№ lp_2_3_64688
File format: docx
Character count: 11351
File size: 65 KB
Year:
2021
Region / City:
Massachusetts
Topic:
Healthcare, Medicaid, Radiology Services
Document Type:
Transmittal Letter
Agency:
Executive Office of Health and Human Services
Author:
Amanda Cassel Kraft, Acting Assistant Secretary for MassHealth
Target Audience:
Independent Diagnostic Testing Facilities Participating in MassHealth
Effective Date:
January 1, 2021
Date of Issue:
October 2021
Obsolete Material:
Pages 6-1 through 6-6
New Material:
Pages 6-1 through 6-6
Regulation Titles:
Radiology - 114.3 CMR 18.00, Medicine - 101 CMR 317.00
Contact Information:
MassHealth Customer Service Center, [email protected]
Description:
Official update to the Independent Diagnostic Testing Facility Manual, detailing 2021 HCPCS service code revisions and effective dates for Medicaid providers.
Price: 8 / 10 USD
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Year:
2026
Region / City:
USA
Theme:
Medical Equipment Codes
Document Type:
List
Organization / Institution:
CMS
Author:
CMS
Target Audience:
Healthcare Providers, Medical Equipment Suppliers
Period of Validity:
Ongoing
Approval Date:
N/A
Revision Date:
N/A
Year:
2022
Region / City:
Not specified
Subject:
Medical coding and documentation
Document type:
Coding portfolio project
Institution / Organization:
Not specified
Author:
Rodney Balbo (patient case)
Target audience:
Healthcare coding students or professionals
Period covered:
Weeks 2–6
ICD-10-CM Codes:
S01.01XA, W18.2XXA, G44.309, I10, R53.83, R40.0, S06.5X0A, Z48.811
CPT Codes:
12002, 99215, 70552, 61312, 61316, 00211, 62146, 62148, 00215
HCPCS Level II Codes:
N/A, A9585
APC Codes:
19991
Procedures described:
Laceration repair, office visit for headache, MRI brain with contrast, craniectomy, cranial bone graft, cranioplasty with autograft
Medical conditions:
Traumatic head injury, brain hematoma, post-traumatic headache, controlled hypertension, drowsiness
Year:
2017
Region / city:
Not specified
Theme:
Shoulder surgery, thermal capsulorrhaphy
Document type:
Clinical guideline review
Organization:
HSD
Author:
Not specified
Target audience:
Healthcare providers, insurance companies
Period of validity:
Not specified
Approval date:
Not specified
Amendment date:
August 2017
Year:
2018
Region / City:
USA
Topic:
Minimally Invasive Percutaneous Interventions for Low Back Pain
Document Type:
Coverage Guidance
Organization / Institution:
HERC
Author:
Evidence-based Guidelines Subcommittee (EbGS)
Target Audience:
Healthcare providers, insurance companies
Effective Period:
January 2018
Approval Date:
1/18/2018
Amendment Date:
N/A
Document sections:
Appendix A; Appendix B
Subject:
Diagnostic and procedure coding for skull base fracture and related conditions
Classification systems:
ICD-9-CM; ICD-10-CM; ICD-10-PCS; CPT-4; HCPCS; NDC; DRG
Conditions included:
Skull base fracture; Facial weakness/paralysis/spasm; Loss of consciousness; Hearing loss; Tympanic membrane rupture; Vertigo/disequilibrium; Cerebrospinal fluid leak
Procedures included:
Facial nerve decompression; Facial nerve repair/reanimation; Static eye procedures; Chemodenervation
Medications included:
OnabotulinumtoxinA; IncobotulinumtoxinA; AbobotulinumtoxinA; RimabotulinumtoxinB; Steroids; Antivirals
Drug routes specified:
Oral; IV; IM; Intra-tympanic
Purpose:
Identification of admissions, inclusion and exclusion criteria, secondary outcomes, and treatments
Type of document:
Medical coding reference appendix
Year:
2020
Region / City:
United States
Subject:
Reproductive Health Care, Family Planning Services
Document Type:
List
Organization / Institution:
American Medical Association (AMA)
Author:
American Medical Association (AMA)
Target Audience:
Healthcare providers, family planning agencies
Period of Validity:
Not specified
Approval Date:
September 2020
Date of Changes:
Not specified
Year:
2021
Region / City:
N/A
Topic:
Medical Coding, CPT, ICD-10-CM, Billing and Coding Guidelines
Document Type:
Portfolio Project
Organization / Institution:
N/A
Author:
Claudia Gjondla
Target Audience:
Medical Billing and Coding Students
Period of Validity:
N/A
Approval Date:
N/A
Date of Modifications:
N/A
Contextual description:
Medical coding portfolio for a healthcare course detailing the coding of E/M, CPT, ICD-10-CM, lab tests, and imaging services based on specific patient encounters and procedures.
Course:
MCCG222 – Advanced CPT and HCPCS Level II Coding
Project Type:
Coding Portfolio Project
Subject:
Rodney Balbo
Weeks Covered:
Week 2, Week 3, Week 4, Week 5
Clinical Settings:
Emergency Room, Office Visit, Imaging Service, Outpatient Surgery
Coding Systems:
ICD-10-CM, CPT, HCPCS Level II
Procedures Documented:
Laceration repair, Office evaluation and management, MRI of the brain with contrast, Craniectomy for subdural hematoma evacuation
Diagnoses Referenced:
Scalp laceration, Headache (unspecified and post-traumatic), Somnolence, Essential hypertension, Traumatic subdural hemorrhage
External Causes Referenced:
Fall in bathtub, Unspecified fall
Medical Necessity Reference:
LCD Article ID L35175
APC Code:
19991
Year:
2022
Region / City:
Not specified
Subject:
Healthcare, Surgery
Document Type:
Medical Guideline
Organization / Institution:
HERC
Author:
Not specified
Target Audience:
Healthcare professionals, policymakers
Effective Period:
May 2022
Approval Date:
May 2022
Change Date:
None
Evidence Source:
Johns 2020, Stewart 2019
Conclusion:
Insufficient evidence of effectiveness for subacromial balloon spacer
Context:
A medical guideline reviewing evidence and recommending HCPCS C9781 for inclusion in unproven interventions due to limited effectiveness data.
Year:
2018
Region / city:
Massachusetts
Subject:
Healthcare, Medicaid, Prior Authorization
Document Type:
Official communication
Organization / Institution:
MassHealth
Author:
Daniel Tsai, Assistant Secretary for MassHealth
Target Audience:
Physicians participating in MassHealth
Effective Date:
June 1, 2018
Date of approval:
2018
Date of changes:
June 1, 2018
Year:
2020
Region / City:
Massachusetts
Topic:
Healthcare, Medicaid, Service Codes, HCPCS, CPT, Telemedicine, COVID-19
Document Type:
Transmittal Letter
Organization / Institution:
Executive Office of Health and Human Services, Office of Medicaid
Author:
Amanda Cassel Kraft, Acting Medicaid Director
Target Audience:
Physicians Participating in MassHealth
Effective Period:
July 2020
Approval Date:
July 2020
Date of Changes:
July 2020
Year:
2012
Revision date:
01/01/2025
Related update:
May 2018
Subject:
Vascular Imaging
HCPCS code:
C9733
Procedure name:
Non-ophthalmic fluorescent vascular angiography
Type of document:
Guideline note and coverage determination record
Organ / institution:
HERC
Source materials:
December 2012 VbBS meeting materials and minutes
Regulatory reference:
FDA approval for specified surgical uses
Associated device:
LifeCell/Novadaq SPY Elite System
Clinical context:
Coronary artery bypass and other vascular surgeries
Related organization cited:
American Heart Association
Recommendation status:
Excluded List
Evidence classification:
Experimental
Year:
2023
Region / City:
Massachusetts
Theme:
Healthcare Services
Document Type:
Transmittal Letter
Organization / Institution:
Executive Office of Health and Human Services
Author:
Mike Levine
Target Audience:
MassHealth Providers
Effective Period:
From January 1, 2023
Approval Date:
April 2023
Amendment Date:
None
Year:
2019
Region / City:
Massachusetts
Topic:
Healthcare, Medicaid
Document Type:
Transmittal Letter
Organization:
Executive Office of Health and Human Services
Author:
Daniel Tsai, Assistant Secretary for MassHealth
Target Audience:
Freestanding Ambulatory Surgery Centers Participating in MassHealth
Period of Validity:
From September 1, 2019
Approval Date:
September 2019
Amendment Date:
September 2019
Year:
2024
Region / City:
Massachusetts
Topic:
Healthcare / Medicaid
Document Type:
Regulatory update
Organization:
Commonwealth of Massachusetts, Executive Office of Health and Human Services, Office of Medicaid
Author:
Monica Sawhney, Chief of Provider, Family, and Safety Net Programs
Target Audience:
Freestanding Ambulatory Surgery Centers Participating in MassHealth
Effective Period:
From January 1, 2024
Approval Date:
May 2024
Date of Changes:
May 2024
Year:
2026
Region / City:
California
Subject:
Physician Fee Schedule
Document Type:
Regulatory Document
Organization:
California Department of Industrial Relations
Author:
Administrative Director
Target Audience:
Healthcare Providers, Medical Practitioners, Legal and Compliance Professionals
Period of Action:
From January 1, 2014
Approval Date:
Not specified
Date of Changes:
Effective from March 1, 2017, with further amendments expected until February 15, 2024.
Version:
Draft 2.0 | Effective: //_____ | Owner: Director of Special Education / 504 Coordinator | Approved by: __________________________
Year:
Draft 2.0
Region / City:
Midland ISD
Subject:
Special Education, Section 504
Document Type:
Manual
Organization / Institution:
Midland Independent School District
Author:
Director of Special Education
Target Audience:
School staff, administrators, special education professionals
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Contextual description:
A procedural manual for special education and Section 504 practices in Midland ISD, providing detailed operational steps for child find, referrals, evaluations, and compliance with federal and state regulations.
Year:
2022
Region / City:
Texas
Subject:
Regulation of food service establishments and related food operations
Document Type:
Legal regulation
Author:
Texas Department of State Health Services
Target Audience:
Food service operators, regulatory authorities
Period of validity:
Ongoing
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2024
Region / City:
California
Topic:
Healthcare Regulations
Document Type:
Legal / Regulatory Text
Organization:
California Department of Industrial Relations
Author:
Administrative Director
Target Audience:
Healthcare Providers, Legal Professionals, Regulators
Effective Date:
February 15, 2024
Update Date:
January 15, 2025
Amendment Date:
January 15, 2025
Year:
2024
Region:
Massachusetts, USA
Document Type:
Transmittal Letter / Provider Manual Update
Issuing Organization:
Commonwealth of Massachusetts, Executive Office of Health and Human Services, Office of Medicaid
Author:
Monica Sawhney, Chief of Provider, Family, and Safety Net Programs
Target Audience:
Acute Outpatient Hospitals Participating in MassHealth
Effective Date:
July 1, 2024
Content Scope:
Revisions to drug codes, HCPCS codes, CPT codes, billing instructions, and procedural guidelines
Referenced Resources:
MassHealth Drug List, Centers for Medicare & Medicaid Services HCPCS website
Distribution:
MassHealth website and email alerts