Medical policy
Inappropriate billing of anesthesia services for epidural steroid injections (ESI) and facet joint injections for pain management
The Office of Inspector General (OIG) conducted a nationwide audit identifying Medicare Part B payments to physicians for anesthesia administered during selected spinal pain management (SPM)…
Proposed local coverage determinations (LCDs): Open meetings
There are currently no open meetings scheduled. Please watch this page for updates regarding our next open meeting, Please view our proposed local coverage determination open meetings webpage for…
Proposed local coverage determinations (LCDs): Open meetings
There are currently no open meetings scheduled. Please watch this page for updates regarding our next open meeting, Please view our proposed local coverage determination open meetings webpage for…
Screening for hepatitis C virus National Coverage Determination
CMS clarified billing requirements for the screening for hepatitis C virus in adults.
Screening for hepatitis C virus National Coverage Determination
CMS clarified billing requirements for the screening for hepatitis C virus in adults.
Drugs and biologicals: Self-administered drug exclusions
View this information regarding excluded self-administered injectable drugs.
Drugs and biologicals: Self-administered drug exclusions
View this information regarding excluded self-administered injectable drugs.
Patients purchasing their own drugs or biologicals (brown bagging)
Medicare provides limited benefits for outpatient drugs. Drugs and/or biologicals purchased by the patient and taken to their physician's office for administration are not covered.