RA Messages for April 30, 2002
PHARMACY PROVIDERS, PLEASE NOTE!!!
IF YOU ARE UNSURE ABOUT THE COVERAGE OF A DRUG PRODUCT, PLEASE
CONTACT THE PBM HELP DESK AT 1-800-648-0790.
PLEASE MAKE THE FOLLOWING CHANGES TO THE 1/1/02 VERSION OF APPENDIX C:
| LABELER
|
COMPANY |
BEGIN |
END |
| 00144
|
SUPERIOR PHARMACEUTICAL COMPANY |
|
04/01/02 |
| 00535
|
GILBERT LABORATORIES |
07/01/02 |
|
| 10337
|
DOAK DERMATOLOGICS |
07/01/02 |
|
| 11086
|
SUMMERS LABORATORIES |
|
07/01/02 |
| 49158 |
THAMES PHARMACAL COMPANY |
|
04/01/02 |
| 52349 |
MED-TEK SYSTEMS |
|
07/01/02 |
| 63004 |
QUESTOR PHARMACEUTICALS |
07/01/02 |
|
| 65847 |
SCIOS, INC |
07/01/02 |
|
| 66239 |
SCIENTIFIC LABORATORIES, INC |
07/01/02 |
|
| 66424 |
SDA LABORATORIES |
07/01/02
|
|
| 66479 |
XANODYNE PHARMACAL, INC |
07/01/02 |
|
| 66490 |
XCEL PHARMACEUTICALS,INC |
07/01/02 |
|
| 66607 |
RARE DISEASES THERAPEUTICS,INC |
07/01/02 |
|
| 66779 |
REGENTS
LABS, INC |
07/01/02 |
|
PLEASE FILE ADJUSTMENTS FOR
CLAIMS WHICH MAY HAVE BEEN INCORRECTLY PAID.
NOTICE TO PROVIDERS OF PROFESSIONAL SERVICES
EFFECTIVE WITH DATE OF SERVICE MAY 1, 2002, CODE J7302 FOR MIRENA, THE
LEVONORGESTREL-RELEASING INTRUTERINE SYSTEM, WILL BECOME PAYABLE TO PHYSICIANS AT $337.17 PER SYSTEM FOR FEMALES WHO OBTAIN THE SYSTEM IN THE PHYSICIAN'S OFFICE. THIS FEE INCLUDES $35.00 FOR INSERTION.
NOTICE TO PROVIDERS OF PROFESSIONAL SERVICES
EFFECTIVE WITH DATE OF SERVICE APRIL 1, 2002, THE FOLLOWING CPT CODES WILL DENY IF BILLED WITHOUT A QW MODIFIER:
82523 - COLLAGEN CROSS LINKS, ANY METHOD
82679 - ESTRONEJ
83002 - GONADOTROPIN; LUTEINIZING HORMONE
83605 - LACTATE
86294 - IMMUNOASSAY FOR TUMOR ANTIGEN, QUALITATIVE OR SEMIQUANTITATIVE
86618 - ANTIBODY; BORRELIA BURGDORFERI
87077 - CULTURE, BACTERIAL; AEROBIC ISOLATE, ADDITIONAL METHODS REQUIRED FOR DEFINITIVE IDENTIFICATION, EACH ISOLATE
87449 - INFECTIOUS AGENT ANTIGEN DETECTION BY ENZYME IMMUNOASSAY TECHNIQUE QUALITATIVE OR SEMIQAUNTITATIVE; MULTIPLE STEP METHOD, NOT
OTHERWISE SPECIFIED, EACH ORGANISM
87804 - INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY WITH DIRECT OPTICAL OBSERVATION; INFLUENZA
89300 - SEMEN ANALYSIS; PRESENCE AND/OR MOTILITY OF SPERM INCLUDING HUHNER TEST (POST COITAL)