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Coding Tools

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Coding Resources

Advance Beneficiary Notice (ABN)

Whether English or Spanish, make sure you are using the current version that has the date 3/11 in the lower left hand corner.

Correct Coding Initiative (CCI) Edits

Version 19.1 effective April 1, 2013.

Covered Diagnosis for Eye Codes

Typical covered diagnosis codes [PDF 126K] for eye code exams.

Femtosecond Laser (FS) Billing Guidelines

Guidelines specify what out-of-pocket expenses patients can expect.

Local Coverage Determination (LCD) Database

Payment policies for all Medicare Part B payers.

NPI Locators

National Provider Identification Locators: NPI Look-up; NPI Provider Search

Remittance Advice Remark Definitions

Understanding payment and denial codes from Explanation of Benefits (EOBs) now called Remittance Advice (RA)

Medicare Carrier Jurisdiction and Website Addresses

View the Medicare Carrier Website Addresses [PDF100K] updated May 15, 2013


Coding for Injectable Drugs

Correct coding for Avastin, Eylea, Jetrea, Lucentis, Macugen, and all other drugs commonly injected.