Optum360 coding books logo
Optum360Coding.com
    Contact Us   (7 a.m.–7 p.m. CST)
  Home > Coding Central Articles > Coding Central Articles  
Coding Central
Coding Central Home
Inside Track to ICD-10
Coding Central Articles
Code This!
Case Studies
Chargemaster Corner

Articles for:
March 27, 2018


Spring OPPS Update Released

The Centers for Medicare and Medicaid Services (CMS) summarized the spring update to the outpatie... Learn More


Therapy Caps Repealed and Payment for Therapy Assistant Services Lowered

Medicare payment caps on outpatient therapy were permanently repealed effective January 1, 2018. ... Learn More


OIG Update Work Plan, Studies Cardiac Device Credits

In March, the Office of Inspector General (OIG) posted several updates to its existing Work Plan,... Learn More


View Article Archive

Subscribe:
To subscribe, paste this link into your preferred feedreader, or click on one of the buttons below:
 

Medical Coding News Archives

OIVIT Remains Noncovered for Medicare Patients

 
April 6, 2010:

In a recent transmittal, the Centers for Medicare and Medicaid Services indicated that there is no evidence supporting the conclusion that outpatient intravenous insulin treatment (OIVIT) improves health outcomes in Medicare patients. For this reason, CMS has determined that OIVIT is not reasonable and necessary and is a noncovered service.

HCPCS code G9147, which becomes effective with the April I Outpatient Code Editor (OCE) and Medicare Physician Fee Schedule Database (MPFSDB) updates, should be used on claims with dates of service on or after December 23, 2009, when billing for noncovered OIVIT and any services making up an OIVIT regimen.

CPT code 99199 or 94681(with or without diabetes-related conditions 250.00-250.93) are not to be used on claims billing for noncovered OIVIT and any services making up an OIVIT regimen when furnished pursuant to an OIVIT regimen. Claims billing for HCPCS codes 99199 and 94681 for noncovered OIVIT are to be returned to provider/returned as unprocessable.

 

 
Sign in to
Your Account
USERNAME
Forgot your username?
PASSWORD
Forgot your password?
Don't have an account?
It's easy to create one.

Promo code

Have a promotional source code? Enter it here:


What is this?