Transmittals

Claims Processing Instructions for the New Hepatitis B Vaccine Code 90759

July 2022 Quarterly Average Sales Price [ASP] Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

Claims Processing Instructions for the New Pneumococcal 15-valent Conjugate Vaccine Code 90671 and Pneumococcal 20- valent Conjugate Vaccine Code 90677

Quarterly Update to the National Correct Coding Initiative [NCCI] Procedure-to-Procedure [PTP] Edits, Version 28.2, Effective July 1, 2022

Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement

April 2022 Update of the Ambulatory Surgical Center (ASC) Payment System

April 2022 Update of the Hospital Outpatient Prospective Payment System (OPPS)

April 2022 Integrated Outpatient Code Editor (I/OCE) Specifications Version 23.1

Quarterly Update to the End-Stage Renal Disease Prospective Payment System (ESRD PPS)

Addition of new provider State Codes

April Quarterly Update for 2022 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule

Correction to Processing When Osteoporosis Drugs Are Billed for Other Indications

April 2022 Update to the Fiscal Year (FY) 2022 Inpatient Prospective Payment System (IPPS)

Internet-Only Manual Updates (IOM) for Critical Care, Split/Shared Evaluation and Management Services, Teaching Physicians, and Physician Assistants

File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions

Internet Only Manual Update, Pub. 100-04, Chapter 11, Sections 20.1.4 and 30.3 Regarding the Cancellation of an Election and Billing for Services

Internet-Only Manual Updates for Critical Care Evaluation and Management Services

Gap Billing Between Hospice Transfers

Quarterly Update to the End-Stage Renal Disease Prospective Payment System (ESRD PPS)

An Omnibus CR Covering: (1) Removal of Two National Coverage Determination (NCDs), (2) Updates to the Medical Nutrition Therapy (MNT) Policy, and (3) Updates to the Pulmonary Rehabilitation (PR), Cardiac Rehabilitation (CR), and Intensive Cardiac Rehabilitation (ICR) Conditions of Coverage