Transmittals

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2025

Removal of Gender References from CMS Publication (Pub.) 100-08, Chapter 10

Influenza Vaccine Payment Allowances - Annual Update for 2025-2026 Season

July 2025 Update of the Ambulatory Surgical Center [ASC] Payment System

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

NCD 20.37 - Transcatheter Tricuspid Valve Replacement (TTVR)

NCD 20.37 - Transcatheter Tricuspid Valve Replacement (TTVR)

Hold Split Claims Pulled for Review in ViPS Medicare System (VMS) Online Quality Control (OQC)

Effective Date Change for Bypass of Common Working File (CWF) Edits on Inpatient Ancillary 12X Claims for Part A Benefits Exhaust

Patient Driven Payment Model (PDPM) Corrections to Interrupted Stay Edits to Include Prospective Payment System (PPS) Swing Bed Providers

Update the Multi-Carrier System (MCS) Full Procedure Code Inquiry (PL Segment) Screen I.

Update the Multi-Carrier System (MCS) Criteria Location Movement Maintenance (CM) Screen

Addressing Potential Underpayment Issues For Critical Access Hospitals With Part A Rates That Exceeds Fiscal Intermediary Shared System (FISS) Field Size Limitation

Display Testing/Production Region Identifier in ViPS Medicare System (VMS) Automated Parameters (VMAP) Phase 1

The Fiscal Year 2025 CMS Internet Only Manual (IOM) Update to Publication (Pub.) 100-06, Chapter 5, 400.14 - Exhibit 14 - Protocol for Estimating Allowance for Uncollectible Accounts and 400.22 - Exhibit 22 - Accounts Receivable Trending Analysis Procedures.

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) - October 2025.

Omnibus Change Request (CR) Covering Updates for the Medicare Physician Fee Schedule (MPFS) Rule 2025: (1) Updates to Colorectal Cancer Screening and Hepatitis B Vaccine Policies

Omnibus Change Request (CR) Covering Updates for the Medicare Physician Fee Schedule (MPFS) Rule 2025: (1) Updates to Colorectal Cancer Screening and Hepatitis B Vaccine Policies

Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 32, Sections 150.4, 150.6, 200.2, 300.2, 400.2, 400.2.2, 400.2.3, 400.2.3.1, 400.2.4, and 400.3 for Coding Revisions to National Coverage Determinations (NCDs) - July 2025 Change Request (CR) 13939.

Updates to Chapter 1, Section 1.4 of Publication (Pub) 100-08 - Program Integrity Manual (PIM) To Clarify the Contractor Medical Director's Primary Functions