Monday, October 11, 2010

Deleted DX code from oct 1 2010

INVALID DIAGNOSIS CODES - Effective October 1, 2010



Diagnosis Code   Description

275.0   Disorders of iron metabolism

276.6   Fluid overload

287.4   Secondary thrombocytopenia

488.0*  Influenza due to identified avian influenza virus

488.1*  Influenza due to identified novel H1N1 influenza virus

752.3   Other anomalies of uterus

786.3   Hemoptysis

787.6   Incontinence of feces

970.8   Poisoning by other specified central nervous system stimulants

999.6   ABO incompatibility reaction

999.7   Rh incompatibility reaction

V25.1   Encounter for insertion of intrauterine contraceptive device

V85.4   Body Mass Index 40 and over, adult


Notes:  * These diagnosis codes were discussed at the March 9-10, 2010 ICD-9-CM Coordination and  Maintenance Committee meeting and were not finalized in time to include in the proposed rule. However, they will be deleted on October 1, 2010.
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Medicare physician fee schedule - Quick overview

Medicare Part B pays for physician services based on the PFS, which lists the more than 7,400 unique
covered services and their payment rates. Physicians’ services include the following:

* Office visits;
* Surgical procedures;
* Anesthesia services; and
* A range of other diagnostic and therapeutic services.


Medicare Physician Fee Schedule Payment Rates

Payment rates for an individual service are based on
three components:
1) Relative Value Units (RVU)
2) Conversion Factor (CF)
3) Geographic Practice Cost Indices (GPCI)


Medicare Physician Fee Schedule Payment Rates Formula


The Medicare PFS payment rates formula is shown below:

[(Work RVU x Work GPCI) + (PE RVU x PE GPCI) +
(MP RVU x MP GPCI)] x CF

Medicare fee schedule download