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Checklist: Musculoskeletal system and connective tissue or procedures

This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for musculoskeletal system and connective tissue procedures (DRG 515, 516 and 517).

Checklist: Percutaneous intracardiac procedures

This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for percutaneous intracardiac procedures (DRG 273 and 274).

Checklist: Skin lesion removal

This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for wound care.

Targeted probe and educate (TPE) round results: Psychotherapy services (CPT 90832, 90834, 90837)

View TPE round results for psychotherapy services.

Targeted probe and educate (TPE) round results: Rehabilitation services outpatient (KX modifier)

View TPE round results for rehabilitation services outpatient (KX modifier).

Targeted probe and educate (TPE) round results: Diagnostic radiology (CPT 93978)

View targeted probe and educate (TPE) round results for diagnostic radiology.

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).

Part B service-specific review – psychotherapy services (CPT codes 90832-90839)

View this summary for psychotherapy services (December 2020 - March 2021).

Checklist: Chiropractic services documentation

This checklist is an aid to assist providers with responding to medical record documentation requests.

Part B service-specific review – clinical laboratory presumptive and definitive drug testing

Summary for Clinical Labs (November 2020).