RE: Re: CMS coverage determination question

[Guest guest]

Here is another link to the Medicare website. this takes you to the

Physician Fee Schedule search function. It allows you to enter one or

more CPT codes, and tells you what (if any) reimbursement there is from

Medicare for each one. This is also helpful when you are trying to

determine if Medicare pays for a specific CPT code.

Sue Krieg

Rehabilitation Compliance Manager

Phone:

Fax:

http://www.cms.hhs.gov/apps/ama/license.asp?file=/pfslookup/02_PFSsearch

..asp

________________________________

From: PTManager [mailto:PTManager ] On

Behalf Of Leigh

Sent: Thursday, March 11, 2010 9:17 PM

To: PTManager

Subject: Re: CMS coverage determination question

I go directly to the CMS website and search the coverage database.

http://www.cms.hhs.gov/mcd/overview.asp

<http://www.cms.hhs.gov/mcd/overview.asp>

Go to the above url, then click on the " search " link. Enter " physical

therapy " in the keywords field and select your region from the drop down

menu. The search results should include an LCD, or Local Coverage

Determination. This is a comprehensive document listing all acceptable

CPT codes and ICD-9 codes that support medical necessity.

Leigh , PT

Lead Therapist

St. 's Outpatient Therapies

San Francisco, CA

>

> Hello all,

> I am trying to find a quick reference for CPT code coverage

> determination on the Medicare website. Currently I use a host of

> resources, such as past transmittals, my billing dept, the physician

fee

> schedule, and Chapter 12 of the " internet only manuals " but I am

> wondering if there is a better, quicker reference for CMS decisions

> regarding coverage of certain CPT codes within the last 10 years.

>

> What is the best reference out there, other than your own billing

dept,

> if you ask the question " I wonder if CMS pays for that code? " (in the

> therapy setting using Physical Medicine codes)

>

> Acker OTR CHT

> Therapy Manager

> Georgia Hand Shoulder and Elbow Surgery

>

>

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