J3489 Medicare Coverage Guidelines




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J3489 Medicare Coverage Guidelines

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Bundled, Inactive, And Non-payable Codes For 2014: Medicare – CGS

Feb 17, 2014 … CPT codes in the Medicare Physician Fee Schedule Database (MPFSDB). … Fee
Schedule (assuming any existing coverage criteria are met), and have
associated ….. J3489. J3490. J3530. HCPCS Codes Modifier. J3590. J7030.
J7040 ….. T2015. T2016. T2017. HCPCS Codes Modifier. T2018. T2019.

J11 Part B Medicare Advisory – Palmetto GBA

Feb 17, 2014 … The J11 Part B Medicare Advisory contains coverage, billing and … obligations
as mandated by Medicare regulations and guidelines. ….. with an alternative
means of satisfying the CR 8401 requirements until January 1, 2015.

Medicare B News – Noridian

Mar 1, 2014 … HETS to Replace CWF Medicare Beneficiary Health Insurance Eligibility …. Non-
Coverage of Injectable Bulking Agents for the Treatment of Fecal ….. Program
Data Entry and Submission Site Now Available for FY 2015.

“Medicare B News” Articles – Noridian

Feb 24, 2014 … Medicare System Project for Electronic Submission of. Medical …… “Medicare
Coverage of Imaging Services” Fact Sheet – Reminder.

2015 PA Codification Document – Molina Healthcare

2015 PA Codification.docx. Page 3. Dental General Anesthesia. PA required for >
7 years old or per State benefit. [Not a Medicare covered benefit]. MEDICAID …

February 2014 Medicare A Newsline – Cahaba GBA

Feb 7, 2014 … January 1, 2015 … The Article is located on the Medicare Coverage Database, (
MCD), which can be accessed from … J3489 (Injection, zoledronic acid, 1 mg) is
effective January 1, 2014 and is being added to …. Medicare Enrollment and
Claim Submission Guidelines, Booklet, ICN906764, Downloadable.

Fall 2014 Part B Communique – WPS

Dec 1, 2014 … 2015 Annual Update of HCPCS Codes for SNF CB Update (MM. 8943) . ….
Medicare Coverage of Items and Services in Category A and B.

Zoledronic acid (Zometa®, Reclast®) – Physicians

May 26, 2015 … 12/2013, 03/2014, 06/2014, 09/2014, 12/2014, 03/2015, 5/2015. I. Length of
Authorization. • Zometa: Coverage is provided for 6 months and may be renewed.
• Reclast: … ZOLEDRONIC ACID (Zometa®, Reclast®) Prior Auth Criteria …
J3489 – Zometa** (Novartis) 4 mg Injection: 1 billable unit = 1 mg.

January 2014 Medicare B Connection – FCSO

Jan 2, 2014 … The Medicare B Connection represents formal notice of coverage … document to
ensure compliance with Medicare coverage and payment guidelines. …..
Otherwise Specified, 1 mg. J3489. Injection, Zoledronic Acid, 1mg.

Physician-Related Services Provider Guide – Health Care Authority

Aug 1, 2015 … This publication takes effect August 1, 2015, and supersedes earlier … cover?
Clarified billing instructions for postoperative complications for …

BlueLine Newsletter Winter 2015 – Florida Blue

sample includes commercial HMO, commercial PPO and all Medicare …..
Accordingly, Florida Blue updated its medical coverage guidelines related to
medical …

to view the full newsletter – Office of Billing Compliance

Feb 20, 2014 … Extension of Medicare Physician Work Geographic. Adjustment …. Section 3007
of the Affordable Care Act mandated that, by 2015, CMS begin applying a value
modifier …. addition, the coding guidelines attachment was also … Coverage and/
or Medical Necessity” section of the LCD under … code J3489.

December 2014 – Arkansas Blue Cross and Blue Shield

Dec 2, 2014 … 2015. 3. Guidelines for responding to medical records request. 4. Reminder of …
Pharmacy: Non-covered medications. 11 ….. primary Medicare Part A ….. J3489.
$49.38. J3520. $1.24. J7030. $1.41. J7040. $0.70. J7042.

BCN Referral / Clinical Review Program – e-Referral – bcbsm.com

Jul 1, 2015 … Guidelines related to plan notification, clinical review and referral requirements …
Plan notification is required for all members, including those whose coverage
allows self-referrals. …. 2015 BCN Referral and Clinical Review Program …. must
be notified before a member's Medicare days are exhausted.

Download Chapter PDF – EmblemHealth

Jul 1, 2013 … Last Updated: 08/13/2015 … How injectables are covered depends on the
diagnosis, specific … and indications based on FDA and EmblemHealth medical
guidelines. We …. For Medicare members, phone notification is provided only in
the … and replaced with J3489 Zoledronic acid, per a CMS J-code edit.

PHY Service Codes (PDF) – Mass.Gov

Jan 2, 2015 … Terminology (CPT) 2015 code book for the descriptions for the … if it is not
designated as covered or payable in the Physician Manual. …… http://www.cms.
gov/Medicare/Coding/HCPCSReleaseCodeSets/Alpha- … Colorectal cancer
screening; colonoscopy on individual not meeting criteria for high risk.

May 2015 Medicaid Updates – LogistiCare

May 31, 2015 … Answers questions about Medicare and Medicaid programs for people receiving
long-term …. Official Coding Guidelines, General Equivalence Mappings (GEMs),
….. Patients and providers will quickly be able to view drug coverage in …. J3489.
Injection, zoledronic acid. J0178. Aflibercept Injection. J1561.

Prior Authorization Code List August 7 2015 v1 … – UHC Military West

Aug 7, 2015 … Prior Authorization Code List August 7 2015 v1 Rev (08/07/2015). Adjunctive …
an otherwise covered medical ….. by Centers for Medicare and.

2nd Quarter 2014 – Physicians Health Plan

Apr 1, 2014 … According to Centers for Medicare and Medicaid Services (CMS), … audits
medical records to ensure compliance with all guidelines. … The ICD-10 i
mplementation has been delayed until 2015. … The member identification card,
benefits and coverage will be ….. J3489 # zoledronic acid (Zometa/Reclast). √.

Off Labeled Drugs – MCS

Sep 18, 2014 … July, 2015 … Managed care guidelines related to referral authorization, and ….
CM® Diagnosis Codes: Reclast® (List may not be all inclusive) –HCPCS J3489
….. Available at URL: http://www.cms.gov/medicare-coverage-.



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