Widespread Probe Notification –AL– FI – Notice to Providers of Upcoming Widespread Review of HCPCS J0152 Injection, adenosine for diagnostic use, 30 mg (use this code for adenoscan) TOB 13X DOS 9/1/07-2/29/08
As a result of data analysis, Cahaba will soon be conducting a widespread review of HCPCS J0152 Injection, adenosine for diagnostic use, 30 mg (use this code for adenoscan) TOB 13X DOS 9/1/07-2/29/08. The topic code for this review will be 5149V. Claims meeting the parameters of this edit will be selected across the provider community. Once selected, the claims will be reviewed for medical necessity (e.g. compliance with CMS guidelines, contractor LCD’s, correct billing and coding). This will be a full claim review. The data from this review will assist us in determining our providers’ education needs. Once completed, the results of this probe will be posted on our web site: www.cahabagba.com
Page last updated: April 29, 2008
