CMS to Host IRF Call

The Centers for Medicare and Medicaid Services will host a call on November 15, 2018 beginning at 1:30pm ET to discuss changes finalized in the FY 2019 Inpatient Rehabilitation Facility (IRF) Prospective Payment System final rule. Topics include revisions to coverage criteria, removal of the Functional Independence Measure and associated function modifiers from the IRF…

First Coast Revises Major Joint Replacement LCD

First Coast Service Options, Inc. has revised their local coverage determination (LCD) for major joint replacement (hip and knee). The revision removes diagnosis codes M96.65, T84.020A, T84.020D, T84.020S, T84.021A, T84.021D, T84.021S, Z89.621, and Z89.622, that were included in the “ICD-10 Codes that Support Medical Necessity/Group 2 Codes:/Total Knee Arthroplasty” section of the LCD in error. The…