News & Press: Advocacy

Medicare Contractor Reviewing Lumbar Facet Blocade Services

Friday, February 03, 2012  
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Noridian LLC, a contractor for Part B Medicare announced that it is initiating a specific review for Lumbar Facet Blocade and associated services for codes 64493-64495 and 64622-64623 in states of AK, OR, and WA.

According to Noridian, in order to ensure that payment is made for services that are reasonable and necessary, it analyzes the national and local data in conjunction with the findings from the Office of Inspector General and other Meidcare contractors to identify atypical billing. If you receive a request for records, you must submit all requested documentation within 30 days.

As always, ISIS encourages members to assure that they are familiar with applicable coverage policies and comply with all the requirements. ISIS members living in states covered by Noridian (Alaska, Arizona, Montana, South Dakota, North Dakota, Oregon Utah, Washington, Wyoming) can review their Medicare Contractor's Policy by going to the Noridian website or clicking on each state name to obtain a pdf version of the coverage policy.

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