Jurisdiction J (JJ) Articles Unrelated to Local Coverage Determinations (LCDs) Notification
Published 01/15/2019
This table describes the Articles unrelated to Local Coverage Determinations (LCDs) for Jurisdiction J (JJ) and serves as notification to the JJ provider community of the additional Articles that will be in effect on February 26, 2018 following the final transition from Cahaba to Palmetto GBA. These Articles will be viewable on the Medicare Coverage Database on February 8, 2018.
Part A/ Part B
|
Article Title
|
Article ID #
|
---|---|---|
A
|
Billing Requirements for PET Scan Claims to Identify Bone Metastasis of Cancer
|
A54735
|
A
|
Antibacterial Drugs
|
A54812
|
A
|
Infusion, Injection and Hydration Services
|
A53778
|
A
|
Percutaneous Ventricular Assist Device
|
A53988
|
A
|
The Routine Costs of Investigational Chemotherapy Drugs Studied in a Qualifying Clinical Trial
|
A53784
|
A/B
|
Additional Claim Documentation Requirements for Not Otherwise Classified (NOC) Drugs and Biological Products with Specific FDA Label Indications
|
A54880
|
A/B
|
Billing and Coding Instructions for Lemtrada® (alemtuzumab) When Used in the Treatment of Relapsing Multiple Sclerosis
|
A55310
|
A/B
|
Billing and Coding of Drug and Biological Infusions
|
A55297
|
A/B
|
Billing Requirements for Onivyde® (Irinotecan liposome) J9205
|
A55804
|
A/B
|
CDH1 Genetic Testing Coding and Billing Guidelines
|
A54835
|
A/B
|
Coenzyme Q10 (Q10) Coding and Billing Guideline
|
A55709
|
A/B
|
Gender Reassignment Services for Gender Dysphoria
|
A53793
|
A/B
|
Herceptin (trastuzumab): Coverage and Billing
|
A53777
|
A/B
|
IDTFs and Low Dose CT Scan for Lung Cancer Screening for HCPCS Code G0297
|
A55816
|
A/B
|
Influenza Diagnostic Tests
|
A54769
|
A/B
|
Kyprolis® (Carfilzomib) Coding and Billing Guidelines and Indications
|
A53779
|
A/B
|
MolDX: 4q25-AF Risk Genotype Coding and Billing Guidelines
|
A53457
|
A/B
|
MolDX: 9p21 Genotype Test Coding and Billing Guideline
|
A53657
|
A/B
|
MolDX: ApoE Genotype Coding and Billing Guidelines
|
A53652
|
A/B
|
MolDX: Aspartoacyclase 2 Deficiency(ASPA) Testing Coding and Billing Guidelines
|
A53602
|
A/B
|
MolDX: ATP7B Gene Tests Coding and Billing Guidelines
|
A53550
|
A/B
|
MolDX: BCKDHB Gene Test Coding and Billing Guidelines
|
A53600
|
A/B
|
MolDX: BLM Gene Analysis Coding and Billing Guidelines
|
A53540
|
A/B
|
MolDX: BluePrint® Coding and Billing Guidelines
|
A53484
|
A/B
|
MolDX: CFTR Gene Analysis Coding and Billing Guidelines
|
A53615
|
A/B
|
MolDX: CHD7 Gene Analysis Coding and Billing Guidelines
|
A53565
|
A/B
|
MolDX: CYP2B6 Test Coding and Billing Guidelines
|
A53556
|
A/B
|
MolDX: CYP2C9 and/or VKORC1 Gene Testing for Warfarin Response Coding and Billing Guidelines
|
A53524
|
A/B
|
MolDX: ENG and ACVRL1 Gene Tests Coding and Billing Guidelines
|
A53536
|
A/B
|
MolDX: FANCC Genetic Testing Coding and Billing Guidelines
|
A53628
|
A/B
|
MolDX: Fragile X Coding and Billing Guidelines Update
|
A53638
|
A/B
|
MolDX: GBA Genetic Testing Coding and Billing Guidelines
|
A53542
|
A/B
|
MolDX: HAX1 Gene Sequencing Coding and Billing Guidelines
|
A53619
|
A/B
|
MolDX: HBB Gene Tests Coding and Billing Guidelines
|
A53493
|
A/B
|
MolDX: HEXA Gene Analysis Coding and Billing Guidelines
|
A53598
|
A/B
|
MolDX: HTTLPR Gene Testing Coding and Billing Guidelines
|
A53480
|
A/B
|
MolDX: IKBKAP Genetic Testing Coding and Billing Guidelines
|
A53596
|
A/B
|
MolDX: KIF6 Genotype Billing and Coding Guidelines
|
A53576
|
A/B
|
MolDX: know error® Billing and Coding Guidelines Update
|
A53554
|
A/B
|
MolDX: L1CAM Gene Sequencing Coding and Billing Guidelines
|
A53659
|
A/B
|
MolDX: LPA-Aspirin Genotype Coding and Billing Guidelines
|
A53467
|
A/B
|
MolDX: LPA-Intron 25 Genotype Coding and Billing Guidelines
|
A53468
|
A/B
|
MolDX: MCOLN1 Genetic Testing Coding and Billing Guidelines
|
A53630
|
A/B
|
MolDX: MECP2 Genetic Testing Coding and Billing Guidelines
|
A53574
|
A/B
|
MolDX: Mitochondrial Nuclear Gene Tests Coding and Billing Guidelines
|
A53669
|
A/B
|
MolDX: MMACHC Test Coding and Billing Guidelines
|
A54035
|
A/B
|
MolDX: myPap™ Coding and Billing Guidelines
|
A53544
|
A/B
|
MolDX: Next Generation Sequencing Coding and Billing Guidelines
|
A54795
|
A/B
|
MolDX: NSD1 Gene Tests Coding and Billing Guidelines
|
A53585
|
A/B
|
MolDX: PAX6 Gene Sequencing Coding and Billing Guidelines
|
A53664
|
A/B
|
MolDX: PIK3CA Gene Tests Coding and Billing Guidelines
|
A53558
|
A/B
|
MolDX: PreDx® Coding and Billing Guidelines
|
A53489
|
A/B
|
MolDX: PTCH1 Gene Testing Coding and Billing Guidelines
|
A53567
|
A/B
|
MolDX: RPS19 Gene Tests Coding and Billing Guidelines
|
A53587
|
A/B
|
MolDX: SEPT9 Gene Test Coding and Billing Guidelines
|
A53702
|
A/B
|
MolDX: SLCO1B1 Genotype Coding and Billing Guidelines
|
A53698
|
A/B
|
MolDX: SMPD1 Genetic Testing Coding and Billing Guidelines
|
A53624
|
A/B
|
MolDX: STAT3 Gene Testing Coding and Billing Guidelines
|
A53562
|
A/B
|
MolDX: SULT4A1 Genetic Testing Coding and Billing Guidelines
|
A53538
|
A/B
|
MolDX: TERC Gene Tests Coding and Billing Guidelines
|
A53589
|
A/B
|
MolDX: ThermoFisher Oncomine Dx Target Test For Non-Small Cell Lung Cancer, Coding and Billing Guidelines
|
A55822
|
A/B
|
MolDX: TP53 Gene Test Coding and Billing Guidelines
|
A53591
|
A/B
|
MolDX: UGT1A1 Gene Analysis Coding and Billing Guidelines
|
A53593
|
A/B
|
MolDX: VEGFR2 Tests Coding and Billing Guidelines
|
A53548
|
A/B
|
Once in a Lifetime Abdominal Aortic Aneurysm (AAA) Screening Article
|
A55071
|
A/B
|
Short Tandem Repeat (STR) Markers and Chimerism (codes 81265-81268) Coding and Billing Guidelines
|
A54832
|
A/B
|
Single Chamber and Dual Chamber Permanent Cardiac Pacemakers – Coding and Billing
|
A54831
|
A/B
|
Spiracur SNaP® Wound Care System
|
A53781
|
B
|
Aflibercept (Eylea) Coding and Billing Guidelines
|
A53387
|
B
|
Amniotic Membrane Billing Guidelines for HCPCS Code V2790
|
A53441
|
B
|
Anesthetic 'Caine Drugs'
|
A53432
|
B
|
ArgusM II Retinal Prosthesis System
|
A53044
|
B
|
Coding and Billing External Components for Cochlear Implants
|
A53708
|
B
|
Coverage for High Resolution Anoscopy
|
A53408
|
B
|
CPT Modifier 59: Gastroenterology
|
A53399
|
B
|
Endometrial Hyperplasia Treatment
|
A53043
|
B
|
FDA Approved Ramucirumab (Cyramza)®
|
A53426
|
B
|
FDA approves Iluvien for Diabetic Macular Edema
|
A54750
|
B
|
Fracture of Ribs with Internal Fixation
|
A53931
|
B
|
Glaucoma Screening
|
A53495
|
B
|
Hemorrhoid Artery Ligation CPT Code 0249T Article
|
A53006
|
B
|
Implantable Miniature Telescope (IMT) for Macular Degeneration
|
A53501
|
B
|
Intraoperative Radiation Therapy (IOERT)
|
A53414
|
B
|
Low frequency, non-contact, non-thermal ultrasound (CPT code 97610)
|
A54555
|
B
|
Medicare Preventive Coverage for Certain Vaccines
|
A54767
|
B
|
Neuromodulation for Fecal Incontinence
|
A53419
|
B
|
Oral Surgery and Maxillofacial Surgery Specialty Codes
|
A53446
|
B
|
Percutaneous Ventricular Assist Device
|
A53986
|
B
|
Periodic Adjustment of Gastric Restrictive Device after the Global Period: Coding and Billing Instructions
|
A53444
|
B
|
Pre/Postoperative Care: Date of Service
|
A53472
|
B
|
Radiology Services: Multiple, Identical Services on Same Day
|
A53488
|
B
|
Repeat or Duplicate Services on the Same Day
|
A53482
|
B
|
Repeat X-ray or EKG Interpretations by Same or Different Physician
|
A53423
|
B
|
Sacroiliac-Bone Implant System
|
A53452
|
B
|
Thermal Capsulorrhaphy
|
A53435
|
B
|
Videostroboscopy and Nasopharyngoscopy Procedures Performed by Speech-Language Pathologists (SLPs)
|
A53430
|
B
|
Xofigo Billing Instructions
|
A54559
|