MR Activities
Updated: 03.04.24
Review Topic | Codes Involved | Review Type | Status | Resources |
---|---|---|---|---|
Ambulance |
A0425, A0429 |
Targeted Probe and Educate Prepayment Review |
Active |
|
Annual Wellness Visit |
G0438 and G0439 |
Targeted Probe and Educate Prepayment Review |
Active |
|
Diagnostic Imaging |
74174, 74176, 74177, 71046, 71260, 71250 |
Targeted Probe and Educate Prepayment Review |
Active |
|
Drugs/Biologicals |
J0129, J0178, J0717, J2778, J0897, J0585, J1602, J7326 |
Targeted Probe and Educate Prepayment Review |
Active |
|
Cataract Removal |
66821, 66982, 66984 |
Targeted Probe and Educate Prepayment Review |
Active |
|
Evaluation and Management Services |
99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215 |
Targeted Probe and Educate Prepayment Review |
Active |
|
Lab Tests |
G0483, 82306, G0481, 92134 |
Targeted Probe and Educate Prepayment Review |
Active |
|
Nail Debridement |
11721 |
Targeted Probe and Educate Prepayment Review |
Active |
|
Specialist – Psychiatry |
90832, 90834, 90837 |
Targeted Probe and Educate Prepayment Review |
Active |
|
Spinal Pain Management |
62323, 63650, 63685, 64635, 64636 |
Targeted Probe and Educate Prepayment Review |
Active |
|
Therapy Services |
97110, 97112, 97140, 97530, 92507-92612 |
Targeted Probe and Educate Prepayment Review |
Active |
|
Therapy Services – Modifiers |
All Codes Billed with KX Modifier |
Targeted Probe and Educate Prepayment Review |
Active |
|
Total Knee Arthroplasty |
27447 |
Targeted Probe and Educate Prepayment Review |
Pending |