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CMS Transmittals and MLN Matters Articles

Medicare Weekly Update, September 5, 2007

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Further clarification of Medicare coverage for percutaneous transluminal angioplasty

On August 28, CMS issued a MLN Matters article relating to its August 10 transmittal clarifying Medicare coverage of percutaneous transluminal angioplasty.

View the MLN Matters article.

View the related transmittal.

Update to the national correct coding initiative edits

On August 31, CMS released a transmittal announcing the release of version 13.3 of the national correct coding initiative (NCCI) edits. Although not clear from the transmittal, historically CMS implements the NCCI edits for hospital claims one quarter behind the implementation date for physician/supplier claims.

Consequently, even though version 13.3 will be effective October 1 for physician/supplier claims, presumably it will not be effective for hospital claims until January 1.

Effective date: October 1, 2007

Implementation date: October 1, 2007

View the transmittal.

Expanded coverage of diagnostic ultrasound

On August 28, CMS issued a transmittal revising the National Coverage Determination (NCD) for "ultrasound diagnostic procedures." Under the revised NCD, Medicare will cover esophageal doppler monitoring for cardiac output in ventilated patients in the intensive care unit, and in operative patients with a need for intra-operative fluid optimization.

Effective date: May 17, 2007

Implementation date: September 28, 2007

View the transmittal.

View the updated NCD.

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