CGS Medicare has changed Medical Directors and with this change they are going back to the Medicare LCD and its language on diagnosing requirements effect August 1st.
We apologize for the delay in this information but we just received confirmation it is happening. The OSCA has been in discussions with CGS for months now and was not confident the change would happen. The word came down yesterday it was happening for sure.
Here is CGS new requirement as of August 1, 2014:
Box 1: subluxation
Box 2: Associating Condition
Box 3: Subluxation
Box 4: Associating Condition
If you are billing a 98941 you would continue this pattern for all regions treated:
Box 5: Subluxation
Box 6: Associating Condition
CGS has a specific number of allowed diagnoses. To view these please CLICK HERE.
As always if you have any question feel free to reach out the OSCA at 614-229-5290.
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