AHA Coding Clinic® for HCPCS - 2013 Issue 2

RAC program highlights

In the first quarter 2013 issue of Coding Clinic for HCPCS newsletter, we addressed several coding issues that may be selected for RAC review. This follow-up article will provide further detail and clarification regarding several of the topics that are currently under review. Esophagogastroduodenoscopy A RAC review may be prompted for Esophagogastroduodenoscopy (CPT code range 43235–43259) procedures/services when the corresponding ICD-9-CM codes do not meet medical necessity. For assistance with this issue, review your local National Coverage Determination(s) and Local Coverage Determination(s), or contact your specific payor(s) for clarification. Bevacizumab (Avastin) services The units for HCPCS code J9035...

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