Part B
Appropriate drug billing Part B
Read this article to learn more about appropriately billing Part B drugs.
Reporting the national drug code
Read this article for helpful information to report the national drug code on claims.
No Medicare policies identified
In the absence of a LCD, NCD, billing and coding article or CMS manual instruction, NCCI or MUE, reasonable and necessary guidelines still apply. Read this article to learn more.
No Medicare policies identified
In the absence of a LCD, NCD, billing and coding article or CMS manual instruction, NCCI or MUE, reasonable and necessary guidelines still apply. Read this article to learn more.
Drugs and biologicals Part B: Using the JW and JZ modifiers
The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a “single-dose” containers. Read this article to understand how these modifiers…
Modifier AI
The principal physician of record appends modifier “-AI” to their initial hospital care or nursing facility visit code. All other physicians who perform an initial evaluation on this patient bill…
Bilateral indicators
The Medicare physician fee schedule status indicators for bilateral services should be used to determine if the procedure is allowed to be performed bilaterally.
Mammography coverage and certification of mammography facilities
Read this article for information on mammography coverage and certification of mammography facilities.
Medicare secondary payer (MSP) Contractor (formerly Benefits Coordination and Recovery Center [BCRC])
Read this article for more information on contacting the MSP Contractor.
Document and bill genetic tests correctly
First Coast identified several errors when providers bill for genetic testing. Read this article to learn more about billing these services correctly.