RA Messages for March 9, 2004

ATTENTION FREE STANDING REHABILITATION CENTERS

A CORRECTION HAS BEEN MADE TO THE 2004 REHABILITATION CENTERS PROVIDER 
TRAINING PACKET. THE PACKET SHOULD HAVE REFLECTED THAT LOCAL PROCEDURE 
CODES Y7702 (PT EVALUATION), Y7812 (OT EVALUATION), AND Y7902 (WHEELCHAIR SEATIN EVALUATION) WERE CONVERTED TO THE NEW HIPAA STANDARD CODES DESIGNATED IN THE CROSSWALK ON PAGE 11 EFFECTIVE WITH DATE OF SERVICE 10/01/03 AND AFTER. ALSO, PAGE 13 OF THE PACKET SHOULD REFLECT AN EFFECTIVE DATE OF 10/01/03 IN THE BILLING INSTRUCTIONS FOR WHEELCHAIR SEATING EVALUATIONS. WE REQUEST THAT PROVIDERS MAKE THE NECESSARY CHANGES TO THEIR TRAINING PACKETS. 

ATTENTION IMMUNIZATION PROVIDERS

WITH HIPAA IMPLEMENTATION IT BECAME NECESSARY FOR PROVIDERS ADMINISTERING IMMUNIZATIONS TO USE ADMINISTRATION CODE 90471 ACCOMPANIED BY THE APPROPRIATE VACCINE CPT CODE FOR A SINGLE INJECTION AND ADMINISTRATION CODE 90472 ACCOMPANIED BY THE APPROPRIATE VACCINE CPT CODE(S) FOR EACH ADDITIONAL INJECTION. EFFECTIVE IMMEDIATELY, WHEN THE BILLING OF THESE CODES EXCEEDS THE SIX LINE LIMIT OF THE CMS-1500 CLAIM FORM, CODE 90471 WITH THE ACCOMPANYING VACCINE DETAIL LINE SHOULD BE BILLED ON ONE CLAIM FORM, AND CODE 90472 WITH THE ACCOMPANYING VACCINE DETAIL LINES SHOULD BE BILLED ON ANOTHER CLAIM FORM. CLAIMS WILL BE RECYCLED WITHIN THE NEXT FEW WEEKS. IF YOU HAVE QUESTIONS CONCERNING THIS CHANGE, CONTACT PROVIDER RELATIONS AT (800) 473-2783 OR (225) 924-5040.