MEDICARE CONDITION CODE C5
Hi All,One of my friends have asked me a question which I am sure the experts would be able to answer here. On what basis would C5 condition code be used for Medicare part A billing. He says it has...
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Condition codes are used to describe any of the following condition that are applicable to the billing period, likea) INSURANCE CODESb) SPECIAL PROGRAM INDICATOR CODES c) QIO APPROVAL INDICATOR...
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Claims which contain a diagnosis and/or procedure code that requires PRO review must include condition code C5. That is, if it hasn't changed in the last few months.It doesn't have to do with DDE....
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Sorry, Cindy ana, even though my post is time-stamped 7 minutes after yours, mysteriously it was not there when I answered vin's post.Quote:C5 Postpayment Review Applicable- indicates that any medical...
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Leah I got this list from a website. Is this the one?www.empiremedicare.com/newsupda/brf989/Pro.htmProcedures Requiring Prepayment PRO ReviewAutomatic Defibrillators Procedure: 37.94 Biofeedback...
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