Revisions to Claims Processing Instructions for Osteoporosis Drugs under the Home Health Benefit

Effective 01/01/2010, the date of service on claims submitted for osteoporosis drugs must fall within the start and end dates of an existing home health prospective payment system (PPS) episode.

PGBA-RHHI adds ICD-9 codes for PT

PGBA-RHHI has added the following ICD-9 codes to support Physical Therapy for Home Health (LCD 99HH-021-L): 359.71, 359.78, 832.2 (effective 10/01/09) v15.88 (effective 09/17/09).

Falls Evaluation

Falls Evaluations are components of existing quality improvement efforts for Medicare Part A providers.

Palmetto GBA has included V15.88 (history of falls) in the final policy to reflect this potential. While claims containing V15.88 would still require the addition of another covered ICD-9-CM code to specify the impairment of structure/function and/or activity limitation (e.q., ICD-9-CM 438.4 monoplegia of lower limb; ICD-9-CM 781.2 abnormality of gait), inclusion of the V15.88 code will help communicate the coverage available and help promote communication of reasonable and necessary physical therapy and/or occupational therapy interventions.