evekhm/cms_iom_500 huggingface dataset:
CMS DisclaimerThe scope of this license is determined by the AMA, the copyright holder. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. End Users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking above on the button labeled "Accept".LICENSE FOR USE OF CURRENT DENTAL TERMINOLOGY (CDT)These materials contain Current Dental Terminology (CDTTM), Copyright  2010 American Dental Association (ADA). All rights reserved. CDT is a trademark of the ADA.THE LICENSE GRANTED HEREIN IS EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. BY CLICKING ABOVE ON THE BUTTON LABELED "ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT.IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN.IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING.
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CMS DISCLAIMER. The scope of this license is determined by the ADA, the copyright holder. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. End Users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. IN NO EVENT SHALL CMS BE LIABLE FOR DIRECT, INDIRECT, SPECIAL, INCIDENTAL, OR CONSEQUENTIAL DAMAGES ARISING OUT OF THE USE OF SUCH INFORMATION OR MATERIAL.ama_acceptama_do_not_acceptEND: BaseTheme/layout-templates/2ColumnRight/layout.html v2end wpthemeMainContentFooterStart: BaseTheme - base_footer.jspEND: BaseTheme - base_footer.jspend containerend content-bodyend from cookieend frameThis is responsible for bootstrapping the configuration for the javascript framework.         This is located here instead of the head section to improve client performance.Complementary Contentdefine the menu item template inside the "ul" element.  only "css-class", "description", and "title" are handled by the theme's sample javascript.${title}${badge}Template for loading${loading}Template for submenu
htmlrel=dynamic-content indicates an element that is replaced with the contents produced by the specified href.  dyn-cs:* URIs are resolved using the WP DynamicContentSpotMappings resource environment provider. These values can also be set using theme metadata if a theme is specified in the URI (e.g. @tl:oid:theme_unique_name).[if IE 7]><script type="text/javascript">document.getElementsByTagName("html")[0].className+=" lotusui_ie lotusui_ie7";</script><![endif][if IE 8]><script type="text/javascript">document.getElementsByTagName("html")[0].className+=" lotusui_ie8";</script><![endif][if IE 9]><script type="text/javascript">document.getElementsByTagName("html")[0].className+=" lotusui_ie9";</script><![endif]start head.jspModifier XS Fact Sheetstart meta tag includesend meta tag includesMedicareGoogleAnalyticsIdUA-67626713-6UA-67626713-6end head.jspSTART WCMHEADINJECTOR.JSPSTART: Head Injected (Desktop)START: Initialize WPSUser ObjectEND: Initialize WPSUser Objecthtml {    background: #eeeeee;  }Build gtag script tagEND: Google Analytics Tracking Snippetv1.1Tages to stop browser cachingPutting the date in the past makes sure the content will not be cached
gear|Logoutlabel-my-dashboardlabel-my-profilelabel-change-my-passwordlabel-recertificationlabel-logoutLogin / RegisterSTART: Search (Desktop)<div id="search-form-wrapper" class="search-form-wrapper">        <div id="search-trigger-action" class="search-trigger-action">            <a title="Open search" target="_self" href="#"  id="search-trigger-action-link" class="search-trigger-action-link">                <button type="button" class="btn btn default">Search</button>                <span class="medicare-icon wps-icon-search margin-full10">Search</span>            </a>        </div>    </div><button id="search-button" type="button" class="btn btn-default margin-left10 slightly-grey" style="float: right;">Search<span class="glyphicon glyphicon-search margin-left5"></span></button>SearchEND: Search (Desktop)See WPS Design > Components > Header > Quick Links PZN, to customize quick links resultsEND: Header Bottom Right Injector (Desktop)END wcmHeaderBottomLeft.JSPModifier XS Fact Sheetrequired - do not remove{}START: BaseTheme/layout-templates/2ColumnRight/layout.html v2this layout has two columns with left column assigned a smaller fixed widthstart base22 skin standardstart header markuplm-dynamic-title node marks location for dynamic title supportWeb Content ViewerActionslm:control dynamic spot injects markup of layout controlasa.overlay marks the node that the AsaOverlayWidget will be placed in <div style="position:relative; z-index: 1;"><div class="analytics.overlay"></div></div>START: Left Nav ContainerDesktop/Tablet NavigatorSTART: Site Navigation v1.1.aw-left-nav .top-level-title {    line-height: 1.2;  }
[if lt IE 11]><div class="alert alert-danger margin-right20 margin-top20"><p class="browserupgrade" dir="ltr">You are using an <strong>outdated</strong> browser. Please <a href="http://browsehappy.com/" title="Update your browser" target="_blank" >upgrade your browser</a> to improve your experience.</p></div><script type="text/javascript">$('#megaMenuWrapper').addClass('hide');</script><![endif]<div id="aw-content-header">        <div class="aw-title">            <div class='aw-content-title' data-swiftype-name="title" data-swiftype-type="string">Modifier XS Fact Sheet</div>            <span class="last-updated">Last updated Jan 04 2022</span>        </div>        <div id="regionContent" class="">        </div>        <div class="row margin-bottom20">            <a id="aw-back-to-news" href="#"><span class="">&#8592; <span class="multilingual">back-to-previous-page</span></span></a>        </div>    </div>Modifier XS Fact Sheet<span class="last-updated">Last updated Jan 04 2022</span>Published on Feb 04 2016, Last Updated on Jan 04 2022back-to-previous-pageContent Share toolsStyles need to be added to the stylesheet when published#top-widget-controls {        margin-top: 0px;    }Loads facebook javascript api
back-to-previous-pageContent Share toolsStyles need to be added to the stylesheet when published#top-widget-controls {        margin-top: 0px;    }Loads facebook javascript apiTwitter button<a href="http://twitter.com/share"  class="twitter popup medicare-icon medicare-icon-twitter margin-right5">Tweet</a>Facebook buttonFB linkJS for twitter api<script>    $('.popup').click(function(event) {        var link = window.location.toString();            link = encodeURIComponent(link.substring(0,link.indexOf('!')));        var width  = 575,            height = 400,            left   = ($(window).width()  - width)  / 2,            top    = ($(window).height() - height) / 2,            url    = 'http://twitter.com/share/?text=Modifier XS Fact Sheet ' + link,            opts   = 'status=1' +                    ',width='  + width  +                    ',height=' + height +                    ',top='    + top    +                    ',left='   + left;        window.open(url, 'twitter', opts);        return false;    });    </script>JS function that launches the fb modal when link/button is pressedPrint and email buttonsPrintEmailJurisdictions:J8A,J5A,J8B,J5BThis site requires JavaScript to function. Please enable JavaScript to continue.<span class="multilingual">jurisdiction-info-text</span>: <span id="jurisdicitonText"></span>You currently have jurisdictionselected, however this page only applies to these jurisdiction(s):.Definition:Separate structure, a service that is distinct because it was performed on a separate organ/structure.Appropriate UsageCoding pairs are part of the National Correct Coding Initiative (NCCI) procedure to procedure editsDocumentation indicates the services provided on different organs/structuresUse Modifier XS with the Column 2 procedure code in the NCCI filesCan use on either the Column 2 or Column 1 code
Use Modifier XS only when there is no other modifier to describe the situationInappropriate UsageCode pairs are not part of the NCCI procedure to procedure editsIf another valid modifier exists to identify the separate servicesSubmission of E/M CodesSubmission of Weekly radiation therapy management codes (CPT 77427)The NCCI code files show the modifier application as "0"Documentation does not support the services provided on a separate organ/structureFor example, both procedures performed on the liver during a single encounterExact same procedure code performed twice on the same dayMultiple administration of injections of the same drugSubmitted with Modifier 59Additional InformationYou can find theNCCI listingson the CMS website.Medicare considers two physicians in the same group with the same specialty performing services on the same day the same physician.Providers should evaluate other modifiers such as theRT/LT identifying right and left,F1 - F0 to identify fingers,T1-T0 to identify toes, andE1-E4 to identify eyelids.Evaluate additional modifiers to determine appropriate usage.global-tags:J8A,J5A,J8B,J5BMessage Componentend aw-content-large-columnThese columns were hidden as the right hand components now show in the left navSTART: Help Right Panel HTMLSTART: Claims Help Panel J5ANeed help?Web HelpEducational VideosContact Us About ClaimsClaim Status/Patient Eligibility:(866) 518-328524 hours a day, 7 days a weekClaim Corrections:(866) 518-32537:00 am to 4:30 pm CT M-ThDDE Navigation & Password Reset: (866) 518-32517:00 am to 4:30 pm CT M-FDDE System Access: (866) 518-32957:00 am to 4:30 pm CT M-FEDI: (866) 518-32857:00 am to 5:00 pm CT M-FGeneral Inquiries:(866) 518-32857:00 am to 5:00 pm CT M-F
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END: WPS Design > Components > Site Components > Apply Structured StoryEND: PT Resourcestart base22 skin standardstart header markuplm-dynamic-title node marks location for dynamic title supportModifier XS Fact SheetActionslm:control dynamic spot injects markup of layout controlasa.overlay marks the node that the AsaOverlayWidget will be placed in <div style="position:relative; z-index: 1;"><div class="analytics.overlay"></div></div>START: FooterStart: General Footer - WPS English > Components > Footer > General Footer.footerHeader {        color: #ffffff;        font-weight: bold;    }    .footerLink {        color: #ffffff;        font-size: 12px;        opacity: 0.75;        text-decoration: none;    }    .footerLink a {        text-decoration: none;    }    .footerLink a:hover {        color: #ffffff;        opacity: 1;        text-decoration: underline;    }    .borderOpacity {        border-left: 1px solid rgba(255, 255, 255, .5);        -webkit-background-clip: padding-box; /* for Safari */        background-clip: padding-box; /* for IE9+, Firefox 4+, Opera, Chrome */    }eNews Sign UpEnter your email above. Current news from CMS andWPS Government Health Administrators delivered toyour inbox.Stay Connectedend stay connectedNewsletters<li class="footerLink"><a href="?1dmy&amp;urile=wcm%3apath%3a">> Communique</a></li>> eNewsTopic Center> Claims> Medical Review> Overpayments> Appeals> Provider Enrollment> Policies> Fee Schedules and Reimbursement> Cost Report Audit> Training> ToolsNeed Help> Web Help> Feedback> Contact us> Acronyms List> Adobe Acrobat ReaderEducational Opportunities> Live Events> Portal User Manual> DDE ManualOther Resources
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Article - Billing and Coding: Transcranial Doppler Studies (A57633)
CMS National Coverage PolicyN/AArticle TextThis First Coast Billing and Coding Article for Local Coverage Determination (LCD) L33977 Transcranial Doppler Studies provides billing and coding guidance for diagnosis limitations that support diagnosis to procedure code automated denials. However, services performed for any given diagnosis must meet all of the indications and limitations stated in the LCD, the general requirements for medical necessity as stated in CMS payment policy manuals, any and all existing CMS national coverage determinations, and all Medicare payment rules.Refer to the LCD for reasonable and necessary requirements and limitations.The redetermination process may be utilized for consideration of services performed outside of the reasonable and necessary requirements in the LCD.Coding GuidelinesNotice:It is not appropriate to bill Medicare for services that are not covered (as described by the entire LCD) as if they are covered. When billing for non-covered services, use the appropriate modifier.Documentation RequirementsAll documentation must be maintained in the patient's medical record and made available to the contractor upon request.Every page of the record must be legible and include appropriate patient identification information (e.g., complete name, dates of service[s]). The documentation must include the legible signature of the physician or non-physician practitioner responsible for and providing the care to the patient.The submitted medical record must support the use of the selected ICD-10-CM code(s). The submitted CPT/HCPCS code must describe the service performed.If the provider of transcranial doppler studies is other than the ordering/referring physician/non-physician practitioner, the provider of the service must maintain a copy of the test results and interpretation, along with copies of the ordering/referring physician/non-physician practitioners order for the studies. The physician/non-physician practitioner must state the clinical indication/medical necessity for the study in his/her order for the test.Utilization GuidelinesIn accordance with CMS Ruling 95-1 (V), utilization of these services should be consistent with locally acceptable standards of practice.Compliance with the provisions in LCD L33977, Transcranial Doppler Studies may be monitored and addressed through post payment data analysis and subsequent medical review audits.
Article - Billing and Coding: Duplex Scanning (A57636)
CMS National Coverage PolicySocial Security Act (Title XVIII) Standard References:Title XVIII of the Social Security Act, Section 1833(e) states that no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period.Article TextThis Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L33674 Duplex Scanning. Please refer to the LCD for reasonable and necessary requirements.Coding GuidanceNotice:It is not appropriate to bill Medicare for services that are not covered (as described by the entire LCD) as if they are covered. When billing for non-covered services, use the appropriate modifier.Documentation RequirementsAll documentation must be maintained in the patient's medical record and made available to the contractor upon request.Every page of the record must be legible and include appropriate patient identification information (e.g., complete name, dates of service[s]). The documentation must include the legible signature of the physician or non-physician practitioner responsible for and providing the care to the patient.The submitted medical record must support the use of the selected ICD-10-CM code(s). The submitted CPT/HCPCS code must describe the service performed.If the provider of the duplex scan study(ies) is other than the ordering/referring physician, the provider of the service must maintain hard copy documentation of test results and interpretation, along with copies of the ordering/referring physicians order for the studies.An order from the treating physician/nonphysician practitioner as required by CFR, Title 42, Volume 2, Chapter IV, Part 410.32(a) Ordering diagnostic tests.
Article - Billing and Coding: Visual Field Examination (A57637)
CMS National Coverage PolicySocial Security Act (Title XVIII) Standard References:Title XVIII of the Social Security Act, Section 1833(e) states that no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period.Article TextThis Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L33766 Visual Field Examination. Please refer to the LCD for reasonable and necessary requirements.Coding GuidanceNotice:It is not appropriate to bill Medicare for services that are not covered (as described by the entire LCD) as if they are covered. When billing for non-covered services, use the appropriate modifier.Documentation RequirementsAll documentation must be maintained in the patient's medical record and made available to the contractor upon request.Every page of the record must be legible and include appropriate patient identification information (e.g., complete name, dates of service[s]). The documentation must include the legible signature of the physician or non-physician practitioner responsible for and providing the care to the patient.The submitted medical record must support the use of the selected ICD-10-CM code(s). The submitted CPT/HCPCS code must describe the service performed.If the provider of the service is other than the ordering/referring physician, the provider of the service must maintain hard copy documentation of test results and interpretation along with copies of the ordering/referring physicians order for the studies. The physician must state the clinical indication/medical necessity for the study in this order for the test.