Part B service-specific review – drugs and biologicals (J0178 Eylea, J0897 Prolia, J2778 Lucentis, J9217 Lupron (Leuprolide))
Summary for drugs and biologicals (April-May 2021).
Articles
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Category
Checklist: Application of skin substitutes
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation...
Checklist: End-Stage Renal Disease (ESRD)
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation...
Checklist: Diagnostic radiology
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation...
Checklist: Clinical laboratory
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation...
Checklist: Chemotherapy, drugs, biologicals, and injection services
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for...
Targeted probe and educate (TPE) round results: Drugs and biologicals (HCPCS J1569)
View targeted probe and educate (TPE) round results drugs and biologicals (HCPCS J1569).
Panniculectomy, excision of excess skin and subcutaneous tissue (including lipectomy), and related services
Effective for dates of service July 1, 2020, and after, hospital outpatient department (HOPD) providers will need to obtain...
Rhinoplasty and related services
Nasal surgery is any procedure performed on the external or internal structures of the nose, septum or turbinate.
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