All current topics for review are listed below with the medical review Part A schedule for each round. We will notify the selected providers in writing with further details of the topic being reviewed, the reasons for selection which will be supported by data analysis, and the process of review.
Note: A status of an active review means there are currently reviews underway for the specific round and topic. A status of an inactive review means there are currently no active TPE reviews for the specific round and topic.
For additional information and specific educational resources, see the topic specific links below.
Topic and education
Round 1 edit #/ Review status
Round 2 edit #/ Review status
Round 3 edit #/ Review status
Checklist
Results
Therapy services
5H101 (Closed)
5H1A2 (Closed)
5H2A1 (Closed)
End stage renal disease (ESRD) - 90999
5H1Z1 (Closed)
5H172 (Closed)
5H2Z1 (Closed)
5H3A1 (Closed)
5H3A2
(Closed)
5H3A3
Injection - J0897
5H1B1 (Closed)
Wound debridement - 11042
5H1W1 (Closed)
5H1W2
5H3Z1
5H3Z2
5H4Z1
5H5Z1
5H5Z2
5H2W1
5H2W2
5H4A1
5H4A2
Inpatient rehabilitation facilities (IRF)
5H1R1
(closed)
5H5A1
5H3W1
5H3W2
5H2R1
5H6A1 (Closed)
5H6A2
5H020
5H7A1 (Closed)
5H8A1 (Closed)
5H3R1 (Closed)
5H1C1
5H4R1
5H2C1
5H2C2
Wound debridement
5H4W1
5H4W2
Intravenous immunoglobulin (IVIg)
5H1V1
5HVV2
HBO (G0277)
5H1H1
5H6Z1
5H3C1
5H3C2
5H7Z1
End stage renal disease (ESRD)-
90999
5H8Z1
End stage renal disease (ESRD)- 90999
5H9Z1
5H9Z2
5H1Y1
5H2Y1
5H6C1
5H7C1
(Active)
Transthoracic Echocardiogram (93306)
5H3E1
5H014
Closed
5H9C1
5H3Y1
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