45 CFR 162.1002 - Medical data code sets
| Cite as | 45 CFR 162.1002 |
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74 practice notes
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Human drugs, biological products, and animal drugs; foreign and domestic establishment registration and listing requirements,
...drugs is the NDC (see final rule on ``Health Insurance Reform: Standards for Electronic Transactions'' (65 FR 50312, August 17, 2000), 45 CFR 162.1002(c); amended February 20, 2003: ``Health Insurance Reform: Modifications to Electronic Data Transaction Standards and Code Sets'' (68 FR 8381......
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Part II
...drugs is the NDC (see final rule on ``Health Insurance Reform: Standards for Electronic Transactions'' (65 FR 50312, August 17, 2000), 45 CFR 162.1002(c); amended February 20, 2003: ``Health Insurance Reform: Modifications to Electronic Data Transaction Standards and Code Sets'' (68 FR 8381......
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Almy v. Sebelius, Civil Action No. RDB–08–1245.
...an electronic DME claim must include a Healthcare Common Procedure Coding System (“HCPCS”) billing code. 45 C.F.R. §§ 162.1000(a), 162.1002(b)(3). Medicare benefit claims are processed by administrative contractors, which are private insurance companies hired by the Secretary to perform var......
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United States v. Marder, Case No. 1:13-cv-24503-KMM
...services," id. § 1395w–4(c)(5). The Secretary of HHS acted on this authority by adopting the CPT code set drafted by the AMA. 45 C.F.R. § 162.1002 ; see also United States v. Semrau, 693 F.3d 510, 530 (6th Cir.2012).9 "Incident to services" are services that are furnished by other employees......
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13 cases
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Almy v. Sebelius, Civil Action No. RDB–08–1245.
...an electronic DME claim must include a Healthcare Common Procedure Coding System (“HCPCS”) billing code. 45 C.F.R. §§ 162.1000(a), 162.1002(b)(3). Medicare benefit claims are processed by administrative contractors, which are private insurance companies hired by the Secretary to perform var......
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United States v. Marder, Case No. 1:13-cv-24503-KMM
...services," id. § 1395w–4(c)(5). The Secretary of HHS acted on this authority by adopting the CPT code set drafted by the AMA. 45 C.F.R. § 162.1002 ; see also United States v. Semrau, 693 F.3d 510, 530 (6th Cir.2012).9 "Incident to services" are services that are furnished by other employees......
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United States ex rel. Eastlick v. Odom, C/A No. 3:20-cv-00803-CMC
...became a valid billing code-set by which healthcare providers may bill the federal government for reimbursement under Medicare. See 45 C.F.R. § 162.1002(a)(5), (c) (providing CPT Codes developed and maintained by the American Medical Association are a valid code-set by which healthcare prov......
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United States ex rel. Montcrieff v. Peripheral Vascular Assocs., P.A., SA-17-CV-00317-XR
...(CPT–4), as maintained and distributed by the American Medical Association, for physician services and other health care services. 45 C.F.R. § 162.1002(a)(5). The CPT-4 continues to be a valid method of billing medical services to Medicare for reimbursement. Id. § 162.1002(c).PVA and other ......
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1 provisions
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P.A. 19-0155, HB 6088 – AN ACT CONCERNING CONTRACTING HEALTH ORGANIZATIONS AND DENTISTS, DENTAL PLANS AND PROCEDURES
...the organization shall give providers as much notice as possible; (B) To comply with changes to the medical data code sets set forth in 45 CFR 162.1002, as amended from time to (C) To comply with changes to national best practice protocols made by the National Quality Forum or other nationa......