Where an NGHP fails to report required information as a result of the plan’s inability to obtain the individual’s first or last name, date of birth, gender, Medicare beneficiary number (MBI), SSN, or last five digits of the SSN and the plan has made good faith effort to obtain this...
through the first three digits, to give readers an idea of the proposed placement in the code set of the potential code changes. These codes will not be used for claims reporting and will be removed and not retained when the final CPT Datafiles are distributed on August 31st ...
• Retinal Disorders: H33, H34, H35 • First three digits after decimal • Position 4, or 4 & 5: One or two digits indicating the etiology, or cause, of the condition, e.g., chronic allergic (cause) for conjunctivitis (category). • Next, one digit that gives location, i.e...