CodeMap®  150 North Wacker Drive
Suite 1870
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax

2020 Printed Publications Early Bird Sale on Now through August 30, 2019!

User Information

Create New Account

Lost Password


Quick Links

PLA Codes

Laboratory Fee Schedule


Physician Fee Schedule


OPPS Fee Schedule


ASC Fee Schedule


APC Codes


DRG Codes


ASP Drug Pricing Files

April 2019
January 2019

CMS Transmittals

CodeMap® 09/29/2006 Medical Necessity Updates

CodeMap Compliance Briefing: 9/29/2006

Editor's Welcome:

Many providers utilize automated systems to screen claims for medical necessity compliance. These systems check the combination of procedure codes and diagnosis codes included with each claim to ensure compliance with both national and local coverage policies. Providers that use these systems must monitor the many changes that occur during the course of a year to CPT® codes, ICD-9 codes, National Coverage Determinations (NCDs), and Local Coverage Determinations (LCDs). If providers do not properly maintain automated compliance checkers, they run the risk of submitting false claims, missing the opportunity to collect an ABN from the beneficiary, and/or receiving denials from their Medicare contractor. This week's briefing focuses on the significant number of changes concerning ICD-9 codes and local and national coverage policies that will take place starting October 1, 2006. As always please email us any comments, suggestions, ....

Sorry, access to this content requires a current subscription.

Click here for publications catalog.


CPT copyright 2018 American Medical Association. All rights reserved.

* The responsibility for the content of any "National Correct Coding Policy" included in this product is with the Centers for Medicare and Medicaid Services and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, nonuse, or interpretation of information contained in this product.

CodeMap® is a Registered Trademark of Wheaton Partners, LLC.