Transmittals

Ensuring Organ Acquisition Charges Are Not Included in the Inpatient Prospective Payment System (IPPS) Payment Calculation

National Coverage Determination (NCD) 20.4 Implantable Cardiac Defibrillators (ICDs)

Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process

Home Health (HH) Patient-Driven Groupings Model (PDGM) - Split Implementation

April Quarterly Update for 2019 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule

Modification of the MCS Claims Processing System Logic for Modifier 59, XE, XS, XP, and XU Involving the National Correct Coding Initiative (NCCI) Procedure to Procedure (PTP) Column One and Column Two Codes

Local Coverage Determinations (LCDs)

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2019 Update

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2019 Update

Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM)

Update to Publication (Pub.) 100-04 Chapter 26 to Provide Language-Only Changes for the New Medicare Card Project

Update to Intensive Cardiac Rehabilitation (ICR) Programs

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

Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD)—Clarification of Payment Rules and Expansion of International Classification of Diseases Tenth Edition (ICD-10) Diagnosis 

Independent Laboratory Billing of Laboratory Tests for End-Stage Renal Disease (ESRD) Beneficiaries and the Sunset of the CB Modifier

Update to Mammography Editing

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

New State Code for CA, FL, LA, MI, MS, OH, PA, TN and TX

Removal of Quality Programs from the Medicare Physician Fee Schedule (MPFS) Disclosure Report

Updates to Reflect Removal of Functional Reporting Requirements and Therapy Provisions of the Bipartisan Budget Act of 2018