The Medicare Monthly Review, MMR-2011-01, January 2011 - CGS

95975 were changed. CPT code 61886 was added to the policy. Minor changes were made to update forNational Government Services and CMS template changes.LCD for Varicose Veins of the Lower Extremity, Treatment of (L25519)R6 (effective 01/01/2011): Annual LCD review per CMS Program Integrity Manual, Chapter 13, Section13.4[C]. The entire LCD was reviewed. Minor template changes were made to reflect current templatelanguage. No comment and notice periods required and none given.Article for Varicose Veins of the Lower Extremity, Treatment of - Supplemental Instructions Article(A44614)Article published January 2011: Annual LCD review per CMS Program Integrity Manual, Chapter 13,Section 13.4[C]. The entire SIA was reviewed. CPT codes 36470, 36471, 37765 and 37766 were added to thefollowing coding guideline:Claims for treatment of varicose veins services are payable under Medicare Part B in the following placesof service: office (11); inpatient hospital (21); outpatient hospital (22), ambulatory surgical center (ASC)(24) and independent clinic (49). CPT codes 36470, 36471, 36475, 36476, 36478, 36479, 37700, 37718, 37722,37735, 37760, 37761, 37765, 37766 and 37780 are the only procedures that qualify for an (ASC) ambulatorysurgical center (24) facility fee payment.Minor template changes were made to reflect current template language.LCD for Vertebroplasty and Vertebral Augmentation (Percutaneous) (L26439)R8 (effective 01/01/2011): Indications for percutaneous vertebral augmentation were updated as follows:“The principal indications for percutaneous vertebral augmentation include:• A “recent” osteoporotic compression fracture of the lumbar or thoracic vertebrae with persistentdebilitating pain that has not responded to accepted standard medical treatment; and/or• Osteolytic vertebral collapse secondary to multiple myeloma or osteolytic metastatic diseasecausing persisting or progressive pain.”No notice given and none required.LCD for Viral Hepatitis Serology Tests (L28427)R3 (effective 01/01/2011): CPT coding update for 2011Indications were updated for Hepatitis B surfaceantigen testing (CPT codes 87340, 87341) and Hepatitis B core antibody testing (CPT codes 86704, 86705)and Hepatitis C antibody testing (CPT code 86803). References were updated. Minor changes made toupdate for National Government Services template. No notice given and none required.Retired LCD/Article:Article for Anterior segment scanning computerized ophthalmic diagnostic imaging (0187T) – Relatedto LCD L25275 (A48043)This article will no longer be in effect for services performed after 12/31/2010.CPT code 0187T has been deleted effective 12/31/2010. Effective for dates of service on or after 01/01/2011,Category I CPT code 92132 should be used to report scanning computerized ophthalmic diagnosticimaging, anterior segment, with interpretation and report, unilateral or bilateral.CPT codes and descriptors are only copyright 2010 American Medical Association (or such other date publication of CPT)The Medicare Monthly Review 18 MMR 2011-01, January 2011