Transmittals

Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2020

Claim Status Category and Claim Status Codes Update

CY 2020 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule

Addition of Medical Severity Diagnosis Related Groups (MS-DRG) Subject to Inpatient Prospective Payment System (IPPS) Replaced Devices Offered Without Cost or With a Credit Policy

User CR: ViPS Medicare System (VMS) Increase Number of SuperOp Occurrences within a Value Set

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