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Transmittals

  • NCD (20.32) Transcatheter Aortic Valve Replacement (TAVR)
  • Section 4.26.2 in Chapter 4 of Publication (Pub.) 100-08
  • April 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.1
  • April 2020 Update of the Hospital Outpatient Prospective Payment System (OPPS)
  • Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits
  • Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
  • Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2020 Update
  • Implementation of Additional Requirement to add Healthcare Common Procedure Coding System (HCPC) and Current Procedural Terminology (CPT) - HCPC/CPT as Paired Items of Service for Prior Authorization and Medicare Claims Processing for Part A, Part B, DME, and Home Health and Hospice
  • Revisions to the State Operations Manual (SOM) Appendix A - Hospitals, Appendix AA – Psychiatric Hospitals, Appendix B – Home Health Agency, Appendix D - Portable X-Ray, Appendix G - Rural Health Clinics/Federally Qualified Health Centers, Appendix H- End Stage Renal Disease Facilities (ESRD), Appendix K – Comprehensive Outpatient Rehabilitation Facility, Appendix L - Ambulatory Surgical Centers, Appendix M – Hospice, Appendix U - Religious Nonmedical Healthcare Institutions, Appendix W - Critical Access Hospitals (CAHs), Appendix X - Organ Transplant Program and Appendix Z - Emergency Preparedness
  • July 2020 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder
  • International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--July 2020 Update
  • Quarterly Update for the Temporary Gap Period of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) - April 2020
  • Update to Medicare Benefit Policy Manual and Medicare Claims Processing Manual Adding New Chapters for Opioid Treatment Programs (Manual Updates Only)
  • Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2020 Update
  • Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2020 Update
  • Implementation of the Long Term Care Hospital (LTCH) Discharge Payment Percentage (DPP) Payment Adjustment
  • Update to Medicare Benefit Policy Manual and Medicare Claims Processing Manual Adding New Chapters for Opioid Treatment Programs (Manual Updates Onl
  • January 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.0
  • Revisions to the State Operating Manual (SOM) Chapter 2; Community Mental Health Center (CMHC)
  • Add Dates of Service (DOS) for Pneumococcal Pneumonia Vaccination (PPV) Health Care Procedure Code System (HCPCS) Codes (90670, 90732), and remove Next eligible dates for PPV HCPCS
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