tci Medicare Compliance & Reimbursement - 2003 Issue 12

PROGRAM MEMO ROUNDUP

Hospitals subject to the outpatient prospective payment system will be getting some new guidance soon on the prickly subject of coding for low osmolar contrast media procedures. In program memo A-03-019 (http://cms.hhs.gov/manuals/pm_trans/A03019.pdf), the Centers for Medicare & Medicaid Services noted that, starting with services furnished on or after April 1, hospitals will be able to report LOCM using HCPCS codes A4644, A4645 and A4646. The agency had previously barred facilities from reporting with those codes starting Jan. 1, 2003, and fiscal intermediaries returned such claims to the provider. In a separate program memo issued last week...

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