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MIR-2006-8AB, August 2006
MLN Matters. . .Information for Medicare Providers
(Issued by the Centers for Medicare & Medicaid Services)
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Correction to CR4136: New Waived Tests
CR5131 corrects an incorrect Current Procedural Code (CPT) mentioned in the third sentence of the second paragraph in the Background section of the Recurring Update Notification attachment for CR4136. Only this sentence has been revised. All other information remains as it is written in CR4136. |
Note: This article was revised on July 11, 2006, to show that the effective date is January 1, 2006 and the implementation date is July 24, 2006. These dates were inadvertently transposed on the original article. |
Provider Types Affected
All providers and suppliers billing Medicare carriers for laboratory tests
Background
CR5131 corrects an incorrect Current Procedural Code (CPT) mentioned in the third sentence of the second paragraph in the Background section of the Recurring Update Notification attachment for CR4136.
Key Points
This article and CR5131 identifies the correction issued by the Centers for Medicare & Medicaid Services (CMS) regarding the “Waived Tests:”
- CPT code 82271 was incorrectly listed in the second paragraph of the background section of the Recurrent Update Notification attachment of CR4136 as not requiring a QW modifier. The CPT code should have been 82272 and it does not require a QW modifier.
- All other information that outlines which tests require the “QW modifier” and which do not require the “QW modifier” remains the same as listed in CR4136. The Web address for MLN Matters article MM4136 related to CR4136 is http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM4136.pdf
 on the CMS Web site.
Implementation
The effective date for this instruction was January 1, 2006, and the correction by CR5131 will be implemented on July 24, 2006.
Additional Information
The official instruction, CR5131, issued to your Medicare carrier regarding this change can be found at http://www.cms.hhs.gov/transmittals/downloads/R988CP.pdf on the CMS Web site.
If you have questions, please contact your Medicare carrier at their toll-free number, which may be found at http://www.cms.hhs.gov/MLNProducts/downloads/CallCenterTollNumDirectory.pdf on the CMS Web site.
Disclaimer
This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents.
MLN Matters Number: MM5131 Revised
Pub. 100-4, Transmittal# R988CP, CR# 5131
Related CR Release Date: June 23, 2006
Effective Date: January 1, 2006
Implementation Date: July 24, 2006
Do you have your NPI? National Provider Identifiers (NPIs) will be required on claims sent on or after May 23, 2007. Every health care provider needs to get an NPI. Learn more about the NPI and how to apply for an NPI by visiting http://www.cms.hhs.gov/NationalProvIdentStand/  on the CMS Web site.
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