Agencies
Services
Provider Notice issued 04/30/03
Elimination of State Generated Procedure Codes - HIPAA Implementation
| To: | Enrolled Podiatrists |
| Date: | April 30, 2003 |
| Re: | Elimination of State Generated Procedure Codes - HIPAA Implementation |
The Department is in the process of converting state generated "W" procedure codes and obsolete procedure codes to the appropriate Current Procedural Terminology (CPT) or Health Care Procedure Coding System (HCPCS) codes. This is being done to prepare for compliance with the Health Insurance Portability and Accountability Act (HIPAA).
Beginning with dates of service June 1, 2003 and after, state generated "W" procedure codes and obsolete procedure codes assigned to services provided by podiatrists will be eliminated. The Department is opening several CPT and HCPCS codes for podiatrist to use in place of the eliminated procedure codes. Attached are tables which identify the procedure codes that are being closed and opened. Claims received with the state generated "W" procedure codes or the obsolete procedure codes for dates of service June 1, 2003 and after, will be rejected.
A complete listing of procedure codes billable by a podiatrist can be found on the Department's website at <http://www.dpaillinois.com/feeschedule/>.
Any questions regarding this notice should be directed to the Bureau of Comprehensive Health Services at 217-782-5565.
A. George Hovanec, Administrator
Division of Medical Programs
CODES OPENED FOR DATES OF SERVICE ON OR AFTER JUNE 1, 2003
|
CPT or HCPCS Code |
DESCRIPTION |
|
85002 |
Bleeding Time Test |
|
85651 |
Sedimentation Rate, Erythrocyte; Non Automated |
|
85652 |
Sedimentation Rate, Erythrocyte; Automated |
|
99201 |
E/M Office/Oh Visit New Pt |
|
99211 |
E/M Office/Oh Visit Est Pt |
|
99231 |
E/M Sub Hospital Visit Per Day |
|
99281 |
ER Visit for E/M of Patient |
|
99311 |
Subseq Nurs Facil Care New/Est |
|
99341 |
Home Visit E/M New Patient 20 Minutes |
|
L3000 |
Foot,Insert; Removable,"Ucb"Type, Berkeley Shell, Molded, each |
|
L3001 |
Foot,Insert: Removable, Spenco, Molded to Pt, each |
|
L3002 |
Foot, Insert; Removable, Plastazote or Equal, Molded to Pt, each |
|
L3003 |
Foot, Insert; Removable, Silicone Gel, Molded to Pt, each |
|
L3010 |
Foot, Insert; Removable, Longitudinal Arch Support, Molded, each |
|
L3030 |
Foot, Insert; Removable, Formed to Patient Foot, each |
|
L3217 |
Orthopedic Shoes; Ladies, High Top, Depth Inlay |
|
L3218 |
Orthopedic Shoes; Ladies, Surgical Boot, each |
|
L3649 |
Orthopedic Shoe; Mod, Add, Transfer Not Otherwise Specified |
CODES CLOSED EFFECTIVE JUNE 1, 2003
|
CODE |
DESCRIPTION |
|
10100 |
I and D Ony-Paronychia Simple |
|
10101 |
I and D Ony-Paronychia Complic |
|
29455 |
App Clubfoot Cast Bilateral |
|
85000 |
Bleeding Time |
|
85650 |
Sedimentation Rate Esr |
|
90015 |
Office Visit New Patient |
|
90060 |
Office Subsequent Visit |
|
90100 |
Home Visit |
|
90200 |
Inpatient Hospital Visit |
|
90350 |
Visit Nh First Patient Seen |
|
90510 |
ER Services/Pod Called to Hosp |
|
W7206 |
Injection Corticosteroid |
|
W7212 |
Phal Bone Subcutaneous |
|
W7213 |
Ostectomy P/T Exc of Phalan |
|
W7222 |
Repair of Cast |
|
W7225 |
Thermoplastic Orthodic Pair |
|
W7226 |
Thermoplastic Orthodic Single |
|
W7227 |
Molded Balanced Inlay - Pair ( Custom Made) |
|
W7228 |
Molded Balanced Inlay - Single (Custom Made) |
|
W7233 |
Shoe Modification Interior Sgl |
|
W7239 |
Reese Shoe Single |
|
W7240 |
Reese Shoes,Pair |
|
W7249 |
Removal of Cast |
|
W8611 |
Podiatric-DCFS Services |
|
W9046 |
Visit NH Coinciding |