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

Article for B-type Natriuretic Peptide (BNP) Testing – Supplemental Instructions Article (A45906)Article published January 2011: Annual review per CMS Program Integrity Manual, Chapter 13, Section13.4[C]. Content reviewed and no changes needed.Article for Capsaicin 8% patch (Qutenza®) - Related to LCD L25820 (A49948)Article published January 2011: Based on the annual HCPCS update for 2011, HCPCS code C9268 hasbeen deleted for dates of service after 12/31/2010 and HCPCS code J7335 has been added to the articleeffective for dates of service on or after 01/01/2011 for services billed to the carriers or intermediaries orPart A or Part B MACs. In the “Coding Guidelines” section the following places of service have beenadded for claims submitted to the carrier or Part B MAC: office (11) and independent clinic (49).LCD for Cardiac Catheterization and Coronary Angiography – L26880R11 (effective 01/01/2011): LCD revised for HCPCS updates for 2011. CPT codes 93501, 93508, 93510,93511, 93514, 93524, 93526-93529, 93539-93545, 93555, 93556 deleted, and CPT codes 93451-93464, 93563-93568 added. The covered ICD-9 lists have been updated into tables related to specific CPT codes,reflecting the CPT updates. No comment or notice periods required and none given.Article for Cardiac Catheterization and Coronary Angiography – Supplemental Instructions Article(A48368)Article published January 2011: SIA revised to accommodate the 2011 CPT coding changes for cardiaccatheterization. CPT codes 93501, 93508, 93510, 93511, 93514, 93524, 93526-93529, 93539-93545, 93555,93556 deleted, and CPT codes 93451-93464, 93563-93568 added.LCD for Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography(CCTA) (L25907)R6 (effective 01/01/2011): Annual LCD review per CMS Program Integrity Manual, Chapter 13, Section13.4[C]. The references in the “CMS National Coverage Policy” section and the coding requirements inthe LCD were reviewed. Minor template changes were made to reflect current template language. Nocomment and notice periods required and none given.Article for Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography(CCTA) - Supplemental Instructions Article (A45020)Article published January 2011: Annual LCD review per CMS Program Integrity Manual, Chapter 13,Section 13.4[C]. The coding requirements in the SIA were reviewed. Minor template changes were madeto reflect current template language.LCD for Cardiac Event Detection – L26415R4 (effective 01/01/2011): LCD revised for annual HCPCS update for 2011. The descriptors for CPT codes93228, 93229, 93268, 93270, 93271 and 93272 have been revised. No comment or notice periods requiredand none given.Article for Cardiac Event Detection – Supplemental Instructions Article (A45929)Article published January 2011: SIA revised for annual HCPCS update for 2011. The descriptors for CPTcodes 93228, 93229, 93268, 93270, 93271 and 93272 have been revised.LCD for Cardiovascular Nuclear Medicine (L26859)R7 (effective 01/01/2011): Annual LCD review per CMS Program Integrity Manual, Chapter 13, Section13.4[C]. The references in the “CMS National Coverage Policy” section and the coding requirements inthe LCD were reviewed. Minor template changes were made to reflect current template language. Nocomment and notice periods required and none given.CPT codes and descriptors are only copyright 2010 American Medical Association (or such other date publication of CPT)The Medicare Monthly Review 9 MMR 2011-01, January 2011