Notice: This CMS-approved document has been submitted - Philips ...

CMS-1403-FC
● Adding the following new paragraph to describe
outpatient speech-language pathology services: “(3)
Outpatient speech-language pathology services, meaning
those services as described in section 1861(ll)(2) of the
Act that are for the diagnosis and treatment of speech,
language, and cognitive disorders that include swallowing
and other oral-motor dysfunctions”.
Consistent with the provisions of section 143 of the
MIPPA, these changes will be effective July 1, 2009.
C. Annual Update to the Code List
1. Background
In §411.351, we specify that the entire scope of four
DHS categories is defined in a list of CPT/HCPCS codes (the
Code List), which is updated annually to account for
changes in the most recent CPT and HCPCS publications. The
DHS categories defined and updated in this manner are:
● Clinical laboratory services.
● Physical therapy, occupational therapy, and
outpatient speech-language pathology services.
● Radiology and certain other imaging services.
● Radiation therapy services and supplies.
The Code List also identifies those items and services
that may qualify for either of the following two exceptions
to the physician self-referral prohibition:
937