Probe Review Documentation Requirements

Medicare Review Part B
Service Specific Probe Documentation Requirements

• Probe Review Results of Care Plan Oversight (CPO) Services in Louisiana (HCPCS G0181), Specialty 11
• Probe Review Results of Emergency Department Evaluation and Management Services in Louisiana (CPT 99282-99285)
• Probe Review Results of Emergency Department Evaluation and Management Services in Louisiana (CPT 99282 - 99285) Specialty 08 (Family Practice)
• Probe Review Results of Initial Consultation Evaluation and Management Services (CPT 99243-99245), for Specialties 04, 06, 14, 20, and 72 in Louisiana
• Probe Review Results of Initial Consultation Evaluation and Management Services in Louisiana (CPT 99243-99245), Specialty 20
• Probe Review Results of Initial Nursing Facility Evaluation and Management Services in Louisiana (CPT 99306), Specialty 11 (Internal Medicine)
• Probe Review Results of Modifier Q6 in Louisiana, Specialty 30 (Diagnostic Radiology)
• Probe Review Results of New Patient Office or Other Outpatient Evaluation and Management Services in Louisiana (CPT 99204 - 99205)
• Probe Review Results of New Patient Office or Other Outpatient Evaluation and Management Services in Louisiana (CPT 99204 – 99205) Specialty 06 (Cardiology)
• Probe Review Results of New Patient Office or Other Outpatient Evaluation and Management Services in Louisiana (CPT 99204 - 99205) For Specialty 11
• Probe Review Results of Office and Other Outpatient Consultation Services (CPT 99241-99242) in Louisiana
• Probe Review Results of Office or Other Outpatient Consultation Evaluation and Management Services in Louisiana (CPT 99244-99245), Specialty 06
• Probe Review Results of Physical Therapy Services by Specialty 67 (Occupational Therapy) in Louisiana (CPT 97018, 97022, 97035, 97110)
• Probe Review Results of Subsequent Nursing Facility Evaluation and Management Services in Louisiana (CPT 99307-99310), Specialty 08 (Family Practice)
• Probe Review Results of Subsequent Nursing Facility Evaluation and Management Services in Louisiana (CPT 99307 – 99310), Specialty 50 (Nurse Practitioner)
• Widespread Prepay Probe Planned for Dialysis Services by Specialty 39 (Nephrology) in Louisiana
• Widespread Prepay Probe Planned for Emergency Department Visits (99282-99285) for Specialty 01 (General Practice) in Louisiana
• Widespread Prepay Probe Planned for Emergency Department Visits (99282-99285) for Specialty 08 (Family Practice) in Louisiana
• Widespread Prepay Probe Planned for Emergency Department Visits (99282-99285) for Specialty 11 (Internal Medicine) in Louisiana
• Widespread Prepay Probe Planned for Initial Nursing Facility E&M Services (CPT code 99306) by Specialty 11 (Internal Medicine) in Louisiana
• Widespread Prepay Probe Planned for New Patient Office E&M Services by All Specialties in Louisiana
• Widespread Prepay Probe Planned for New Patient Office or Other Outpatient Evaluation and Management Services (99204-99205) for Specialty 06 (Cardiology) in Louisiana
• Widespread Prepay Probe Planned for New Patient Office or Other Outpatient Evaluation and Management Services (99204-99205) for Specialty 11 (Internal Medicine) in Louisiana
• Widespread Prepay Probe Planned for New Patient Office or Other Outpatient Evaluation and Management Services (99204-99205) for Specialty 20 (Orthopedic Surgery) in Louisiana
• Widespread Probe Review Results of Care Plan Oversight in Louisiana (HCPCS G0181) For Specialty 08 (Family Practice)
• Widespread Probe Review Results of Consultation Services in Louisiana (CPT 99243-99245)
• Widespread Probe Review Results of Consultation Services in Louisiana (CPT 99243-99245) for Specialty 04 (Otolaryngology)
• Widespread Probe Review Results of Consultation Services in Louisiana (CPT 99251-99253) for All Specialties
• Widespread Probe Review Results of Consultation Services in Louisiana (CPT 99254-99255) for All Specialties
• Widespread Probe Review Results of Emergency Department E/M Services in Louisiana (CPT 99282-99285) by Specialty 01 (General Practice)
• Widespread Probe Review Results of Emergency Department E/M Services in Louisiana (CPT 99282-99285) by Specialty 11 (Internal Medicine)
• Widespread Probe Review Results of Monthly Capitation Payment (MCP) for ESRD-related Services in Louisiana (HCPCS G0317-G0319) by Specialty 39 (Nephrology)
• Widespread Probe Review Results of New Patient Office or Other Outpatient Services in Louisiana (CPT 99204-99205) by Specialty 20 (Orthopedic Surgery)

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