Medical policy
Reporting the national drug code
Read this article for helpful information to report the national drug code on claims.
Prior authorization for ambulance transports is for repetitive transports
A repetitive service is defined as medically necessary ambulance transportation that is furnished three or more times during a 10-day period OR at least once per week for at least three weeks.…
Prior authorization for ambulance transports is for repetitive transports
A repetitive service is defined as medically necessary ambulance transportation that is furnished three or more times during a 10-day period OR at least once per week for at least three weeks.…
Update history: LCD and article updates
View the most recent updates for our LCDs and articles. Three articles have been revised.
Update history: LCD and article updates
View the most recent updates for our LCDs and articles. Three articles have been revised.
SPRAVATO® (esketamine) nasal spray CIII place of service (POS) requirements
View our latest article on SPRAVATO® (esketamine) nasal spray - used to treat treatment-resistant depression in adults - and its documentation requirements.
SPRAVATO® (esketamine) nasal spray CIII place of service (POS) requirements
View our latest article on SPRAVATO® (esketamine) nasal spray - used to treat treatment-resistant depression in adults - and its documentation requirements.
View NCDs
CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the conditions for which an item or service is covered (or not covered)…