WASHINGTON STATE REGISTER

WSR 05-09-030

INTERPRETIVE OR POLICY STATEMENT

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES

[ Filed April 12, 2005, 2:46 p.m. ]

DESCRIPTION OF INTERPRETIVE OR POLICY STATEMENT

аааа Document Title: Numbered Memorandum 05-17 MAA.

аааа Subject: Physician-related services: Corrections and updates.

аааа Effective Date: April 1, 2005.

аааа Document Description: Unless otherwise specified, effective for dates of service on and after April 1, 2005, the Medical Assistance Administration (MAA) will:

Х Discontinue coverage for certain CPT codes;

Х Clarify policy on certain injectable drugs and miscellaneous procedures;

Х Update the prior authorization (PA) grid;

Х Update the policy on portable X-rays (CPT codes R0070 and R0075);

Х Update the list of services billable by podiatrists and orthopedic surgeons;

Х Update the policy on immunization administration;

Х Expand coverage for blepharoplasties;

Х Discontinue coverage for certain HCPCS codes;

Х Update place of service grid;

Х Clarify policy on billing for contrast materials;

Х Clarify policy on drug administration;

Х Clarify policy on billing for ventilator management codes;

Х Clarify billing policy for DDD physicals;

Х Clarify coverage policy for tuberculosis treatment services provided by nonprofessionals;

Х Cover additional podiatry codes as listed in this memorandum; and

Х Cover PET scans with PA.

аааа To receive a copy of the interpretive or policy statement, contact Barbara Salmon, Office of Rules and Publications, Department of Social and Health Services, Medical Assistance Administration, Division of Policy and Analysis, P.O. Box 45533, Olympia, WA 98504-5533, phone (360) 725-1349 or go to website http://maa.dshs.wa.gov/download/publicationsfees.htm (click on "Numbered Memos," "Year 2005"), TDD 1-800-848-5429, fax (360) 586-9727, e-mail salmobl@dshs.wa.gov.

April 6, 2005

Barbara L. Salmon

for Ann Myers, Manager

Rules and Publications Section

Х	Discontinue coverage for certain CPT codes;
Х	Clarify policy on certain injectable drugs and miscellaneous procedures;
Х	Update the prior authorization (PA) grid;
Х	Update the policy on portable X-rays (CPT codes R0070 and R0075);
Х	Update the list of services billable by podiatrists and orthopedic surgeons;
Х	Update the policy on immunization administration;
Х	Expand coverage for blepharoplasties;
Х	Discontinue coverage for certain HCPCS codes;
Х	Update place of service grid;
Х	Clarify policy on billing for contrast materials;
Х	Clarify policy on drug administration;
Х	Clarify policy on billing for ventilator management codes;
Х	Clarify billing policy for DDD physicals;
Х	Clarify coverage policy for tuberculosis treatment services provided by nonprofessionals;
Х	Cover additional podiatry codes as listed in this memorandum; and
Х	Cover PET scans with PA.

й Washington State Code Reviser's Office