Professional Bilateral Payment Reduction Medicare payment rules require that a payment reduction be performed whenever the same procedure is performed bilaterally by the same physician during the same operative session or same date of service, on the same patient. Nursing Facility Rates effective Jan. 1, 2017: PDFCPT codes approved for ancillary billing include: X-rays and physical, speech and occupational therapy codes may be billed using the outpatient procedure codes from the Physicians fee schedule listed above. The reduction applies to the HCPCS codes contained on the list of «always therapy» services as described inChapter 5 of the Medicare Claims Processing Manual.
Concerns about specific NCCI edits may be submitted in writing to the CMS NCCI technical contractor at: Medicaid National Correct Coding InitiativeCorrect Coding Solutions, LLCPO Box 907Carmel, IN 46082-0907Fax: 317-571-1745. The information contained in these schedules is made available to provide information and is not a guarantee by the State or the Department or its employees as to the present accuracy of the information contained herein. Occupational Therapy Fee Schedule as of Jan. 1, 2017: PDF Physical Therapy Fee Schedule as of Jan. 1, 2017: PDF Physician Fee Schedule effective Jan. 1, 2017: PDF — ExcelNote: To view a previous fee schedule, visit the Physicians Services page under Covered Services and go to the Archive section.
The cost of the child’s care in the home must be no higher than the amount Medicaid would pay if the child was institutionalized. Coding Related Updates Other available references: The «Fairness in Contracting» column in the monthly Blue Review provider newsletter is designed to notify you of any changes to the physician fee schedules. Oxygen may be billed using the durable medical equipment fee schedule listed above. For modifier or anesthesia base units, see the appropriate links below. For information about, and edits for, the Medicare NCCI program, please visit.