New OCE Edits Implemented for Nuclear Medicine
Effective January 1, 2008, CMS implemented an Outpatient Code Edit (OCE) resulting in the return of (for correction) any claim for a nuclear medicine procedure that does not contain a HCPCS Level II radiopharmaceutical code. CMS does not state any specific radiopharmaceutical must be used with a particular nuclear medicine CPT procedure code, but one must be included on the claim form.
For further details, go to:
http://www.cms.hhs.gov/Transmittals/2008Trans/itemdetail.asp?filterType=none&filterByDID=-99&sortByDID=2&sortOrder=descending&itemID=CMS1207573&intNumPerPage=2000
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