CMS has issued revised instructions on the reporting of "not otherwise classified" codes via the 837 5010 standard, according to an ASA release.
As originally crafted, any code will be considered non-specific if its description includes the phrase "not otherwise specified," which will trigger an edit requiring additional information. ASA worked with X12 and CMS to exclude anesthesia codes 00100-01996 from this edit, as the text does not result in a non-specific anesthesia procedure.
CMS advised the ASA that any data submitted in Loop 2400 SV101-7 would satisfy the edit for Medicare claims until revisions are made. The CMS website now includes a listing of NOC codes.
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As originally crafted, any code will be considered non-specific if its description includes the phrase "not otherwise specified," which will trigger an edit requiring additional information. ASA worked with X12 and CMS to exclude anesthesia codes 00100-01996 from this edit, as the text does not result in a non-specific anesthesia procedure.
CMS advised the ASA that any data submitted in Loop 2400 SV101-7 would satisfy the edit for Medicare claims until revisions are made. The CMS website now includes a listing of NOC codes.
Related Articles on Coding, Billing and Collections:
Maryland Governor Proposes Healthcare Zones to Eliminate Racial Socioeconomic Disparities
New Jersey Governor Signs Insurance Bills to Benefit Patients With Serious Illness
4 Critical Revenue Strategies for Successful Sustainable ASC Cash Flow