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Educational Information

1st Quarter 2018 Updates

ZIP Codes
No ZIP codes were added or removed during this quarter.

Effective January 1, 2018, the Round 2 Recompete single payment amount file has been updated to replace HCPCS codes A4595 and A4557 with HCPCS codes A4595KG and A4557KG. This change allows Medicare to accurately process and pay HCPCS codes A4595 (electrical stimulator supplies, 2 lead, per month) and A4557 (lead wires, (e.g., apnea monitor)) according to competitive bidding payment rules when used in conjunction with a competitive bidding base unit, such as a transcutaneous electrical nerve stimulation (TENS) device. When furnishing items described by these codes to a beneficiary residing in a competitive bidding area, suppliers should append the KG modifier to HCPCS codes A4595 and A4557 when they are billed in conjunction with a TENS device and should not append the KG modifier when they are billed in conjunction with a neuromuscular electrical stimulation (NMES) device. For more information, please see Change Request 10233.

last updated on 03/29/2018


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