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Issue 2006-03, March 2006
MLN Matters. . .Information for Medicare Providers
(Issued by the Centers for Medicare & Medicaid Services)
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Change in the Long Descriptor for HCPCS Code Q4080
Provider Types Affected
Physicians, suppliers, and providers billing Medicare carriers, including durable medical equipment regional carriers (DMERCs) and/or fiscal intermediaries (FIs), including regional home health intermediaries (RHHIs), for services related to ILOPROST inhalation treatment of Medicare beneficiaries
Provider Action Needed
This article is based on Change Request (CR) 4324, which provides information on the revised code dosage descriptor for Q4080. This is a nonsystems change CR.
Background
CR4324 provides clarification on the change in the long descriptor for HCPCS code Q4080 effective January 1, 2006. The Centers for Medicare & Medicaid Services (CMS) established Healthcare Common Procedure Coding System (HCPCS) code Q4080 that was effective July 1, 2005, with a code descriptor that read:
“ Iloprost, inhalation solution, administered through DME, 20 micrograms.”
Effective January 1, 2006 , the long code descriptor for HCPCS code Q4080 will read:
“ Iloprost, inhalation solution, administered through DME, up to 20 mcg.”
The short descriptor for HCPCS code Q4080 will continue to read: “Iloprost inhalation solution.”.
Implementation
The implementation date for the instruction is March 13, 2006.
Additional Information
For complete details, please see the official instruction issued to your carrier/DMERC/intermediary/ RHHI regarding this change. That instruction may be viewed at http://www.cms.hhs.gov/Transmittals/downloads/R209OTN.pdf  on the CMS Web site.
If you have any questions, please contact your carrier/DMERC/intermediary/RHHI at their toll-free number, which may be found at http://www.cms.hhs.gov/MedlearnProducts/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.
For more information, visit the Medlearn Matters Web page at: http://www.cms.hhs.gov/MedlearnMattersArticles 
Pub. 100-20, Transmittal# R209OTN, CR# 4324
Medlearn Matters Number: MM4324
Related CR Release Date: February 10, 2006
Effective Date: January 1, 2006
Implementation Date: March 13, 2006
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