Educational information only
Coding and reimbursement information presented on this site, in the readiness assessment, or in any AOR material is provided for general education. It is not coding advice, billing advice, legal advice or a representation about any specific claim.
A code does not guarantee payment
The existence of a HCPCS, CPT or other code does not guarantee coverage, medical necessity determination, or payment for any item or service.
- Payment varies by payer and plan.
- Payment varies by jurisdiction and by Medicare Administrative Contractor policy.
- Payment varies by place of service and site-of-care rules.
- Payment varies by diagnosis, documented medical necessity and prior-treatment history.
- Payment varies by the payer's current coverage policy, which changes over time.
- Payment depends on the completeness and accuracy of clinical documentation.
Provider responsibility
Providers and organizations are solely responsible for clinical judgment, documentation, code selection, claim submission, billing practices and compliance with applicable federal, state and payer requirements, including the accuracy of every claim submitted under their identifiers.
Medicare and Medicare Advantage
AOR Medical Solutions does not guarantee Medicare or Medicare Advantage coverage or reimbursement for any product, service or program. AOR is not an agent of CMS, of any Medicare Administrative Contractor or of any health plan.
Verify current policy
Before relying on any coverage or coding information, verify the current Local Coverage Determination, National Coverage Determination, Medicare Administrative Contractor article and commercial payer policy applicable to your jurisdiction, setting and date of service.