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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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Re: MEDICARE CONDITION CODE C5

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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Re: MEDICARE CONDITION CODE C5

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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Re: MEDICARE CONDITION CODE C5

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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Re: MEDICARE CONDITION CODE C5

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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Re: MEDICARE CONDITION CODE C5

That looks like the list I was thinking of.

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