Medicare Monthly Review, Issue 2007-09B: National Government Services Medical Policy Update - Indiana (00630) and Kentucky (00660) - Revised Local Coverage Determination (LCD): Computed Tomography (R18)

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	National Government Services, Inc. Medicare Monthly Review Part A and B
A Combined Part A and Part B Newsletter

MMR-2007- 09B, September 2007

National Government Services Medical Policy Update - Indiana (00630) and Kentucky (00660) - Revised Local Coverage Determination (LCD): Computed Tomography (R18) – Effective Date: September 1, 2007

Source of Revision – Internal
Annual Review: In March, 2007, the 7 Contractor Medical Directors and MPU associates thoroughly reviewed each existing legacy LCD and applied agreed-upon criteria to determine the final roster of NGS policies. During the March 21 – 23 meeting, the CMDs decided which policies to retain/consolidate as all-NGS LCDs and which policies to retire. Data were pulled (including edit effectiveness data) and criteria were applied to each policy in making the retention determinations. The preparation and review of the policies in March constitutes the annual review for every legacy LCD and fulfills requirements in Chapter 13, Section 13.4(C) of the Medicare Program Integrity Manual. References to legacy AdminaStar Federal were updated to National Government Services. LCD was subsequently reviewed by legacy AdminaStar Federal Part B carrier on August 8, 2007.

Minor formatting changes made to conform to National Government Services documentation standards. References were added to the CMS National Coverage Policy section for the GA/GY/GZ modifier. Minor formatting changes made to conform to National Government Services documentation standards. No notice period required and none given. The supplemental instructions article (SIA) associated with this local coverage determination (LCD) was similarly updated. No notice period required and none given.

National Government Services Medical Policy Update - Indiana (00630) and Kentucky (00660) - Revised Supplemental Instructions Article: Computed Tomography – Effective Date: 09/01/2007

Source of Revision: Coding guidelines have been updated with instructions on the use of the -GA, -GZ, -GY modifiers by physicians, practitioners, or suppliers when billing claims to Medicare. References were added to the CMS National Coverage Policy section for the GA/GY/GZ modifier. Minor formatting changes made to conform to National Government Services documentation standards.

CPT five-digit codes, descriptions, and other data only are copyright 2006 American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values or related listings are included in CPT. AMA does not directly or indirectly practice medicine or dispense medical services. AMA assumes no liability for data contained or not contained herein. Applicable FARS/DFARS clauses apply.

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