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.	Albumin VIAL 5% 12.5g/250 mL	HCPCS	This would not be required for emergency medical services provided for the treatment of an emergency medical condition.\|\|Active—Missed Deadline for General Bill Transmittal on 2/27/15.\| \|New Jersey\|\|S20/A4444: THE OUT-OF-NETWORK CONSUMER PROTECTION, TRANSPARENCY, COST CONTAINMENT AND ACCOUNTABILITY ACT: would require health care facilities to, at least 30 days prior to a patient’s elective, non-emergency procedure or upon scheduling it: inform a patient as to whether the provider is in or out-of-network; descriptions of the procedure; a reasonable estimate of the costs for the services; and information on all other costs related to the procedure.\|\|Active—Reviewed by the Pension and Health Benefits Commission on 7/31/15.\| \|New York\|\|S00344/A00250: TRANSPARENCY IN HEALTH CARE FEES: would require health care providers to advise patients, in writing, prior to performing any health care services, the fee the patient will be charged for each service in the event that insurance will not cover it.\|\|Active—Referred to Committee on Health on 1/7/15.\| \|Oklahoma\|\|HB1940: AN ACT CREATING THE OKLAHOMA HEALTH CARE COST REDUCTION AND TRANSPARENCY ACT OF 2015: would require hospitals or ambulatory surgical centers to provide patients—upon patient request and within 3 days of the request—with information regarding the 100 most frequently reported admissions by diagnostic-related groups for inpatients, along with CPT and HCPCS codes, for hospitals that bill Medicaid, and (i) the amount to be charged to each patient for each diagnostic-related group if all charges are paid in full without a public or private third party paying any portion of the charges; and (ii) the amount of Medicaid and Medicare reimbursements for each diagnostic-related group. They would also be required to provide patients with the total costs of the 100 most common surgical procedures and 50 most common imaging procedures, by volume, performed in hospital outpatient settings or in ambulatory surgical facilities. The State Commissioner of Health may suspend or revoke the license for the operation of a hospital or ambulatory surgical center that violates the provisions of the Oklahoma Health Care Cost Reduction and Transparency Act of 2015. \|Active—Referred to Rules Committee on 2/3/15.\| \|Pennsylvania\|\|HB774: PATIENT MEDICAL ACCESS AND AFFORDABILITY ACT: would require health care providers to establish, and post publicly on the Internet, set prices for all services, supplies, and charges. In addition, third party payors would be required to establish, and post publicly on the Internet, a fee schedule applicable to all covered individuals. Individuals would be responsible to pay the remaining balance between after the third payor has submitted the established fee for any service, supply, or charge to the health care provider. Services provided by health care providers for programs administered, regulated, or paid for by government entities would be exempt from the requirements of the Act.
013	Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC	MS-DRG	“2009 Focused update incorporated into the ACC/AHA 2005 guidelines for the diagnosis and management of heart failure in adults: A report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines. Developed in collaboration with the International Society for Heart and Lung Transplantation”. C. DRG Codes and Expected Length of Stay. MS-DRG 291 (heart failure and shock with major comorbid conditions); mean length of stay 6 to 7 days MS-DRG 292 (heart failure and shock with comorbid conditions); mean length of stay 4 to 5 days MS-DRG 293 (heart failure and shock without comorbid conditions); mean length of stay 3 to 4 days (Data from UHC and Premier databases for 2010) Copyright © 2017, 2013 Decision Support in Medicine, LLC. All rights reserved. No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. The Licensed Content is the property of and copyrighted by DSM.
010	PANCREAS TRANSPLANT	MS-DRG	“2009 Focused update incorporated into the ACC/AHA 2005 guidelines for the diagnosis and management of heart failure in adults: A report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines. Developed in collaboration with the International Society for Heart and Lung Transplantation”. C. DRG Codes and Expected Length of Stay. MS-DRG 291 (heart failure and shock with major comorbid conditions); mean length of stay 6 to 7 days MS-DRG 292 (heart failure and shock with comorbid conditions); mean length of stay 4 to 5 days MS-DRG 293 (heart failure and shock without comorbid conditions); mean length of stay 3 to 4 days (Data from UHC and Premier databases for 2010) Copyright © 2017, 2013 Decision Support in Medicine, LLC. All rights reserved. No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. The Licensed Content is the property of and copyrighted by DSM.
017	AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC	MS-DRG	“2009 Focused update incorporated into the ACC/AHA 2005 guidelines for the diagnosis and management of heart failure in adults: A report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines. Developed in collaboration with the International Society for Heart and Lung Transplantation”. C. DRG Codes and Expected Length of Stay. MS-DRG 291 (heart failure and shock with major comorbid conditions); mean length of stay 6 to 7 days MS-DRG 292 (heart failure and shock with comorbid conditions); mean length of stay 4 to 5 days MS-DRG 293 (heart failure and shock without comorbid conditions); mean length of stay 3 to 4 days (Data from UHC and Premier databases for 2010) Copyright © 2017, 2013 Decision Support in Medicine, LLC. All rights reserved. No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. The Licensed Content is the property of and copyrighted by DSM.
005	Pancreas and Liver Transplant	MS-DRG	“2009 Focused update incorporated into the ACC/AHA 2005 guidelines for the diagnosis and management of heart failure in adults: A report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines. Developed in collaboration with the International Society for Heart and Lung Transplantation”. C. DRG Codes and Expected Length of Stay. MS-DRG 291 (heart failure and shock with major comorbid conditions); mean length of stay 6 to 7 days MS-DRG 292 (heart failure and shock with comorbid conditions); mean length of stay 4 to 5 days MS-DRG 293 (heart failure and shock without comorbid conditions); mean length of stay 3 to 4 days (Data from UHC and Premier databases for 2010) Copyright © 2017, 2013 Decision Support in Medicine, LLC. All rights reserved. No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. The Licensed Content is the property of and copyrighted by DSM.
1743	Percutaneous robotic assisted procedure	ICD	Surgical complications may include necrosis, fistulae, stenosis, urinary problems, anorgasmia and poor cosmetic result. Side-effects of hormonal treatment may be a problem; minimisation of risks by lifelong monitoring is required. Peer and family support are conducive to good outcomes. Further reading & references - Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, version 7 2012; World Professional Association for Transgender Health (WPATH) - Gender dysphoria; American Psychiatric Association, 2013 - Trans - a practical guide for the NHS; Dept of Health, October 2008 - The ICD-10 Classification of Mental and Behavioural Disorders; World Health Organization - Good practice guidelines for the assessment and treatment of adults with gender dysphoria; Royal College of Psychiatrists (2013) - Technical Note - Measuring gender identity; Equality and Human Rights Commission survey, 2012 - The Number of Gender Variant People in the UK - Update 2011; Gender Identity Research and Education Society - Gender Recognition Certificate statistics; GOV.UK - Heylens G, De Cuypere G, Zucker KJ, et al; Gender identity disorder in twins: a review of the case report literature. J Sex Med. 2012 Mar;9(3):751-7. doi: 10.1111/j.1743-6109.2011.02567.x. Epub 2011 Dec 6.
1743	Percutaneous robotic assisted procedure	ICD	Peer and family support are conducive to good outcomes. Further reading & references - Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, version 7 2012; World Professional Association for Transgender Health (WPATH) - Gender dysphoria; American Psychiatric Association, 2013 - Trans - a practical guide for the NHS; Dept of Health, October 2008 - The ICD-10 Classification of Mental and Behavioural Disorders; World Health Organization - Good practice guidelines for the assessment and treatment of adults with gender dysphoria; Royal College of Psychiatrists (2013) - Technical Note - Measuring gender identity; Equality and Human Rights Commission survey, 2012 - The Number of Gender Variant People in the UK - Update 2011; Gender Identity Research and Education Society - Gender Recognition Certificate statistics; GOV.UK - Heylens G, De Cuypere G, Zucker KJ, et al; Gender identity disorder in twins: a review of the case report literature. J Sex Med. 2012 Mar;9(3):751-7. doi: 10.1111/j.1743-6109.2011.02567.x. Epub 2011 Dec 6. - Good Medical Practice (2013); General Medical Council - Guidance for GPs, other clinicians and health professionals on the care of gender variant people; NHS, 2008 - Gender dysphoria services. A guide for general practitioners and other healthcare staff; NHS, 2012 - Gender Identity and Development Service (GIDS); Tavistock and Portman NHS Foundation Trust.
1743	Percutaneous robotic assisted procedure	ICD	Further reading & references - Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, version 7 2012; World Professional Association for Transgender Health (WPATH) - Gender dysphoria; American Psychiatric Association, 2013 - Trans - a practical guide for the NHS; Dept of Health, October 2008 - The ICD-10 Classification of Mental and Behavioural Disorders; World Health Organization - Good practice guidelines for the assessment and treatment of adults with gender dysphoria; Royal College of Psychiatrists (2013) - Technical Note - Measuring gender identity; Equality and Human Rights Commission survey, 2012 - The Number of Gender Variant People in the UK - Update 2011; Gender Identity Research and Education Society - Gender Recognition Certificate statistics; GOV.UK - Heylens G, De Cuypere G, Zucker KJ, et al; Gender identity disorder in twins: a review of the case report literature. J Sex Med. 2012 Mar;9(3):751-7. doi: 10.1111/j.1743-6109.2011.02567.x. Epub 2011 Dec 6. - Good Medical Practice (2013); General Medical Council - Guidance for GPs, other clinicians and health professionals on the care of gender variant people; NHS, 2008 - Gender dysphoria services. A guide for general practitioners and other healthcare staff; NHS, 2012 - Gender Identity and Development Service (GIDS); Tavistock and Portman NHS Foundation Trust. - Endocrine Treatment of Transsexual persons; Endocrine Society Clinical Practice Guideline - Meriggiola MC, Berra M; Safety of hormonal treatment in transgenders.
00811	ANES LWR INTST NDSC NOS	CPT	Both records should be fully documented. To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
00732	ANES UPR GI NDSC PX ERCP	CPT	Both records should be fully documented. To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
00813	HB PR-ANESTHESIA COMBINED UPPER&LOWER GI ENDOSCOPIC PX	CPT	Both records should be fully documented. To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
.	Albumin VIAL 5% 12.5g/250 mL	HCPCS	Both records should be fully documented. To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
45380	PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	HCPCS	Both records should be fully documented. To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
45378	PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	HCPCS	Both records should be fully documented. To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
G0105	SCRN COLONOSCOPY ON HI RISK PT	HCPCS	Both records should be fully documented. To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
00812	ANES LWR INTST SCR COLSC	CPT	Both records should be fully documented. To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
G0121	SCRN COLONOSCOPY PT NOT HI RISK	HCPCS	Both records should be fully documented. To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
00731	HB PR-ANESTHESIA UPPER GI ENDOSCOPIC PX NOS	CPT	Both records should be fully documented. To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
00740	Anesth upper gi visualize	CPT	Both records should be fully documented. To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
00810	Anesth low intestine scope	CPT	Both records should be fully documented. To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
00811	ANES LWR INTST NDSC NOS	CPT	To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
00732	ANES UPR GI NDSC PX ERCP	CPT	To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
00813	HB PR-ANESTHESIA COMBINED UPPER&LOWER GI ENDOSCOPIC PX	CPT	To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
.	Albumin VIAL 5% 12.5g/250 mL	HCPCS	To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
45380	PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	HCPCS	To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
45378	PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	HCPCS	To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
G0105	SCRN COLONOSCOPY ON HI RISK PT	HCPCS	To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
00812	ANES LWR INTST SCR COLSC	CPT	To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
G0121	SCRN COLONOSCOPY PT NOT HI RISK	HCPCS	To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
00731	HB PR-ANESTHESIA UPPER GI ENDOSCOPIC PX NOS	CPT	To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
00740	Anesth upper gi visualize	CPT	To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
00810	Anesth low intestine scope	CPT	To bill Medicare for endoscopic procedures, the teaching physician must be present during the entire viewing (starts at time of insertion of the endoscope and ends at time of removal of the endoscope). Viewing of the entire procedure through a monitor in another room does not meet the teaching physician presence requirement. In most instances, the EGD will use the anesthesia CPT 00813 for the same day. Anesthesia and Colonoscopy \|00811\|\|PT\|\|Screening becomes diagnostic\|\|Diagnostic (45378, 45380)\|\|Only deductible waived\| \|00812\|\|No modifier needed\|\|Screening regardless of findings\|\|Screening (G0105, G0121)\|\|Both waived\| - Others include 00731, 00732 and 00813 - CMS Change Request (CR)10181, effective January 1, 2018: 00810 and 00740 deleted Medical records should include: - Clear indication of beneficiary name, date of birth and date of service - Must support diagnoses code billed - Pre-anesthetic exam and evaluation - Detailed exam with pain history and symptoms severity - Intra-operative report with anesthesia time (beginning of services, any time spent away from beneficiary and discontinuance of services) - Complete operative report - Post anesthesia report - Imaging reports - Activities of Daily Living (ADLs) - Conservative treatment such as outpatient therapies or medications - What or when does beneficiary feel better or worse Clearly show number of concurrent services supervised by physician or CRNA - Local Coverage Determinations (LCDs) - Facet Joint Injections, Medial Branch Blocks and Facet Joint Radiofrequency Neurotomy - Monitored Anesthesia Care (MAC) retired April 9, 2018 - Nerve Blockade for Treatment of Chronic Pain and Neuropathy - Spinal Cord Stimulators for Chronic Pain - Trigger Point Injections - American Society of Anesthesiologists (ASA) Resources - Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - Distinguishing "MAC" from Moderate Sedation/Analgesia (Conscious Sedation) - Position on MAC - CMS Anesthesiologists Center - CMS CR10075: Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests - CMS CR10181: Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services and Addition of Anesthesia and Prolonged Preventive Services - CMS Internet Only Manual (IOM), Publication 100-03, Chapter 1, Section 10 - CMS IOM, Publication 100-04, Chapter 12, Sections 50, 100, and 140 - CMS National Coverage Determinations (NCDs) - Anesthesia in Cardiac Pacemaker Surgery (10.6) - Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery (10.1) Last Updated Nov 20, 2018 The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.
912	Psychiatric/Psychological Svcs: Partial Hosp - less intensiv	RC	(2008). "Functional Effects of KCNE3 Mutation and its Role in the Development of Brugada Syndrome". Circulation Arrhythmia and Electrophysiology. 1 (3): 209–18. doi:10.1161/CIRCEP.107.748103. PMC . PMID 19122847.
912	Psychiatric/Psychological Svcs: Partial Hosp - less intensiv	RC	"Functional Effects of KCNE3 Mutation and its Role in the Development of Brugada Syndrome". Circulation Arrhythmia and Electrophysiology. 1 (3): 209–18. doi:10.1161/CIRCEP.107.748103. PMC . PMID 19122847. - Watanabe H; Koopmann TT; Le Scouarnec S; et al.
9414	Inj, cabote rilpivir 2mg	APC	PMID 20941456. - "Blood types". American Red Cross. Archived from the original on 14 August 2012. Retrieved 15 August 2012. - Hamasaki N (2012). "Unmasking Asian thrombophilia: is APC dysfunction the real culprit?".
9059	Vonvendi inj 1 iu vwf:rco	APC	- Hamasaki N (2012). "Unmasking Asian thrombophilia: is APC dysfunction the real culprit?". J Thromb Haemost. 10 (10): 2016–8. doi:10.1111/j.1538-7836.2012.04893.x. PMID 22905992. - Goodman, LR (October 2013).
9059	Vonvendi inj 1 iu vwf:rco	APC	"Unmasking Asian thrombophilia: is APC dysfunction the real culprit?". J Thromb Haemost. 10 (10): 2016–8. doi:10.1111/j.1538-7836.2012.04893.x. PMID 22905992. - Goodman, LR (October 2013). "In search of venous thromboembolism: the first 2913 years".
0384	Blood and Blood Components - Platelets	RC	367 (21): 1979–87. doi:10.1056/NEJMoa1210384. PMID 23121403. - Cited literature - Dalen, James E. (2003). Venous thromboembolism. CRC Press. ISBN 978-0-8247-5645-1.
367	Operating Room Services Kidney Transplant	RC	367 (21): 1979–87. doi:10.1056/NEJMoa1210384. PMID 23121403. - Cited literature - Dalen, James E. (2003). Venous thromboembolism. CRC Press. ISBN 978-0-8247-5645-1.
2103	Alternative Therapy Services - Massage	RC	367 (21): 1979–87. doi:10.1056/NEJMoa1210384. PMID 23121403. - Cited literature - Dalen, James E. (2003). Venous thromboembolism. CRC Press. ISBN 978-0-8247-5645-1.
403	Other Imaging Services Screening Mammography	RC	367 (21): 1979–87. doi:10.1056/NEJMoa1210384. PMID 23121403. - Cited literature - Dalen, James E. (2003). Venous thromboembolism. CRC Press. ISBN 978-0-8247-5645-1.
G0102	PR PROSTATE CA SCREENING; DRE	HCPCS	Prostate cancer is the most common cancer among American men, other than skin cancer. The prostate is a part of the male reproductive system, which produces fluid that makes up a part of semen. It is located just below the bladder and in front of the rectum. Because the risk for prostate cancer increases with age, all male Medicare beneficiaries 50 years and older are covered for annual prostate cancer screening. Prevention is the Best Medicine There are two common preventive screening tests for prostate cancer: - Digital rectal exam (DRE) - Prostate specific antigen (PSA) test The U.S. Preventive Services Task Force recommends against PSA-based screening for men who do not have symptoms. Only a biopsy can diagnose prostate cancer for certain. Coding Prostate Cancer Screening For Medicare patients, report the following HCPCS Level II codes, as appropriate: G0102 Prostate cancer screening; digital rectal exam G0103 Prostate cancer screening; prostate specific antigen test (PSA) The ICD-10 diagnosis code to support either screening is: Z12.5 Encounter for screening for malignant neoplasm of prostate Billing Prostate Cancer Screening For a DRE, Medicare Part B copayment/coinsurance and deductible apply.
G0103	PSA SCREENING	HCPCS	Prostate cancer is the most common cancer among American men, other than skin cancer. The prostate is a part of the male reproductive system, which produces fluid that makes up a part of semen. It is located just below the bladder and in front of the rectum. Because the risk for prostate cancer increases with age, all male Medicare beneficiaries 50 years and older are covered for annual prostate cancer screening. Prevention is the Best Medicine There are two common preventive screening tests for prostate cancer: - Digital rectal exam (DRE) - Prostate specific antigen (PSA) test The U.S. Preventive Services Task Force recommends against PSA-based screening for men who do not have symptoms. Only a biopsy can diagnose prostate cancer for certain. Coding Prostate Cancer Screening For Medicare patients, report the following HCPCS Level II codes, as appropriate: G0102 Prostate cancer screening; digital rectal exam G0103 Prostate cancer screening; prostate specific antigen test (PSA) The ICD-10 diagnosis code to support either screening is: Z12.5 Encounter for screening for malignant neoplasm of prostate Billing Prostate Cancer Screening For a DRE, Medicare Part B copayment/coinsurance and deductible apply.
.	Albumin VIAL 5% 12.5g/250 mL	HCPCS	Prostate cancer is the most common cancer among American men, other than skin cancer. The prostate is a part of the male reproductive system, which produces fluid that makes up a part of semen. It is located just below the bladder and in front of the rectum. Because the risk for prostate cancer increases with age, all male Medicare beneficiaries 50 years and older are covered for annual prostate cancer screening. Prevention is the Best Medicine There are two common preventive screening tests for prostate cancer: - Digital rectal exam (DRE) - Prostate specific antigen (PSA) test The U.S. Preventive Services Task Force recommends against PSA-based screening for men who do not have symptoms. Only a biopsy can diagnose prostate cancer for certain. Coding Prostate Cancer Screening For Medicare patients, report the following HCPCS Level II codes, as appropriate: G0102 Prostate cancer screening; digital rectal exam G0103 Prostate cancer screening; prostate specific antigen test (PSA) The ICD-10 diagnosis code to support either screening is: Z12.5 Encounter for screening for malignant neoplasm of prostate Billing Prostate Cancer Screening For a DRE, Medicare Part B copayment/coinsurance and deductible apply.
G0102	PR PROSTATE CA SCREENING; DRE	HCPCS	Because the risk for prostate cancer increases with age, all male Medicare beneficiaries 50 years and older are covered for annual prostate cancer screening. Prevention is the Best Medicine There are two common preventive screening tests for prostate cancer: - Digital rectal exam (DRE) - Prostate specific antigen (PSA) test The U.S. Preventive Services Task Force recommends against PSA-based screening for men who do not have symptoms. Only a biopsy can diagnose prostate cancer for certain. Coding Prostate Cancer Screening For Medicare patients, report the following HCPCS Level II codes, as appropriate: G0102 Prostate cancer screening; digital rectal exam G0103 Prostate cancer screening; prostate specific antigen test (PSA) The ICD-10 diagnosis code to support either screening is: Z12.5 Encounter for screening for malignant neoplasm of prostate Billing Prostate Cancer Screening For a DRE, Medicare Part B copayment/coinsurance and deductible apply. For a PSA, Medicare Part B copayment/coinsurance and deductible are waived. Latest posts by Renee Dustman (see all) - Telehealth Part B Reporting in 2017 - January 17, 2017 - MACRA Affects MACs Effective Immediately - January 16, 2017 - Infusion Drug Payment Amounts to Change with April Update - January 16, 2017
G0103	PSA SCREENING	HCPCS	Because the risk for prostate cancer increases with age, all male Medicare beneficiaries 50 years and older are covered for annual prostate cancer screening. Prevention is the Best Medicine There are two common preventive screening tests for prostate cancer: - Digital rectal exam (DRE) - Prostate specific antigen (PSA) test The U.S. Preventive Services Task Force recommends against PSA-based screening for men who do not have symptoms. Only a biopsy can diagnose prostate cancer for certain. Coding Prostate Cancer Screening For Medicare patients, report the following HCPCS Level II codes, as appropriate: G0102 Prostate cancer screening; digital rectal exam G0103 Prostate cancer screening; prostate specific antigen test (PSA) The ICD-10 diagnosis code to support either screening is: Z12.5 Encounter for screening for malignant neoplasm of prostate Billing Prostate Cancer Screening For a DRE, Medicare Part B copayment/coinsurance and deductible apply. For a PSA, Medicare Part B copayment/coinsurance and deductible are waived. Latest posts by Renee Dustman (see all) - Telehealth Part B Reporting in 2017 - January 17, 2017 - MACRA Affects MACs Effective Immediately - January 16, 2017 - Infusion Drug Payment Amounts to Change with April Update - January 16, 2017
.	Albumin VIAL 5% 12.5g/250 mL	HCPCS	Because the risk for prostate cancer increases with age, all male Medicare beneficiaries 50 years and older are covered for annual prostate cancer screening. Prevention is the Best Medicine There are two common preventive screening tests for prostate cancer: - Digital rectal exam (DRE) - Prostate specific antigen (PSA) test The U.S. Preventive Services Task Force recommends against PSA-based screening for men who do not have symptoms. Only a biopsy can diagnose prostate cancer for certain. Coding Prostate Cancer Screening For Medicare patients, report the following HCPCS Level II codes, as appropriate: G0102 Prostate cancer screening; digital rectal exam G0103 Prostate cancer screening; prostate specific antigen test (PSA) The ICD-10 diagnosis code to support either screening is: Z12.5 Encounter for screening for malignant neoplasm of prostate Billing Prostate Cancer Screening For a DRE, Medicare Part B copayment/coinsurance and deductible apply. For a PSA, Medicare Part B copayment/coinsurance and deductible are waived. Latest posts by Renee Dustman (see all) - Telehealth Part B Reporting in 2017 - January 17, 2017 - MACRA Affects MACs Effective Immediately - January 16, 2017 - Infusion Drug Payment Amounts to Change with April Update - January 16, 2017
G0102	PR PROSTATE CA SCREENING; DRE	HCPCS	Only a biopsy can diagnose prostate cancer for certain. Coding Prostate Cancer Screening For Medicare patients, report the following HCPCS Level II codes, as appropriate: G0102 Prostate cancer screening; digital rectal exam G0103 Prostate cancer screening; prostate specific antigen test (PSA) The ICD-10 diagnosis code to support either screening is: Z12.5 Encounter for screening for malignant neoplasm of prostate Billing Prostate Cancer Screening For a DRE, Medicare Part B copayment/coinsurance and deductible apply. For a PSA, Medicare Part B copayment/coinsurance and deductible are waived. Latest posts by Renee Dustman (see all) - Telehealth Part B Reporting in 2017 - January 17, 2017 - MACRA Affects MACs Effective Immediately - January 16, 2017 - Infusion Drug Payment Amounts to Change with April Update - January 16, 2017
G0103	PSA SCREENING	HCPCS	Only a biopsy can diagnose prostate cancer for certain. Coding Prostate Cancer Screening For Medicare patients, report the following HCPCS Level II codes, as appropriate: G0102 Prostate cancer screening; digital rectal exam G0103 Prostate cancer screening; prostate specific antigen test (PSA) The ICD-10 diagnosis code to support either screening is: Z12.5 Encounter for screening for malignant neoplasm of prostate Billing Prostate Cancer Screening For a DRE, Medicare Part B copayment/coinsurance and deductible apply. For a PSA, Medicare Part B copayment/coinsurance and deductible are waived. Latest posts by Renee Dustman (see all) - Telehealth Part B Reporting in 2017 - January 17, 2017 - MACRA Affects MACs Effective Immediately - January 16, 2017 - Infusion Drug Payment Amounts to Change with April Update - January 16, 2017
.	Albumin VIAL 5% 12.5g/250 mL	HCPCS	Only a biopsy can diagnose prostate cancer for certain. Coding Prostate Cancer Screening For Medicare patients, report the following HCPCS Level II codes, as appropriate: G0102 Prostate cancer screening; digital rectal exam G0103 Prostate cancer screening; prostate specific antigen test (PSA) The ICD-10 diagnosis code to support either screening is: Z12.5 Encounter for screening for malignant neoplasm of prostate Billing Prostate Cancer Screening For a DRE, Medicare Part B copayment/coinsurance and deductible apply. For a PSA, Medicare Part B copayment/coinsurance and deductible are waived. Latest posts by Renee Dustman (see all) - Telehealth Part B Reporting in 2017 - January 17, 2017 - MACRA Affects MACs Effective Immediately - January 16, 2017 - Infusion Drug Payment Amounts to Change with April Update - January 16, 2017
0256	Pharmacy (Also See 063x An Extension of 025x) - Experimental Drugs	RC	(2007)2007 chronic angina focused update of the ACC/AHA 2002 Guidelines for the management of patients with chronic stable angina: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines Writing Group to develop the focused update of the 2002 Guidelines for the management of patients with chronic stable angina. Circulation 116 (23):2762-72. PMID: 17998462 - Rosendorff C, Black HR, Cannon CP, Gersh BJ, Gore J, Izzo JL et al. (2007) Treatment of hypertension in the prevention and management of ischemic heart disease: a scientific statement from the American Heart Association Council for High Blood Pressure Research and the Councils on Clinical Cardiology and Epidemiology and Prevention. Circulation 115 (21):2761-88. DOI:10.1161/CIRCULATIONAHA.107.183885 PMID: 17502569 - (1994) Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease: the Scandinavian Simvastatin Survival Study (4S) Lancet 344 (8934):1383-9. PMID: 7968073 - Baigent C, Keech A, Kearney PM, Blackwell L, Buck G, Pollicino C et al.
0256	Pharmacy (Also See 063x An Extension of 025x) - Experimental Drugs	RC	Circulation 116 (23):2762-72. PMID: 17998462 - Rosendorff C, Black HR, Cannon CP, Gersh BJ, Gore J, Izzo JL et al. (2007) Treatment of hypertension in the prevention and management of ischemic heart disease: a scientific statement from the American Heart Association Council for High Blood Pressure Research and the Councils on Clinical Cardiology and Epidemiology and Prevention. Circulation 115 (21):2761-88. DOI:10.1161/CIRCULATIONAHA.107.183885 PMID: 17502569 - (1994) Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease: the Scandinavian Simvastatin Survival Study (4S) Lancet 344 (8934):1383-9. PMID: 7968073 - Baigent C, Keech A, Kearney PM, Blackwell L, Buck G, Pollicino C et al. (2005) Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins.
126	Inpatient - Detox	RC	PMID: 17998462 - Rosendorff C, Black HR, Cannon CP, Gersh BJ, Gore J, Izzo JL et al. (2007) Treatment of hypertension in the prevention and management of ischemic heart disease: a scientific statement from the American Heart Association Council for High Blood Pressure Research and the Councils on Clinical Cardiology and Epidemiology and Prevention. Circulation 115 (21):2761-88. DOI:10.1161/CIRCULATIONAHA.107.183885 PMID: 17502569 - (1994) Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease: the Scandinavian Simvastatin Survival Study (4S) Lancet 344 (8934):1383-9. PMID: 7968073 - Baigent C, Keech A, Kearney PM, Blackwell L, Buck G, Pollicino C et al. (2005) Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins. Lancet 366 (9493):1267-78.
0256	Pharmacy (Also See 063x An Extension of 025x) - Experimental Drugs	RC	PMID: 17998462 - Rosendorff C, Black HR, Cannon CP, Gersh BJ, Gore J, Izzo JL et al. (2007) Treatment of hypertension in the prevention and management of ischemic heart disease: a scientific statement from the American Heart Association Council for High Blood Pressure Research and the Councils on Clinical Cardiology and Epidemiology and Prevention. Circulation 115 (21):2761-88. DOI:10.1161/CIRCULATIONAHA.107.183885 PMID: 17502569 - (1994) Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease: the Scandinavian Simvastatin Survival Study (4S) Lancet 344 (8934):1383-9. PMID: 7968073 - Baigent C, Keech A, Kearney PM, Blackwell L, Buck G, Pollicino C et al. (2005) Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins. Lancet 366 (9493):1267-78.
126	Inpatient - Detox	RC	Circulation 115 (21):2761-88. DOI:10.1161/CIRCULATIONAHA.107.183885 PMID: 17502569 - (1994) Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease: the Scandinavian Simvastatin Survival Study (4S) Lancet 344 (8934):1383-9. PMID: 7968073 - Baigent C, Keech A, Kearney PM, Blackwell L, Buck G, Pollicino C et al. (2005) Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins. Lancet 366 (9493):1267-78. DOI:10.1016/S0140-6736(05)67394-1 PMID: 16214597 - Sacks FM, Tonkin AM, Shepherd J, Braunwald E, Cobbe S, Hawkins CM et al. (2000) Effect of pravastatin on coronary disease events in subgroups defined by coronary risk factors: the Prospective Pravastatin Pooling Project.
0256	Pharmacy (Also See 063x An Extension of 025x) - Experimental Drugs	RC	Circulation 115 (21):2761-88. DOI:10.1161/CIRCULATIONAHA.107.183885 PMID: 17502569 - (1994) Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease: the Scandinavian Simvastatin Survival Study (4S) Lancet 344 (8934):1383-9. PMID: 7968073 - Baigent C, Keech A, Kearney PM, Blackwell L, Buck G, Pollicino C et al. (2005) Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins. Lancet 366 (9493):1267-78. DOI:10.1016/S0140-6736(05)67394-1 PMID: 16214597 - Sacks FM, Tonkin AM, Shepherd J, Braunwald E, Cobbe S, Hawkins CM et al. (2000) Effect of pravastatin on coronary disease events in subgroups defined by coronary risk factors: the Prospective Pravastatin Pooling Project.
0140	Room & Board - Deluxe Private - General Classification	RC	Circulation 115 (21):2761-88. DOI:10.1161/CIRCULATIONAHA.107.183885 PMID: 17502569 - (1994) Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease: the Scandinavian Simvastatin Survival Study (4S) Lancet 344 (8934):1383-9. PMID: 7968073 - Baigent C, Keech A, Kearney PM, Blackwell L, Buck G, Pollicino C et al. (2005) Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins. Lancet 366 (9493):1267-78. DOI:10.1016/S0140-6736(05)67394-1 PMID: 16214597 - Sacks FM, Tonkin AM, Shepherd J, Braunwald E, Cobbe S, Hawkins CM et al. (2000) Effect of pravastatin on coronary disease events in subgroups defined by coronary risk factors: the Prospective Pravastatin Pooling Project.
126	Inpatient - Detox	RC	DOI:10.1161/CIRCULATIONAHA.107.183885 PMID: 17502569 - (1994) Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease: the Scandinavian Simvastatin Survival Study (4S) Lancet 344 (8934):1383-9. PMID: 7968073 - Baigent C, Keech A, Kearney PM, Blackwell L, Buck G, Pollicino C et al. (2005) Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins. Lancet 366 (9493):1267-78. DOI:10.1016/S0140-6736(05)67394-1 PMID: 16214597 - Sacks FM, Tonkin AM, Shepherd J, Braunwald E, Cobbe S, Hawkins CM et al. (2000) Effect of pravastatin on coronary disease events in subgroups defined by coronary risk factors: the Prospective Pravastatin Pooling Project. Circulation 102 (16):1893-900.
0256	Pharmacy (Also See 063x An Extension of 025x) - Experimental Drugs	RC	DOI:10.1161/CIRCULATIONAHA.107.183885 PMID: 17502569 - (1994) Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease: the Scandinavian Simvastatin Survival Study (4S) Lancet 344 (8934):1383-9. PMID: 7968073 - Baigent C, Keech A, Kearney PM, Blackwell L, Buck G, Pollicino C et al. (2005) Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins. Lancet 366 (9493):1267-78. DOI:10.1016/S0140-6736(05)67394-1 PMID: 16214597 - Sacks FM, Tonkin AM, Shepherd J, Braunwald E, Cobbe S, Hawkins CM et al. (2000) Effect of pravastatin on coronary disease events in subgroups defined by coronary risk factors: the Prospective Pravastatin Pooling Project. Circulation 102 (16):1893-900.
0140	Room & Board - Deluxe Private - General Classification	RC	DOI:10.1161/CIRCULATIONAHA.107.183885 PMID: 17502569 - (1994) Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease: the Scandinavian Simvastatin Survival Study (4S) Lancet 344 (8934):1383-9. PMID: 7968073 - Baigent C, Keech A, Kearney PM, Blackwell L, Buck G, Pollicino C et al. (2005) Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins. Lancet 366 (9493):1267-78. DOI:10.1016/S0140-6736(05)67394-1 PMID: 16214597 - Sacks FM, Tonkin AM, Shepherd J, Braunwald E, Cobbe S, Hawkins CM et al. (2000) Effect of pravastatin on coronary disease events in subgroups defined by coronary risk factors: the Prospective Pravastatin Pooling Project. Circulation 102 (16):1893-900.
900	HC Stabilization	RC	DOI:10.1161/CIRCULATIONAHA.107.183885 PMID: 17502569 - (1994) Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease: the Scandinavian Simvastatin Survival Study (4S) Lancet 344 (8934):1383-9. PMID: 7968073 - Baigent C, Keech A, Kearney PM, Blackwell L, Buck G, Pollicino C et al. (2005) Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins. Lancet 366 (9493):1267-78. DOI:10.1016/S0140-6736(05)67394-1 PMID: 16214597 - Sacks FM, Tonkin AM, Shepherd J, Braunwald E, Cobbe S, Hawkins CM et al. (2000) Effect of pravastatin on coronary disease events in subgroups defined by coronary risk factors: the Prospective Pravastatin Pooling Project. Circulation 102 (16):1893-900.
126	Inpatient - Detox	RC	PMID: 11277825 - Sever PS, Dahlöf B, Poulter NR, Wedel H, Beevers G, Caulfield M et al. (2003) Prevention of coronary and stroke events with atorvastatin in hypertensive patients who have average or lower-than-average cholesterol concentrations, in the Anglo-Scandinavian Cardiac Outcomes Trial--Lipid Lowering Arm (ASCOT-LLA): a multicentre randomised controlled trial. Lancet 361 (9364):1149-58. DOI:10.1016/S0140-6736(03)12948-0 PMID: 12686036 - LaRosa JC, Grundy SM, Waters DD, Shear C, Barter P, Fruchart JC et al. (2005) Intensive lipid lowering with atorvastatin in patients with stable coronary disease. N Engl J Med 352 (14):1425-35. DOI:10.1056/NEJMoa050461 PMID: 15755765 - Heart Protection Study Collaborative Group (2002) MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial.
129	Room & Board - Semi-private (Two Beds) Other	RC	PMID: 11277825 - Sever PS, Dahlöf B, Poulter NR, Wedel H, Beevers G, Caulfield M et al. (2003) Prevention of coronary and stroke events with atorvastatin in hypertensive patients who have average or lower-than-average cholesterol concentrations, in the Anglo-Scandinavian Cardiac Outcomes Trial--Lipid Lowering Arm (ASCOT-LLA): a multicentre randomised controlled trial. Lancet 361 (9364):1149-58. DOI:10.1016/S0140-6736(03)12948-0 PMID: 12686036 - LaRosa JC, Grundy SM, Waters DD, Shear C, Barter P, Fruchart JC et al. (2005) Intensive lipid lowering with atorvastatin in patients with stable coronary disease. N Engl J Med 352 (14):1425-35. DOI:10.1056/NEJMoa050461 PMID: 15755765 - Heart Protection Study Collaborative Group (2002) MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial.
860	Magnetoencephalography General Classification	RC	PMID: 11277825 - Sever PS, Dahlöf B, Poulter NR, Wedel H, Beevers G, Caulfield M et al. (2003) Prevention of coronary and stroke events with atorvastatin in hypertensive patients who have average or lower-than-average cholesterol concentrations, in the Anglo-Scandinavian Cardiac Outcomes Trial--Lipid Lowering Arm (ASCOT-LLA): a multicentre randomised controlled trial. Lancet 361 (9364):1149-58. DOI:10.1016/S0140-6736(03)12948-0 PMID: 12686036 - LaRosa JC, Grundy SM, Waters DD, Shear C, Barter P, Fruchart JC et al. (2005) Intensive lipid lowering with atorvastatin in patients with stable coronary disease. N Engl J Med 352 (14):1425-35. DOI:10.1056/NEJMoa050461 PMID: 15755765 - Heart Protection Study Collaborative Group (2002) MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial.
0140	Room & Board - Deluxe Private - General Classification	RC	PMID: 11277825 - Sever PS, Dahlöf B, Poulter NR, Wedel H, Beevers G, Caulfield M et al. (2003) Prevention of coronary and stroke events with atorvastatin in hypertensive patients who have average or lower-than-average cholesterol concentrations, in the Anglo-Scandinavian Cardiac Outcomes Trial--Lipid Lowering Arm (ASCOT-LLA): a multicentre randomised controlled trial. Lancet 361 (9364):1149-58. DOI:10.1016/S0140-6736(03)12948-0 PMID: 12686036 - LaRosa JC, Grundy SM, Waters DD, Shear C, Barter P, Fruchart JC et al. (2005) Intensive lipid lowering with atorvastatin in patients with stable coronary disease. N Engl J Med 352 (14):1425-35. DOI:10.1056/NEJMoa050461 PMID: 15755765 - Heart Protection Study Collaborative Group (2002) MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial.
126	Inpatient - Detox	RC	Lancet 361 (9364):1149-58. DOI:10.1016/S0140-6736(03)12948-0 PMID: 12686036 - LaRosa JC, Grundy SM, Waters DD, Shear C, Barter P, Fruchart JC et al. (2005) Intensive lipid lowering with atorvastatin in patients with stable coronary disease. N Engl J Med 352 (14):1425-35. DOI:10.1056/NEJMoa050461 PMID: 15755765 - Heart Protection Study Collaborative Group (2002) MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial. Lancet 360 (9326):7-22. DOI:10.1016/S0140-6736(02)09327-3 PMID: 12114036 - Robins SJ, Rubins HB, Faas FH, Schaefer EJ, Elam MB, Anderson JW et al.
403	Other Imaging Services Screening Mammography	RC	Lancet 361 (9364):1149-58. DOI:10.1016/S0140-6736(03)12948-0 PMID: 12686036 - LaRosa JC, Grundy SM, Waters DD, Shear C, Barter P, Fruchart JC et al. (2005) Intensive lipid lowering with atorvastatin in patients with stable coronary disease. N Engl J Med 352 (14):1425-35. DOI:10.1056/NEJMoa050461 PMID: 15755765 - Heart Protection Study Collaborative Group (2002) MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial. Lancet 360 (9326):7-22. DOI:10.1016/S0140-6736(02)09327-3 PMID: 12114036 - Robins SJ, Rubins HB, Faas FH, Schaefer EJ, Elam MB, Anderson JW et al.
0140	Room & Board - Deluxe Private - General Classification	RC	Lancet 361 (9364):1149-58. DOI:10.1016/S0140-6736(03)12948-0 PMID: 12686036 - LaRosa JC, Grundy SM, Waters DD, Shear C, Barter P, Fruchart JC et al. (2005) Intensive lipid lowering with atorvastatin in patients with stable coronary disease. N Engl J Med 352 (14):1425-35. DOI:10.1056/NEJMoa050461 PMID: 15755765 - Heart Protection Study Collaborative Group (2002) MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial. Lancet 360 (9326):7-22. DOI:10.1016/S0140-6736(02)09327-3 PMID: 12114036 - Robins SJ, Rubins HB, Faas FH, Schaefer EJ, Elam MB, Anderson JW et al.
129	Room & Board - Semi-private (Two Beds) Other	RC	Lancet 361 (9364):1149-58. DOI:10.1016/S0140-6736(03)12948-0 PMID: 12686036 - LaRosa JC, Grundy SM, Waters DD, Shear C, Barter P, Fruchart JC et al. (2005) Intensive lipid lowering with atorvastatin in patients with stable coronary disease. N Engl J Med 352 (14):1425-35. DOI:10.1056/NEJMoa050461 PMID: 15755765 - Heart Protection Study Collaborative Group (2002) MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial. Lancet 360 (9326):7-22. DOI:10.1016/S0140-6736(02)09327-3 PMID: 12114036 - Robins SJ, Rubins HB, Faas FH, Schaefer EJ, Elam MB, Anderson JW et al.
860	Magnetoencephalography General Classification	RC	Lancet 361 (9364):1149-58. DOI:10.1016/S0140-6736(03)12948-0 PMID: 12686036 - LaRosa JC, Grundy SM, Waters DD, Shear C, Barter P, Fruchart JC et al. (2005) Intensive lipid lowering with atorvastatin in patients with stable coronary disease. N Engl J Med 352 (14):1425-35. DOI:10.1056/NEJMoa050461 PMID: 15755765 - Heart Protection Study Collaborative Group (2002) MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial. Lancet 360 (9326):7-22. DOI:10.1016/S0140-6736(02)09327-3 PMID: 12114036 - Robins SJ, Rubins HB, Faas FH, Schaefer EJ, Elam MB, Anderson JW et al.
126	Inpatient - Detox	RC	DOI:10.1016/S0140-6736(03)12948-0 PMID: 12686036 - LaRosa JC, Grundy SM, Waters DD, Shear C, Barter P, Fruchart JC et al. (2005) Intensive lipid lowering with atorvastatin in patients with stable coronary disease. N Engl J Med 352 (14):1425-35. DOI:10.1056/NEJMoa050461 PMID: 15755765 - Heart Protection Study Collaborative Group (2002) MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial. Lancet 360 (9326):7-22. DOI:10.1016/S0140-6736(02)09327-3 PMID: 12114036 - Robins SJ, Rubins HB, Faas FH, Schaefer EJ, Elam MB, Anderson JW et al. (2003) Insulin resistance and cardiovascular events with low HDL cholesterol: the Veterans Affairs HDL Intervention Trial (VA-HIT).
403	Other Imaging Services Screening Mammography	RC	DOI:10.1016/S0140-6736(03)12948-0 PMID: 12686036 - LaRosa JC, Grundy SM, Waters DD, Shear C, Barter P, Fruchart JC et al. (2005) Intensive lipid lowering with atorvastatin in patients with stable coronary disease. N Engl J Med 352 (14):1425-35. DOI:10.1056/NEJMoa050461 PMID: 15755765 - Heart Protection Study Collaborative Group (2002) MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial. Lancet 360 (9326):7-22. DOI:10.1016/S0140-6736(02)09327-3 PMID: 12114036 - Robins SJ, Rubins HB, Faas FH, Schaefer EJ, Elam MB, Anderson JW et al. (2003) Insulin resistance and cardiovascular events with low HDL cholesterol: the Veterans Affairs HDL Intervention Trial (VA-HIT).
0140	Room & Board - Deluxe Private - General Classification	RC	DOI:10.1016/S0140-6736(03)12948-0 PMID: 12686036 - LaRosa JC, Grundy SM, Waters DD, Shear C, Barter P, Fruchart JC et al. (2005) Intensive lipid lowering with atorvastatin in patients with stable coronary disease. N Engl J Med 352 (14):1425-35. DOI:10.1056/NEJMoa050461 PMID: 15755765 - Heart Protection Study Collaborative Group (2002) MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial. Lancet 360 (9326):7-22. DOI:10.1016/S0140-6736(02)09327-3 PMID: 12114036 - Robins SJ, Rubins HB, Faas FH, Schaefer EJ, Elam MB, Anderson JW et al. (2003) Insulin resistance and cardiovascular events with low HDL cholesterol: the Veterans Affairs HDL Intervention Trial (VA-HIT).
129	Room & Board - Semi-private (Two Beds) Other	RC	DOI:10.1016/S0140-6736(03)12948-0 PMID: 12686036 - LaRosa JC, Grundy SM, Waters DD, Shear C, Barter P, Fruchart JC et al. (2005) Intensive lipid lowering with atorvastatin in patients with stable coronary disease. N Engl J Med 352 (14):1425-35. DOI:10.1056/NEJMoa050461 PMID: 15755765 - Heart Protection Study Collaborative Group (2002) MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial. Lancet 360 (9326):7-22. DOI:10.1016/S0140-6736(02)09327-3 PMID: 12114036 - Robins SJ, Rubins HB, Faas FH, Schaefer EJ, Elam MB, Anderson JW et al. (2003) Insulin resistance and cardiovascular events with low HDL cholesterol: the Veterans Affairs HDL Intervention Trial (VA-HIT).
860	Magnetoencephalography General Classification	RC	DOI:10.1016/S0140-6736(03)12948-0 PMID: 12686036 - LaRosa JC, Grundy SM, Waters DD, Shear C, Barter P, Fruchart JC et al. (2005) Intensive lipid lowering with atorvastatin in patients with stable coronary disease. N Engl J Med 352 (14):1425-35. DOI:10.1056/NEJMoa050461 PMID: 15755765 - Heart Protection Study Collaborative Group (2002) MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial. Lancet 360 (9326):7-22. DOI:10.1016/S0140-6736(02)09327-3 PMID: 12114036 - Robins SJ, Rubins HB, Faas FH, Schaefer EJ, Elam MB, Anderson JW et al. (2003) Insulin resistance and cardiovascular events with low HDL cholesterol: the Veterans Affairs HDL Intervention Trial (VA-HIT).
403	Other Imaging Services Screening Mammography	RC	(2005) Intensive lipid lowering with atorvastatin in patients with stable coronary disease. N Engl J Med 352 (14):1425-35. DOI:10.1056/NEJMoa050461 PMID: 15755765 - Heart Protection Study Collaborative Group (2002) MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial. Lancet 360 (9326):7-22. DOI:10.1016/S0140-6736(02)09327-3 PMID: 12114036 - Robins SJ, Rubins HB, Faas FH, Schaefer EJ, Elam MB, Anderson JW et al. (2003) Insulin resistance and cardiovascular events with low HDL cholesterol: the Veterans Affairs HDL Intervention Trial (VA-HIT). Diabetes Care 26 (5):1513-7.
0140	Room & Board - Deluxe Private - General Classification	RC	(2005) Intensive lipid lowering with atorvastatin in patients with stable coronary disease. N Engl J Med 352 (14):1425-35. DOI:10.1056/NEJMoa050461 PMID: 15755765 - Heart Protection Study Collaborative Group (2002) MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial. Lancet 360 (9326):7-22. DOI:10.1016/S0140-6736(02)09327-3 PMID: 12114036 - Robins SJ, Rubins HB, Faas FH, Schaefer EJ, Elam MB, Anderson JW et al. (2003) Insulin resistance and cardiovascular events with low HDL cholesterol: the Veterans Affairs HDL Intervention Trial (VA-HIT). Diabetes Care 26 (5):1513-7.
403	Other Imaging Services Screening Mammography	RC	N Engl J Med 352 (14):1425-35. DOI:10.1056/NEJMoa050461 PMID: 15755765 - Heart Protection Study Collaborative Group (2002) MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial. Lancet 360 (9326):7-22. DOI:10.1016/S0140-6736(02)09327-3 PMID: 12114036 - Robins SJ, Rubins HB, Faas FH, Schaefer EJ, Elam MB, Anderson JW et al. (2003) Insulin resistance and cardiovascular events with low HDL cholesterol: the Veterans Affairs HDL Intervention Trial (VA-HIT). Diabetes Care 26 (5):1513-7. PMID: 12716814 - Moliterno DJ, Elliott JM (1995) Randomized trials of myocardial revascularization.
0140	Room & Board - Deluxe Private - General Classification	RC	N Engl J Med 352 (14):1425-35. DOI:10.1056/NEJMoa050461 PMID: 15755765 - Heart Protection Study Collaborative Group (2002) MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial. Lancet 360 (9326):7-22. DOI:10.1016/S0140-6736(02)09327-3 PMID: 12114036 - Robins SJ, Rubins HB, Faas FH, Schaefer EJ, Elam MB, Anderson JW et al. (2003) Insulin resistance and cardiovascular events with low HDL cholesterol: the Veterans Affairs HDL Intervention Trial (VA-HIT). Diabetes Care 26 (5):1513-7. PMID: 12716814 - Moliterno DJ, Elliott JM (1995) Randomized trials of myocardial revascularization.
403	Other Imaging Services Screening Mammography	RC	DOI:10.1056/NEJMoa050461 PMID: 15755765 - Heart Protection Study Collaborative Group (2002) MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial. Lancet 360 (9326):7-22. DOI:10.1016/S0140-6736(02)09327-3 PMID: 12114036 - Robins SJ, Rubins HB, Faas FH, Schaefer EJ, Elam MB, Anderson JW et al. (2003) Insulin resistance and cardiovascular events with low HDL cholesterol: the Veterans Affairs HDL Intervention Trial (VA-HIT). Diabetes Care 26 (5):1513-7. PMID: 12716814 - Moliterno DJ, Elliott JM (1995) Randomized trials of myocardial revascularization. Curr Probl Cardiol 20 (3):125-90.
0140	Room & Board - Deluxe Private - General Classification	RC	DOI:10.1056/NEJMoa050461 PMID: 15755765 - Heart Protection Study Collaborative Group (2002) MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial. Lancet 360 (9326):7-22. DOI:10.1016/S0140-6736(02)09327-3 PMID: 12114036 - Robins SJ, Rubins HB, Faas FH, Schaefer EJ, Elam MB, Anderson JW et al. (2003) Insulin resistance and cardiovascular events with low HDL cholesterol: the Veterans Affairs HDL Intervention Trial (VA-HIT). Diabetes Care 26 (5):1513-7. PMID: 12716814 - Moliterno DJ, Elliott JM (1995) Randomized trials of myocardial revascularization. Curr Probl Cardiol 20 (3):125-90.
9414	Inj, cabote rilpivir 2mg	APC	PMID 20941456. - "Blood types". American Red Cross. Retrieved 15 August 2012. - Hamasaki N (2012). "Unmasking Asian thrombophilia: is APC dysfunction the real culprit?". J Thromb Haemost.
9059	Vonvendi inj 1 iu vwf:rco	APC	- Hamasaki N (2012). "Unmasking Asian thrombophilia: is APC dysfunction the real culprit?". J Thromb Haemost. 10 (10): 2016–8. doi:10.1111/j.1538-7836.2012.04893.x. PMID 22905992. - Dobesh PP (2009).
9059	Vonvendi inj 1 iu vwf:rco	APC	"Unmasking Asian thrombophilia: is APC dysfunction the real culprit?". J Thromb Haemost. 10 (10): 2016–8. doi:10.1111/j.1538-7836.2012.04893.x. PMID 22905992. - Dobesh PP (2009). "Economic burden of venous thromboembolism in hospitalized patients".
0384	Blood and Blood Components - Platelets	RC	367 (21): 1979–87. doi:10.1056/NEJMoa1210384. PMID 23121403. - Cited literature - Dalen, James E. (2003). Venous thromboembolism. CRC Press. ISBN 978-0-8247-5645-1.
367	Operating Room Services Kidney Transplant	RC	367 (21): 1979–87. doi:10.1056/NEJMoa1210384. PMID 23121403. - Cited literature - Dalen, James E. (2003). Venous thromboembolism. CRC Press. ISBN 978-0-8247-5645-1.
2103	Alternative Therapy Services - Massage	RC	367 (21): 1979–87. doi:10.1056/NEJMoa1210384. PMID 23121403. - Cited literature - Dalen, James E. (2003). Venous thromboembolism. CRC Press. ISBN 978-0-8247-5645-1.
403	Other Imaging Services Screening Mammography	RC	367 (21): 1979–87. doi:10.1056/NEJMoa1210384. PMID 23121403. - Cited literature - Dalen, James E. (2003). Venous thromboembolism. CRC Press. ISBN 978-0-8247-5645-1.
131	MEDICAL-SEMI-PRIVATE 4 BEDS	RC	357 (6): 553–561. doi:10.1056/NEJMoa072618. PMID 17634448. - ^ Maller JB, Fagerness JA, Reynolds RC, Neale BM, Daly MJ, Seddon JM (2007). "Variation in Complement Factor 3 is Associated with Risk of Age-Related Macular Degeneration". Nature Genetics 39 (10): 1200–1201. doi:10.1038/ng2131.
131	MEDICAL-SEMI-PRIVATE 4 BEDS	RC	doi:10.1056/NEJMoa072618. PMID 17634448. - ^ Maller JB, Fagerness JA, Reynolds RC, Neale BM, Daly MJ, Seddon JM (2007). "Variation in Complement Factor 3 is Associated with Risk of Age-Related Macular Degeneration". Nature Genetics 39 (10): 1200–1201. doi:10.1038/ng2131. PMID 17767156.
131	MEDICAL-SEMI-PRIVATE 4 BEDS	RC	PMID 17634448. - ^ Maller JB, Fagerness JA, Reynolds RC, Neale BM, Daly MJ, Seddon JM (2007). "Variation in Complement Factor 3 is Associated with Risk of Age-Related Macular Degeneration". Nature Genetics 39 (10): 1200–1201. doi:10.1038/ng2131. PMID 17767156. - ^ John Paul SanGiovanni, ScD; Emily Y. Chew, MD; Traci E. Clemons, PhD; Matthew D. Davis, MD; Frederick L. Ferris III, MD; Gary R. Gensler, MS; Natalie Kurinij, PhD; Anne S. Lindblad, PhD; Roy C. Milton, PhD; Johanna M. Seddon, MD; and Robert D. Sperduto, MD (May 5, 2007).
131	MEDICAL-SEMI-PRIVATE 4 BEDS	RC	- ^ Maller JB, Fagerness JA, Reynolds RC, Neale BM, Daly MJ, Seddon JM (2007). "Variation in Complement Factor 3 is Associated with Risk of Age-Related Macular Degeneration". Nature Genetics 39 (10): 1200–1201. doi:10.1038/ng2131. PMID 17767156. - ^ John Paul SanGiovanni, ScD; Emily Y. Chew, MD; Traci E. Clemons, PhD; Matthew D. Davis, MD; Frederick L. Ferris III, MD; Gary R. Gensler, MS; Natalie Kurinij, PhD; Anne S. Lindblad, PhD; Roy C. Milton, PhD; Johanna M. Seddon, MD; and Robert D. Sperduto, MD (May 5, 2007). "The Relationship of Dietary Lipid Intake and Age-Related Macular Degeneration in a Case-Control Study".
0161	Med-Surg	RC	- ^ John Lacey, "Harvard Medical signs agreement with Merck to develop potential therapy for macular degeneration", 23-May-2006 - ^ Age-Related Eye Disease Study Research Group (Dec 2000). "Risk Factors Associated with Age-Related Macular Degeneration: A Case-control Study in the Age-Related Eye Disease Study: Age-Related Eye Disease Study Report Number 3". Ophthalmology 107 (12): 2224–32. doi:10.1016/S0161-6420(00)00409-7. PMC 1470467. PMID 11097601. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=1470467. - ^ Clemons TE, Milton RC, Klein R, Seddon JM, Ferris FL (April 2005).
0409	Other Imaging Services - Other Imaging Services	RC	- ^ John Lacey, "Harvard Medical signs agreement with Merck to develop potential therapy for macular degeneration", 23-May-2006 - ^ Age-Related Eye Disease Study Research Group (Dec 2000). "Risk Factors Associated with Age-Related Macular Degeneration: A Case-control Study in the Age-Related Eye Disease Study: Age-Related Eye Disease Study Report Number 3". Ophthalmology 107 (12): 2224–32. doi:10.1016/S0161-6420(00)00409-7. PMC 1470467. PMID 11097601. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=1470467. - ^ Clemons TE, Milton RC, Klein R, Seddon JM, Ferris FL (April 2005).
110	PRIVATE ROOM	RC	- ^ John Lacey, "Harvard Medical signs agreement with Merck to develop potential therapy for macular degeneration", 23-May-2006 - ^ Age-Related Eye Disease Study Research Group (Dec 2000). "Risk Factors Associated with Age-Related Macular Degeneration: A Case-control Study in the Age-Related Eye Disease Study: Age-Related Eye Disease Study Report Number 3". Ophthalmology 107 (12): 2224–32. doi:10.1016/S0161-6420(00)00409-7. PMC 1470467. PMID 11097601. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=1470467. - ^ Clemons TE, Milton RC, Klein R, Seddon JM, Ferris FL (April 2005).
110	PRIVATE ROOM	RC	PMID 11097601. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=1470467. - ^ Clemons TE, Milton RC, Klein R, Seddon JM, Ferris FL (April 2005). "Risk Factors for the Incidence of Advanced Age-Related Macular Degeneration in the Age-Related Eye Disease Study (AREDS) AREDS Report No. 19". Ophthalmology 112 (4): 533–9. doi:10.1016/j.ophtha.2004.10.047. PMC 1513667.
0824	Hemodialysis - Outpatient or Home - Maintenance - 100%	RC	- ^ Clemons TE, Milton RC, Klein R, Seddon JM, Ferris FL (April 2005). "Risk Factors for the Incidence of Advanced Age-Related Macular Degeneration in the Age-Related Eye Disease Study (AREDS) AREDS Report No. 19". Ophthalmology 112 (4): 533–9. doi:10.1016/j.ophtha.2004.10.047. PMC 1513667. PMID 15808240. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=1513667.
0206	HC INTERMEDIATE ROOM AND CARE ISOLATION	RC	Retrieved 2011-01-11. - ^ Carpentier S, Knaus M, Suh M (2009). "Associations between lutein, zeaxanthin, and age-related macular degeneration: An overview". Critical reviews in Food Science and Nutrition 49 (4): 313–326. doi:10.1080/10408390802066979. PMID 19234943. "Abstract doesnt include conclusion" - ^ Chiu CJ, Klein R, Milton RC, Gensler G, Taylor A (June 2009).
0839	Peritoneal Dialysis - Outpatient or Home - Other Outpatient Peritoneal Dialysis	RC	Retrieved 2011-01-11. - ^ Carpentier S, Knaus M, Suh M (2009). "Associations between lutein, zeaxanthin, and age-related macular degeneration: An overview". Critical reviews in Food Science and Nutrition 49 (4): 313–326. doi:10.1080/10408390802066979. PMID 19234943. "Abstract doesnt include conclusion" - ^ Chiu CJ, Klein R, Milton RC, Gensler G, Taylor A (June 2009).
0802	Inpatient Renal Dialysis - Inpatient Peritoneal (Non-CAPPD)	RC	Retrieved 2011-01-11. - ^ Carpentier S, Knaus M, Suh M (2009). "Associations between lutein, zeaxanthin, and age-related macular degeneration: An overview". Critical reviews in Food Science and Nutrition 49 (4): 313–326. doi:10.1080/10408390802066979. PMID 19234943. "Abstract doesnt include conclusion" - ^ Chiu CJ, Klein R, Milton RC, Gensler G, Taylor A (June 2009).

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