Medicare FFS Version 5010 Requirement Changes for Non-Specific Procedure Codes

Medicare Fee-for-Service (FFS) has amended the Not-Otherwise-Classified (NOC) code set listing effective Mon Jan 16, 2012.  Thus, it has been determined that anesthesia codes that include the phrase “not otherwise specified” in their code descriptors (procedure codes 00100 through 01996) do not meet the criteria of a non-specified procedure code and do not require a description to be supplied in the SV101-7/SV202-7 data elements.  Anesthesia procedure code 01999, “Unlisted anesthesia procedure(s)” meets the requirements of a non-specified code and continues to require additional information to be supplied in the SV101-7 data element. Read more…

http://www.cgsmedicare.com/jc/pubs/news/2012/0112/cope17889.html

________________________________________

Third Anniversary of ICD-10 Rule: Three years ago, on January 16, 2009, the U.S. Department of Health and Human Services published final rules mandating that all organizations covered by HIPAA upgrade to Version 5010 by January 1, 2012 and transition to ICD-10 coding sets by October 1, 2013. As a result of the enforcement discretion period for Version 5010, all organizations must complete their Version 5010 upgrade by no later than March 31, 2012. Upgrading to Version 5010 is an important step to take before transitioning to ICD-10, which is quickly approaching. Read more…

http://www.cgsmedicare.com/jc/pubs/news/2012/0112/cope17865.html