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Home Health Coverage Resources
CMS “Medicare Benefit Policy Manual” (CMS Pub. 100-02)
Chapter 7; Home Health
 http://www.cms.gov/Regulations-andGuidance/Guidance/Manuals/Downloads/bp102c07.pdf
Medicare Benefit Policy Manual
Chapter 7 - Home Health Services
Table of Contents
(Rev. 208, 05-11-15)
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Home Health Coverage Resources
CGS “Home Health Coverage Guidelines” Web page
 http://www.cgsmedicare.com/hhh/coverage/Home_Health_Cove
rage_Guidelines.html
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CR 9119
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2
CR 9119
“Manual Updates to Clarify Requirements for Physician
Certification and Recertification of Patient Eligibility for Home
Health Services”
http://www.cms.gov/Outreach-and-Education/MedicareLearning-NetworkMLN/MLNMattersArticles/downloads/MM9119.pdf
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CR 9119
CMS Manual System; Pub 100-01 Medicare General Information,
Eligibility, and Entitlement; Change Request 9119
http://www.cms.gov/Regulations-andGuidance/Guidance/Transmittals/Downloads/R92GI.pdf
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CR 9119
CMS Manual System; Pub 100-02 Medicare Benefit Policy;
Change Request 9119
https://www.cms.gov/Regulations-andGuidance/Guidance/Transmittals/Downloads/R207BP.pdf
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CR 9119
Three Changes to Face-to-Face Requirements
1. CMS eliminated the narrative requirements
2. If HHA claim is denied, the certifying/recertifying physician claim is
noncovered.
• Because there would be no corresponding claim
3. Clarification that the face-to-face (FTF) encounter is required for
certifications; rather the initial episodes
• New start of care OASIS assessment completed
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Disclaimer: This resource is not a legal document. Any regulations, policies, and/or guidelines cited in this publication are subject to change without notice. Although every reasonable effort has been made to assure accurate information, responsibility for correct claims submission lies with the provider of services. Current Medicare regulations can be found on the CMS Web site, www.cms.gov Reproduction of this material for profit is prohibited. CPT codes, related data © 2015 AMA. ICD‐9‐CM codes, descriptors © 2015
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CR 9119
Three Changes to Face-to-Face Requirements
1. CMS eliminated the narrative requirements
2. If HHA claim is denied, the certifying/recertifying physician claim is
noncovered.
• Because there would be no corresponding claim
3. Clarification that the face-to-face (FTF) encounter is required for
certifications; rather the initial episodes
• New start of care OASIS assessment completed
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CR 9119
Three Changes to Face-to-Face Requirements
1. CMS eliminated the narrative requirements
2. If HHA claim is denied, the certifying/recertifying physician claim is
noncovered.
• Because there would be no corresponding claim
3. Clarification that the face-to-face (FTF) encounter is required for
certifications; rather the initial episodes
• New FTF for every completed start of care OASIS assessment
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Disclaimer: This resource is not a legal document. Any regulations, policies, and/or guidelines cited in this publication are subject to change without notice. Although every reasonable effort has been made to assure accurate information, responsibility for correct claims submission lies with the provider of services. Current Medicare regulations can be found on the CMS Web site, www.cms.gov Reproduction of this material for profit is prohibited. CPT codes, related data © 2015 AMA. ICD‐9‐CM codes, descriptors © 2015
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CR 9119: Supporting Documentation
Per 100-02 Ch. 7 section 30.5.1.2, for SOC effective January 1, 2015,
documentation in certifying physician’s medical record and/or
acute/post-acute care facility’s medical record:
 Will be used as basis for patient’s home health eligibility
 Must contain information to justify the referral for home health
services including:
• Need for skilled services; and
• Homebound status
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CR 9119: Supporting Documentation
Per 100-02 Ch. 7 section 30.5.1.2, for SOC effective January 1,
2015, documentation in certifying physician’s medical record
and/or acute/post-acute care facility’s medical record:
 Must be provided to home health agency when requested
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Disclaimer: This resource is not a legal document. Any regulations, policies, and/or guidelines cited in this publication are subject to change without notice. Although every reasonable effort has been made to assure accurate information, responsibility for correct claims submission lies with the provider of services. Current Medicare regulations can be found on the CMS Web site, www.cms.gov Reproduction of this material for profit is prohibited. CPT codes, related data © 2015 AMA. ICD‐9‐CM codes, descriptors © 2015
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CR 9119: Supporting Documentation
• Change Request 9112, “Clarification of Ordering and Certifying
Documentation Maintenance Requirements”,
http://www.cms.gov/Outreach-and-Education/Medicare-LearningNetwork-MLN/MLNMattersArticles/Downloads/MM9112.pdf
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CR 9119: Supporting Documentation
Per 100-02 Ch. 7 section 30.5.1.2, certifying physician and/or
acute/post-acute facility medical record (if the patient was directly
admitted to home health) for the patient must contain the actual
clinical note for the FTF encounter visit that demonstrates that
the encounter:
 Occurred within required timeframe;
 Was related to primary reason patient requires home health services;
and
 Was performed by an allowed provider type.
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CR 9119: Supporting Documentation
Information from home health associations (HHAs), such as initial
and/or comprehensive assessment of the patient, can be
incorporated into certifying physician’s medical record for the
patient and used to support patient’s homebound status and need
for skilled care
 HHA’s documentation must be signed/dated by certifying physician
to indicate acceptance of documentation into their medical records
 Physician’s dated signature must be on/before certification date
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CR 9119: Supporting Documentation
 Information from the HHA incorporated into the physician’s medical
record must not conflict with other medical record entries in
certifying physician’s and/or the acute/post-acute care facility’s
medical record for the patient
• Information submitted & incorporated from HHAs must be received
timely to ensure certifying physician has all relevant information when
making decision to certify/recertify the patient
• The certifying physician (or allowed non-physician provider) must have a
face-to-face encounter with the beneficiary before they certify the
beneficiary's eligibility
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CR 9119: Physician Recertification
New requirement: The physician must include an estimate
of how much longer skilled services will be required
 Note: A recertification that does not include this information may
result in a claim denial
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CR 9119
Two most common scenarios:
Scenario #1
Patient discharged from acute/post-acute facility directly to home
health services
The hospitalist is seeing patient while in the hospital
Scenario #2
Patient admitted to home health, not resulting from acute/post-acute
discharge
Community physician is seeing patient in physician’s office with no
hospitalization
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CR 9119
Scenario #1: Patient discharged from acute/post-acute facility
directly to home health services
 Hospitalist sees patient & performs FTF encounter
 Community physician will follow patient after discharge and
certifies HH services
• HH criteria requires patient to be under care of physician
• Certifying physician must document the date of the FTF encounter
 NOTE: If hospitalist performs FTF encounter and also certifies
patient for home health, the hospitalist must identify the community
physician who will follow the patient
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Scenario #2: Patient admitted to home health, not resulting
from acute/post-acute discharge
 Community physician has in-person visit (FTF) with patient 90
days before or 30 days after 1st HHA visit (and the in-person visit is
related to the reason for home health services)
 Documents FTF encounter in medical record, and certifies
patient’s eligibility for home health
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MLN Matters® SE1436
“Certifying Patients for the Medicare Home Health Benefit” SE1436.
Important information plus document examples
http://www.cms.gov/Outreach-and-Education/Medicare-LearningNetwork-MLN/MLNMattersArticles/downloads/SE1436.pdf
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MLN Matters® SE1436
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Disclaimer: This resource is not a legal document. Any regulations, policies, and/or guidelines cited in this publication are subject to change without notice. Although every reasonable effort has been made to assure accurate information, responsibility for correct claims submission lies with the provider of services. Current Medicare regulations can be found on the CMS Web site, www.cms.gov Reproduction of this material for profit is prohibited. CPT codes, related data © 2015 AMA. ICD‐9‐CM codes, descriptors © 2015
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MLN Matters® SE1436
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Face-to-Face Documents
To be eligible for Medicare home health services, a patient must
have Medicare Part A and/or Part B and:
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1.
Be confined to the home;
2.
Need skilled services;
3.
Be under the care of a physician;
4.
Receive services under a plan of care established
and reviewed by a physician; and
5.
Had a face-to-face encounter performed by:


Certifying physician (must be Medicare enrolled)
Non-physician practitioner (NPP) in collaboration with
the certifying physician

Physician who cared for the patient in an acute/postacute facility during a recent stay and has privileges in that
facility
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Disclaimer: This resource is not a legal document. Any regulations, policies, and/or guidelines cited in this publication are subject to change without notice. Although every reasonable effort has been made to assure accurate information, responsibility for correct claims submission lies with the provider of services. Current Medicare regulations can be found on the CMS Web site, www.cms.gov Reproduction of this material for profit is prohibited. CPT codes, related data © 2015 AMA. ICD‐9‐CM codes, descriptors © 2015
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Face-to-Face Documents
 Information from the HHA can be incorporated into the certifying
physician’s and/or the acute/post-acute care facility’s medical record
for the patient.
 Information from the HHA must be corroborated by other medical
record entries and align with the time period in which services were
rendered.
 The certifying physician must review and sign off on anything
incorporated into the patient’s medical record that is used to support
the certification of patient eligibility.
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When?
Certifying physician must document FTF took place within
 90 days prior to start of care (SOC), or
 30 days after SOC
Reminder:
 FTF must be related to primary reason for home health admission
 Exceptional circumstance: Patient death before FTF can be
performed
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Face-to-Face
The physician who cared for the patient in an acute or post-acute
facility may choose to use documentation from the patient’s
medical record, (such as a discharge summary) to inform the
certifying physician of the clinical findings from the face-to-face
encounter.
IF
The compiled documentation is reflective of the clinical findings
of the face-to-face encounter
AND
Serves as that physician’s communication to the certifying
physician
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Face-to-Face Signatures
The document from the acute or post acute facility record
 Must be signed and dated by the certifying physician,
 Must indicate the certifying physician received the information from
the physician who performed the face-to-face encounter, and
 Must show the certifying physician is using that documentation as
his/her documentation of the face-to-face encounter
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Documentation
Does the documentation clearly answer “why home health and
why now?”
Reminder: Good documentation should address:
 Objective clinical evidence of patient’s individual need for care
 Progress or lack of progress
 Medical condition
 Functional losses
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Examples of FTF Documentation “Don’ts”
Insufficient documentation – Miscellaneous
The following may cause a claim to NOT BE PAID:
 Diagnoses/clinical findings on FTF not related to home care ordered
 Altered documentation without acceptable notations for changes
 FTF signed by Non Physician Practitioner (NPP) only
 No date of FTF encounter
 Not clearly titled as face-to-face encounter
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Disclaimer: This resource is not a legal document. Any regulations, policies, and/or guidelines cited in this publication are subject to change without notice. Although every reasonable effort has been made to assure accurate information, responsibility for correct claims submission lies with the provider of services. Current Medicare regulations can be found on the CMS Web site, www.cms.gov Reproduction of this material for profit is prohibited. CPT codes, related data © 2015 AMA. ICD‐9‐CM codes, descriptors © 2015
15
FTF Documentation: Important Reminders
FTF is requirement for Medicare payment
Missing/incomplete documentation results in entire claim being
denied
As the billing entity, the home health agency’s (HHA’s)
responsibilities include:
 Facilitating and coordinating between patient and physician to
ensure FTF occurs timely
 Ensuring all FTF requirements are met
 Ensuring physician’s documentation is complete
 Delaying submission of claim until documentation complete
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Medical Necessity
All services (even skilled) must be reasonable and medically
necessary related to the patient’s condition.
Does the documentation clearly answer “why home health and
why now?”
Reminder: Good documentation should address:
 Objective clinical evidence of patient’s individual need for care
 Progress or lack of progress
 Medical condition
 Functional losses
 Treatment goals
 Discharge planning
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Medical Necessity
Covers all disciplines
 Nursing
 Physical therapy
 Occupational therapy
 Speech language pathology
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Medical Necessity
Additional information
 http://www.cgsmedicare.com/hhh/coverage/HH_Coverage_Guid
elines/1E.html
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Disclaimer: This resource is not a legal document. Any regulations, policies, and/or guidelines cited in this publication are subject to change without notice. Although every reasonable effort has been made to assure accurate information, responsibility for correct claims submission lies with the provider of services. Current Medicare regulations can be found on the CMS Web site, www.cms.gov Reproduction of this material for profit is prohibited. CPT codes, related data © 2015 AMA. ICD‐9‐CM codes, descriptors © 2015
17
Medical Necessity - “Do’s”
Identify skilled service, and reason skilled service is necessary for
beneficiary in objective terms
Examples of good documentation:
 “Wound care completed per POC to left great toe. No s/s of
infection, but patient remains at risk due to diabetic status.”
 “Range of motion (ROM) is tolerated to lower extremities. Unsafe to
teach caregiver ROM due to displaced fracture.”
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Medical Necessity – “Do’s”
Demonstrate medical necessity of skilled observation and
assessment by documenting complexity of beneficiary’s condition
and co-morbidities affecting outcomes.
Examples of good documentation:
 “Lungs sound coarse throughout. Patient finished antibiotic therapy
today for pneumonia, and seeing pulmonologist tomorrow for follow
up to due to COPD and emphysema.”
 “Stasis wound on LLE continues to show 50% granulation and
moderate serous drainage. Instructed patient on need to elevate
legs and exercises related to peripheral vascular disease.”
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Disclaimer: This resource is not a legal document. Any regulations, policies, and/or guidelines cited in this publication are subject to change without notice. Although every reasonable effort has been made to assure accurate information, responsibility for correct claims submission lies with the provider of services. Current Medicare regulations can be found on the CMS Web site, www.cms.gov Reproduction of this material for profit is prohibited. CPT codes, related data © 2015 AMA. ICD‐9‐CM codes, descriptors © 2015
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Medical Necessity – “Don’ts”
Medicare Benefit Policy Manual (CMS Pub. 100-02) Ch. 7, §40.1
and §40.2 lists requirements in order for a service to be covered
by Medicare as “skilled.” The service must:
 Require the skills of a nurse or qualified therapist
• Service is NOT skilled because it is performed by a nurse or qualified
therapist
• Service does NOT become unskilled because it is taught
 Be reasonable and necessary to treat patient’s illness or injury
• Patient’s condition warrants the skilled care
• MUST BE evident in documentation
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No Response to ADR
http://cgsmedicare.com/hhh/education/materials/pdf/ADR_QRT.
pdf
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Disclaimer: This resource is not a legal document. Any regulations, policies, and/or guidelines cited in this publication are subject to change without notice. Although every reasonable effort has been made to assure accurate information, responsibility for correct claims submission lies with the provider of services. Current Medicare regulations can be found on the CMS Web site, www.cms.gov Reproduction of this material for profit is prohibited. CPT codes, related data © 2015 AMA. ICD‐9‐CM codes, descriptors © 2015
19
No Response to ADR
 Quick resource tool
 Chart of how claim is processed
 List of how to check for ADRs using FISS
 Recommendations
 Checklist
 Preferred order of document submission
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No Response to ADR
Preferred order of document submission
 FISS Page 7 screen print
 Physician Face-to-Face documentation
 Plan of care with physician certification/recertifications
 Interim/verbal orders
 OASIS assessment
 Nursing visit notes
 Therapy visit notes including evaluations/re-evaluations
 Social work visit notes
 Aide visit notes
 Other relevant documentation
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No Response to ADR
http://www.cgsmedicare.com/hhh/medreview/adr_process.html
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No Response to ADR
Recommendations
 Clinicians review all documents prior to sending
 Providers may include an outline or a letter, but will not be
considered actual documentation
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Disclaimer: This resource is not a legal document. Any regulations, policies, and/or guidelines cited in this publication are subject to change without notice. Although every reasonable effort has been made to assure accurate information, responsibility for correct claims submission lies with the provider of services. Current Medicare regulations can be found on the CMS Web site, www.cms.gov Reproduction of this material for profit is prohibited. CPT codes, related data © 2015 AMA. ICD‐9‐CM codes, descriptors © 2015
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Homebound Criteria
http://www.cgsmedicare.com/hhh/coverage/HH_Coverage_Gu
idelines/1C.html
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Homebound Criteria
http://www.cms.gov/Outreach-and-Education/MedicareLearning-NetworkMLN/MLNMattersArticles/Downloads/MM8444.pdf
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Disclaimer: This resource is not a legal document. Any regulations, policies, and/or guidelines cited in this publication are subject to change without notice. Although every reasonable effort has been made to assure accurate information, responsibility for correct claims submission lies with the provider of services. Current Medicare regulations can be found on the CMS Web site, www.cms.gov Reproduction of this material for profit is prohibited. CPT codes, related data © 2015 AMA. ICD‐9‐CM codes, descriptors © 2015
22
Homebound Criteria
MLN Matters Home Health – Clarification to Benefit Policy Manual
Language on “Confined to the Home” Definition
 Clarifies definition of patient being “confined to home”
 Reflects definition in Social Security Act (Section 1835(a))
 Removes vague terms to ensure clear and specific definition
 Not a change in homebound definition
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Homebound Criteria
Two criteria are used to determine homebound status
Criteria-One:
The patient must either:
 Because of illness or injury, need the aid of supportive devices such
as crutches, canes, wheelchairs, and walkers; the use of special
transportation; or the assistance of another person in order to leave
their place of residence.
OR
 Have a condition such that leaving his or her home is medically
contraindicated.
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Homebound Criteria
Two criteria are used to determine homebound status (continued)
Criteria-Two:
 There must exist a normal inability to leave home
AND
 Leaving home must require a considerable and taxing effort
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Homebound Criteria
The patient may be considered homebound (confined to the
home) if absences from the home are:

infrequent;

for periods of relatively short duration;

for the need to receive health care treatment;

for religious services;

to attend adult daycare programs; or

for other unique or infrequent events

the patient may have more than one home
•
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vacation home, home of caregiver, seasonal home
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Disclaimer: This resource is not a legal document. Any regulations, policies, and/or guidelines cited in this publication are subject to change without notice. Although every reasonable effort has been made to assure accurate information, responsibility for correct claims submission lies with the provider of services. Current Medicare regulations can be found on the CMS Web site, www.cms.gov Reproduction of this material for profit is prohibited. CPT codes, related data © 2015 AMA. ICD‐9‐CM codes, descriptors © 2015
24
Homebound Criteria
Documentation must support homebound status throughout
Beware of vague descriptions: “taxing effort”, “unable to leave
home”
Utilize objective, measurable language
Examples of good documentation:
 “After ambulating 20 feet, patient has increased dyspnea and
complains of back pain.”
 “Patient has unsteady gait, and must sit to rest after 20 feet of
ambulation due to uncontrolled dyspnea.”
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Signatures:
Validity
For a signature to be valid per Medicare requirements, the
following criteria must be met
 Signatures are
• Handwritten
• Electronic
• Stamped (under limited special circumstances)
 Signatures must be legible or identified
 Services that are provided or ordered must be authenticated by the
ordering practitioner
Medicare claim payment will be impacted if signatures are not
valid
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Disclaimer: This resource is not a legal document. Any regulations, policies, and/or guidelines cited in this publication are subject to change without notice. Although every reasonable effort has been made to assure accurate information, responsibility for correct claims submission lies with the provider of services. Current Medicare regulations can be found on the CMS Web site, www.cms.gov Reproduction of this material for profit is prohibited. CPT codes, related data © 2015 AMA. ICD‐9‐CM codes, descriptors © 2015
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Signatures:
Handwritten
http://www.cms.gov/Outreach-and-Education/MedicareLearning-NetworkMLN/MLNMattersArticles/downloads/MM6698.pdf
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Signatures:
Handwritten
The physician must hand date his hand written signature. If it
is not hand dated, the claim will be fully denied
 Unable to determine if the signature was prior to billing Medicare
Electronic signatures may appear to be handwritten.
 Submit electronic signature policy with documentation
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Disclaimer: This resource is not a legal document. Any regulations, policies, and/or guidelines cited in this publication are subject to change without notice. Although every reasonable effort has been made to assure accurate information, responsibility for correct claims submission lies with the provider of services. Current Medicare regulations can be found on the CMS Web site, www.cms.gov Reproduction of this material for profit is prohibited. CPT codes, related data © 2015 AMA. ICD‐9‐CM codes, descriptors © 2015
26
Signatures:
Electronic
 Computerized (electronic) patient records may use electronic
signatures
 All electronic signatures must be properly authenticated and dated
 Authentication must include signatures, written initials, or a secure
computer entry by a unique identifier of the author who reviewed and
approved the entry
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Signatures:
Electronic
 Systems and software products must contain protections against
unauthorized modifications
 Administrative safeguards must be in place to correspond to laws
and standards
 Authenticity of the information being attested to is the responsibility
of the provider and the individual whose signature is electronically
presented
 Recommend the provider includes their electronic signature policy
when submitting documentation in response to an additional
development request (ADR)
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Disclaimer: This resource is not a legal document. Any regulations, policies, and/or guidelines cited in this publication are subject to change without notice. Although every reasonable effort has been made to assure accurate information, responsibility for correct claims submission lies with the provider of services. Current Medicare regulations can be found on the CMS Web site, www.cms.gov Reproduction of this material for profit is prohibited. CPT codes, related data © 2015 AMA. ICD‐9‐CM codes, descriptors © 2015
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Signatures:
Missing
 If a signature is missing from an order, the order shall NOT be
included in the review of the claim
 If a signature is missing from any other medical
documentation, a signature attestation statement from the
author of the document may be accepted
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Signatures:
Attestation Statement
Attestation statements are not valid
 Where there is no associated medical record entry
 If from someone other than the author of the medical record entry in
question
 Even if two individuals are in the same group, one may not sign for
the other in medical record entries or attestation statements
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Disclaimer: This resource is not a legal document. Any regulations, policies, and/or guidelines cited in this publication are subject to change without notice. Although every reasonable effort has been made to assure accurate information, responsibility for correct claims submission lies with the provider of services. Current Medicare regulations can be found on the CMS Web site, www.cms.gov Reproduction of this material for profit is prohibited. CPT codes, related data © 2015 AMA. ICD‐9‐CM codes, descriptors © 2015
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Signatures:
Submission
Signature logs and attestations are encouraged to be included
with documentation in the original submission
Avoids delays or potential denials in the completion of the review
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Signatures:
Resources
http://www.cms.gov/Outreach-and-Education/MedicareLearning-NetworkMLN/MLNMattersArticles/Downloads/SE1419.pdf
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Disclaimer: This resource is not a legal document. Any regulations, policies, and/or guidelines cited in this publication are subject to change without notice. Although every reasonable effort has been made to assure accurate information, responsibility for correct claims submission lies with the provider of services. Current Medicare regulations can be found on the CMS Web site, www.cms.gov Reproduction of this material for profit is prohibited. CPT codes, related data © 2015 AMA. ICD‐9‐CM codes, descriptors © 2015
29
Signatures:
Resources
http://www.cms.gov/Outreach-and-Education/MedicareLearning-NetworkMLN/MLNProducts/downloads/Signature_Requirements_Fact
_Sheet_ICN905364.pdf
Medicare Program Integrity Manual; Pub. 100-08; Chapter 3
(3.3.2.4) – Verifying Potential Errors and Taking Corrective Actions
http://www.cms.gov/Regulations-andGuidance/Guidance/Manuals/Downloads/pim83c03.pdf
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Signatures:
Resources
http://www.cms.gov/Outreach-and-Education/MedicareLearning-NetworkMLN/MLNProducts/downloads/Signature_Requirements_Fact
_Sheet_ICN905364.pdf
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Disclaimer: This resource is not a legal document. Any regulations, policies, and/or guidelines cited in this publication are subject to change without notice. Although every reasonable effort has been made to assure accurate information, responsibility for correct claims submission lies with the provider of services. Current Medicare regulations can be found on the CMS Web site, www.cms.gov Reproduction of this material for profit is prohibited. CPT codes, related data © 2015 AMA. ICD‐9‐CM codes, descriptors © 2015
30
CGS Home Health Denial Fact Sheets
http://www.cgsmedicare.com/hhh/education/materials/HH_QR
T.html
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CGS Home Health Denial Fact Sheets
5HHBD – Homebound Status
http://www.cgsmedicare.com/hhh/education/materials/pdf/hh
_5hhbd_factsheet.pdf
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Disclaimer: This resource is not a legal document. Any regulations, policies, and/or guidelines cited in this publication are subject to change without notice. Although every reasonable effort has been made to assure accurate information, responsibility for correct claims submission lies with the provider of services. Current Medicare regulations can be found on the CMS Web site, www.cms.gov Reproduction of this material for profit is prohibited. CPT codes, related data © 2015 AMA. ICD‐9‐CM codes, descriptors © 2015
31
CGS Home Health Denial Fact Sheets
5HMED – Medical Necessity
http://www.cgsmedicare.com/hhh/education/materials/pdf/HH
_5HMED_FactSheet.pdf
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Questions?
CGS Provider Contact Center
1-877-299-4500 (Option 1)
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Disclaimer: This resource is not a legal document. Any regulations, policies, and/or guidelines cited in this publication are subject to change without notice. Although every reasonable effort has been made to assure accurate information, responsibility for correct claims submission lies with the provider of services. Current Medicare regulations can be found on the CMS Web site, www.cms.gov Reproduction of this material for profit is prohibited. CPT codes, related data © 2015 AMA. ICD‐9‐CM codes, descriptors © 2015
32