/01 |
| Electronic Signatures: addendum signature | VA | Medicare (TrailBlazer) | 06/27/01 |
| Split Billing: Handoffs | KS, MO, NE | Medicare (Wheatlands) | 06/26/01 |
| Critical Care: Handoffs | All States | AMA | 06/20/01 |
| Critical Care: Billing 99291 | All States | AMA | 06/20/01 |
| Neurolytic: Proper Coding | All States | AMA | 06/12/01 |
| Aneurysm Repair: Proper Coding | All States | AMA | 06/12/01 |
| Place of Service | VA | Medicare (TrailBlazer) | 05/30/01 |
| Medical Direction: Exceptions | VA | Medicare (TrailBlazer) | 05/25/01 |
| BIS Monitoring | IN | Medicare (AdminaStar Federal) | 05/24/01 |
| Nucleoplasty | NY | Medicare (Empire) | 05/18/01 |
| Handoffs: Personally Performed | NY | Medicare (Empire) | 05/15/01 |
| Incomplete Medical Direction: QZ Modifier | NC | Medicare (CIGNA) | 05/02/01 |
| MAC: Chronic Pain | All States | AMA | 05/02/01 |
| MAC: LESI | All States | AMA | 05/02/01 |
| Time: OB Epidural | TX | Medicaid | 04/27/01 |
| Nucleoplasty | IL, MI, MN, WI | Medicare (WPS) | 04/26/01 |
| IDET | TX | Medicare (Trailblazer) | 04/25/01 |
| Labor Epidural: Billable Time | TX | Medicaid | 04/24/01 |
| Nucleoplasty | CA | Medicare (NHIC) | 04/23/01 |
| Pumps | All States | AMA | 04/13/01 |
| Supervision of CRNA | OK | Medicaid | 04/09/01 |
| CRNA: Billing in MD's Name | AR | Medicaid | 04/05/01 |
| Rounding Up | AR | Medicaid | 04/05/01 |
| MAC: Topical Cataract | OK | Medicare (BCBS-AR) | 04/02/01 |
| Supervision of CRNA | OK | Medicaid | 04/02/01 |
| Concurrency | IL, MI, MN, WI | Medicare (WPS) | 03/21/01 |
| Handoffs: Medical Direction | IL, MI, MN, WI | Medicare (WPS) | 03/21/01 |
| Handoffs: Personally Performed | IL, MI, MN, WI | Medicare (WPS) | 03/21/01 |
| Incomplete Medical Direction: QZ Modifier | IL, MI, MN, WI | Medicare (WPS) | 03/21/01 |
| Lines: Billing for both CVP & Swan-Ganz | IL, MI, MN, WI | Medicare (WPS) | 03/21/01 |
| Medical Direction: Exceptions | IL, MI, MN, WI | Medicare (WPS) | 03/21/01 |
| Medical Direction: Monitoring Interval | IL, MI, MN, WI | Medicare (WPS) | 03/21/01 |
| Medical Direction: Lunch Breaks | IL, MI, MN, WI | Medicare (WPS) | 03/21/01 |
| LESI: 00635 for chronic pain | NY | Medicare (Empire) | 03/18/01 |
| Incomplete Medical Direction: Billing QZ and QX | GA | Medicaid | 03/06/01 |
| Conscious Sedation | All States | AMA | 03/02/01 |
| Opthalmology: Incident To | LA | Medicare (BCBS-AR) | 03/02/01 |
| Incomplete Medical Direction: Billing QZ is accepted, but rare. M/D is "industry standard" | TX | Medicare (TrailBlazer) | 03/01/01 |
| Swallowing Evaluation | TX | Medicare (TrailBlazer) | 02/27/01 |
| Reassignment: Cardiology | LA | Medicare (BCBS-AR) | 02/22/01 |
| Reassignment: Cardiology | LA | Medicare (BCBS-AR) | 02/22/01 |
| Split Billing: Handoffs | AR | Medicare (BCBS-AR) | 02/09/01 |
| Incomplete Medical Direction: Bill QZ if all elements are not met | AZ | Medicare (TrailBlazer) | 02/09/01 |
| MAC: Topical Cataract | AR | Medicare (BCBS-AR) | 02/09/01 |
| Conscious Sedation | All States | AMA | 02/06/01 |
| Diskography, Each Level | All States | AMA | 02/06/01 |
| Fluoroscopy: Billing 76005 only once per session. | All States | AMA | 02/06/01 |
| Medical Direction: Agree with GA Q&A | WI | Medicare (WPS) | 02/06/01 |
| MAC: Topical Cataract | TX | Medicare (TrailBlazer) | 02/06/01 |
| Medical Direction: Conditions | GA | Medicaid | 01/24/01 |
| Medical Direction: Exceptions | SC | Medicare (Palmetto) | 01/19/01 |
| Lines: Billing for both CVP & Swan-Ganz | WI | Medicare (WPS) | 01/17/01 |
| Lines: Billing for both CVP & Swan-Ganz | IA, ND, SD | Medicare (Noridian) | 01/15/01 |
| Medical Direction: Exceptions | TN | Medicare (CIGNA) | 12/27/00 |
| Medical Direction: Response to GA's Q&A | TN | Medicare (CIGNA) | 12/27/00 |
| Modifier: QZ | TN | Medicare (CIGNA) | 12/27/00 |
| Lines: Billing for both CVP & Swan-Ganz | WI | Medicare (WPS) | 12/22/00 |
| Medical Direction: Conditions | GA | Medicaid | 12/22/00 |
| Medical Direction: Exceptions | TX | Medicare (TrailBlazer) | 12/20/00 |
| MAC: LESI | NY | Medicare (Empire) | 12/14/00 |
| Diagnostic Tests | NY | Medicare (Empire) | 12/05/00 |
| Medical Direction: Exceptions | KS | Medicare (Wheatlands) | 10/24/00 |
| Medical Direction: Response to GA's Q&A | KS, MO, NE | Medicare (Wheatlands)) | 10/24/00 |
| TEEs | KS, MO, NE | Medicare (Wheatlands)) | 10/24/00 |
| Daily Pain Management | TX | Medicare (TrailBlazer) | 10/13/00 |
| Post-Op Pain: Epidural | TX | Medicare (TrailBlazer) | 10/13/00 |
| Lines: Billing Time | LA | Medicare (BCBS-AR) | 10/02/00 |
| Facet Joint Injections | All States | AMA | 08/21/00 |
| Modifiers: 59 | AR | Medicare (BCBS-AR) | 07/28/00 |
| Incomplete Medical Direction: QZ Modifier | MS | Medicare (United HC) | 07/26/00 |
| E&M: Diagnosis when Separate Procedure | TN | Medicare (Cigna) | 06/05/00 |
| E&M: ASCs | TN | Medicare (Cigna) | 06/05/00 |
| Time: Discontinuous Time for Block Placement | TN | Medicare (CIGNA) | 06/05/00 |
| Incomplete Medical Direction: QZ Modifier | NY | Medicare (Empire) | 05/19/00 |
| Incomplete Medical Direction: QZ Modifier | NY | Medicare (Empire) | 05/19/00 |
| Incomplete Medical Direction: QZ Modifier | ND | Medicare (Noridian) | 04/27/00 |
| PAs: Consults | LA | Medicare (BCBS-AR) | 04/25/00 |
| Incomplete Medical Direction: QZ Modifier | LA | Medicare (BCBS-AR) | 04/07/00 |
| Incomplete Medical Direction: QZ Modifier | MD | Medicare (TrailBlazer) | 04/07/00 |
| Incomplete Medical Direction: Billing QX for CRNAs | TX | Medicare (TrailBlazer) | 04/05/00 |
| Incomplete Medical Direction: QZ Modifier | OR | Medicare (Transamerica) | 03/28/00 |
| Incomplete Medical Direction: QZ Modifier | SC | Medicare (Palmetto) | 03/27/00 |
| Incomplete Medical Direction: QZ Modifier | CO | Medicare (Noridian) | 03/23/00 |
| Incomplete Medical Direction: QZ Modifier | AR | Medicare (BCBS-AR) | 03/21/00 |
| Incomplete Medical Direction: QZ Modifier | MS | Medicare (United HC) | 03/20/00 |
| Incomplete Medical Direction: QZ Modifier | OH | Medicare (Nationwide) | 03/16/00 |
| Incomplete Medical Direction: QZ Modifier | KS, MO, NE | Medicare (Wheatlands) | 03/10/00 |
| MAC: Topical Cataract | TN | Medicare (CIGNA) | 01/27/00 |
| Split Billing - Handoffs | TX | Medicaid | 11/23/99 |
| Incomplete Medical Direction: QZ Modifier | TX | Medicaid | 11/23/99 |
| MAC: QS Modifier Required | TX | Medicaid | 11/23/99 |
| Concurrency | SD | Medicare (Noridian) | 10/19/99 |
| Incomplete Medical Direction: Bill by Group Name | ND | Medicare (Noridian) | 10/19/99 |
| Medical Direction: MDs Presence Required | SD | Medicare (Noridian) | 10/19/99 |
| Medical Direction: Post- Op Care Documentation | SD | Medicare (Noridian) | 10/19/99 |
| PCAs: Billing | OH | Medicare (Nationwide) | 10/18/99 |
| Time: Extraordinary Sedation | TN | Medicare (CIGNA) | 09/18/99 |
| CRNA (Contract): Billing Guidelines for contracted CRNAs. | TN | Medicare (CIGNA) | 09/18/99 |
| Statute of Limitations: Claim Overpayments | NY | Medicare (Empire) | 09/15/99 |
| Incomplete Medical Direction: Bill QZ if all elements are not met | AR | Medicare (BCBS-AR) | 09/08/99 |
| Epidurography vs. Myelography | FL | Medicare (First Coast) | 08/10/99 |
| Split Billing: Handoffs | TX | Medicare (BCBS-TX) | 08/03/99 |
| MAC: Cataract | TX | Medicare (Trailblazer) | 08/02/99 |
| PCAs: 99231 | CT | Medicare (United HC) | 07/29/99 |
| Incomplete Medical Direction: Bill QZ if all elements are not met | CT | Medicare (United HC) | 07/28/99 |
| Time: Pre-OR IV | All States | Federal Register Vol. 64, No. 140 | 07/22/99 |
| Medical Direction: Conditions | GA | Medicare (Cahaba) | 07/08/99 |
| Incomplete Medical Direction: Bill QZ if all elements are not met | LA | Medicare (BCBS-AR) | 05/11/99 |
| Incomplete Medical Direction: Bill QZ if all elements are not met | TX | Medicaid | 05/11/99 |
| Handoffs: Who bills the case? | SD | Medicare (Noridian) | 05/06/99 |
| Lines: CVP and Swan-Ganz | NY | Medicare (Empire) | 04/09/99 |
| CRNA: Lines/Catheters | TN | Medicare (CIGNA) | 02/08/99 |
| CRNA: Billing as Non-Medically Directed (62279, 01996 & 36620) | TN | Medicare (CIGNA) | 02/08/99 |
| Incomplete Medical Direction: Bill QZ if all elements are not met | AR | Medicare (BCBS-AR) | 01/05/99 |
| Students: Documentation of E&M | All States | AMA | 10/15/98 |
| Teaching: Primary Care Exception, E&M | All States | HCFA | 10/15/98 |
| Teaching: Unscheduled Complex E&M | All States | HCFA | 10/15/98 |
| Teaching: PC Exception, Prenatal E&M | All States | HCFA | 10/15/98 |
| Time: Continuous Presence - Anesthesia Billable Time (Start/Stop) | TN | Medicare (CIGNA) | 09/18/98 |
| Locum Tenens: CRNAs | TN | Medicare (CIGNA) | 09/18/98 |
| Sedation: Extraordinary | TN | Medicare (CIGNA) | 09/18/98 |
| ASCs: Certification | All States | HCFA | 09/04/98 |
| Labor Epidural: Billing | TN | Medicare (CIGNA) | 08/04/98 |
| Medical Direction: Conditions | TN | Medicare (CIGNA) | 08/04/98 |
| Incomplete Medical Direction: MD handoff to CRNA before emergence | CT | Medicare (CIGNA) | 07/21/98 |
| Incomplete Medical Direction: Bill QZ if all elements are not met | TN | Medicare (CIGNA) | 07/21/98 |
| Ventilator Management | TN | Medicare (CIGNA) | 05/21/98 |
| Teaching: E&M | All States | HCFA | 02/09/98 |
| Templates | All States | HCFA | 02/09/98 |
| Handoffs - Billing to Anesthesia Group | All States | HCFA | 11/26/97 |
| Teaching: Reimbursement | All States | ASA | 06/24/96 |
| Teaching: Documentation | All States | HCFA | 06/21/96 |