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Radiology Coding Alert

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Specialty Code 95 Is Effective April 1, 2011

Published on Sat Nov 06, 2010

Question: When is the new specialty code for advanced diagnostic imaging services effective?Maryland SubscriberAnswer: The effective date is April 1, 2011, and the implementation date is April 4, 2011, according to CMS transmittal 2079, change request 7175, released Oct. 29, 2010.The new specialty code will be 95 (Advanced diagnostic imaging accreditation).Those billing Medicare for the technical component of advanced diagnostic imaging services (CT, MRI, PET, and other specified services) will need to be accredited by Jan. 1, 2012, to continue billing Medicare for those services. You should be receiving letters from your Medicare carrier quarterly until July 2011 regarding accreditation requirements.You can learn more from MLN Matters article MM6912 (www.cms.gov/MLNMattersArticles/downloads/MM6912.pdf). You can learn about the new specialty code from MLN Matters article MM7175 (www.cms.gov/MLNMattersArticles/downloads/MM7175.pdf).
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