Transmittals

Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Injury (AKI) in ESRD Facilities for Calendar Year (CY) 2020

Positron Emission Tomography (PET) Scan - Allow Tracer Codes Q9982 and Q9983 in the Fiscal Intermediary Shared System (FISS)

Home Health (HH) Patient-Driven Groupings Model (PDGM) - Revised and Additional Manual Instructions

Updates to the Coordination of Benefits Agreement Insurance File (COIF) For Use in the National Coordination of Benefits Agreement (COBA) Crossover Process

Refinement of the Transitional Drug Add-on Payment Adjustment (TDAPA)

Calendar Year (CY) 2020 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures

Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - October 2019 Update

Health Professional Shortage Area (HPSA) Bonus Payments for All Mental Health Specialties

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--April 2020

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2020

Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 26.0, Effective January 1, 2020

2020 Annual Update to the Therapy Code List

Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - October 2019 Update

Instructions for Retrieving the January 2020 Medicare Physician Fee Schedule Database (MPFSDB) Files Through the CMS Mainframe Telecommunications System

Internet Only Manual Update to Add New and Revise Sections of Publication 100-04, Chapter 11

Billing for Hospital Part B Inpatient Services

October 2019 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

Solutions to the Medicare Administrative Contractor (MAC) Prepayment Review Reports

Manual Updates to Chapters 1, 22, 24, 26, and 31 in Publication (Pub.) 100-04

October 2019 Update of the Ambulatory Surgical Center (ASC) Payment System