4th Quarter 2018 Updates

ZIP Codes
The following ZIP codes have been added to the respective ZIP code file to conform with U.S. Postal Service ZIP code changes within the identified competitive bidding area:

     Round 1 2017
     75036  Dallas-Fort Worth-Arlington, TX
     75072  Dallas-Fort Worth-Arlington, TX

The ZIP code files can be used to identify when a specific item furnished to a beneficiary is subject to the competitive bidding program.

HCPCS Codes
No HCPCS codes were added or removed during this quarter.  

3rd Quarter 2018 Updates

No ZIP codes or HCPCS codes were added or removed during this quarter.

2nd Quarter 2018 Updates

ZIP Codes
No ZIP codes were added or removed during this quarter.

HCPCS Codes
No HCPCS codes were added or removed during this quarter. To ensure accurate payment, the QB modifier has been added to the stationary and portable oxygen HCPCS codes on the competitive bidding program single payment amount files for Round 1 2017. For more information on this change, please see Change Request 10158.

1st Quarter 2018 Updates

ZIP Codes
No ZIP codes were added or removed during this quarter.

HCPCS Codes
Effective January 1, 2018, the Round 1 2017 single payment amount file has been updated to replace HCPCS codes A4595 and A4557 with HCPCS codes A4595KG and A4557KG. This change allows Medicare to accurately process and pay HCPCS codes A4595 (electrical stimulator supplies, 2 lead, per month) and A4557 (lead wires, (e.g., apnea monitor)) according to competitive bidding payment rules when used in conjunction with a competitive bidding base unit, such as a transcutaneous electrical nerve stimulation (TENS) device. When furnishing items described by these codes to a beneficiary residing in a competitive bidding area, suppliers should append the KG modifier to HCPCS codes A4595 and A4557 when they are billed in conjunction with a TENS device and should not append the KG modifier when they are billed in conjunction with a neuromuscular electrical stimulation (NMES) device. For more information, please see Change Request 10233.