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Ophthalmology and Optometry Coding Alert

READER QUESTIONS:

How to Find the Right HCPCS Jurisdiction

Published on Mon Jul 10, 2006










Question: Is there any guidance on whether to report HCPCS codes to our DMERC or local carrier?


Iowa Subscriber
Answer: CMS offers a jurisdiction list that specifies this information.

The list is at www.cms.hhs.gov/transmittals/downloads/R893CP.pdf. More information is at www.cms.hhs.gov/MLNMattersArticles/downloads/MM4363.pdf. CMS plans to post an Excel file with the jurisdiction data at www.cms.hhs.gov/center/dme.asp.

What you'll find: The transmittal offers a chart that includes the HCPCS code, description, and jurisdiction. For example:

Advice for You Be the Coder and Reader Questions provided by Maggie M. Mac, CMM, CPC, CMSCS, consulting manager for Pershing, Yoakley & Associates, Clearwater, Fla; and Raequell Duran, CPC, president of Practice Solutions, Santa Barbara, Calif.
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