tci Medicare Compliance & Reimbursement - 2004 Issue 6

Program Memo Roundup

Physicians hassled by carriers who bungle claims for sacroiliac joint injection of anesthetic agents or steroids should get some relief in the wake of a Jan. 16 program transmittal from the Centers for Medicare & Medicaid Services (change request 2979).  In the transmittal, classified as a one-time notification, CMS explains that HCPCS code G0260 is on the list of Medicare-approved procedures for ambulatory surgical centers, so carriers should pay the ASC facility fee for those claims.  The transmittal also orders carriers to add CPT code 27096 to the list of approved ASC procedures, which means that physicians...

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