Transmittals

Summary of Policies in the Calendar Year (CY) 2019 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, CT Modifier Reduction List, and Preventive Services List

Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 25.0 Effective January 1, 2019

Revision of Definition of the Physician Supervision of Diagnostic Procedures, Clarification of DSMT Telehealth Services, and Establishing a Modifier for Expanding the Use of Telehealth for Individuals with Stroke

Revision of Definition of the Physician Supervision of Diagnostic Procedures, Clarification of DSMT Telehealth Services, and Establishing a Modifier for Expanding the Use of Telehealth for Individuals with Stroke

National Coverage Determination (NCD90.2): Next Generation Sequencing (NGS)

Next Generation Accountable Care Organization (NGACO) Model Post Discharge Home Visit HCPCS

Ambulance Inflation Factor for Calendar Year 2019 and Productivity Adjustment

Instructions for Downloading the Medicare ZIP Code Files for April 2019

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

Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) for Calendar Year (CY) 2019 - Recurring File Update

Update to Rural Health Clinic (RHC) All Inclusive Rate (AIR) Payment Limit for Calendar Year (CY) 2019

Calendar Year (CY) 2019 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures

Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2019

New Waived Tests

Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement

Implementation of a Bundled Payment for Multi-Component Durable Medical Equipment (DME)

Shared System Enhancement 2018: Improve Organization of the International Code of Diseases, Tenth Revision (ICD-10) File during Creation

Update to Medicare Deductible, Coinsurance and Premium Rates for 2019

User Change Request (CR): ViPS Medicare System (VMS) Changes to Edit Dispensing and Supply Fee Codes Allowed when Related Drug Codes are Denied in Batch

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