Transmittals

Update End Stage Renal Disease (ESRD) Treatment Choices (ETC) Model Change Requests (CRs) to Exclude Acute Kidney Injury (AKI)

Create a New Adjustment Reason Code for Adjustments Created When the Provider Didn't Respond to an Additional Documentation Request (ADR)

End Stage Renal Disease (ESRD) Treatment Choices (ETC) Model Demo Priorities - Additional Updates

Instructions for Downloading the Medicare ZIP Code File for April 2025 Files

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2025 Update

Updates to the Medicare Carrier System (MCS), the Viable Information Processing Systems Medicare Systems (VMS) and the Common Working File (CWF) Processes to Capture and Further Automate the Medicare Secondary Payer (MSP) Processes

The Recovery and Adjustment of Medicare Claims where the Department of Veteran Affairs (VA) also Made Payment Using the Medicare Duplicate Payment (DP) Process

Instructions for Retrieving the January 2025 Opioid Treatment Program (OTP) Payment Rates Through the CMS Mainframe Telecommunications System

Removal of Gender References from CMS Publication (Pub.) 100-08, Chapter 10

April 2025 Integrated Outpatient Code Editor (I/OCE) Specifications Version 26.1

April Quarterly Update for 2025 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule

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) 2025

Utilization of KX Modifier Medicare Physician Fee Schedule Payment for Dental Services Inextricably Linked to Covered Medical Services

January 2025 Update of the Ambulatory Surgical Center [ASC] Payment System

Updates to Medicare Benefit Policy Manual and Medicare Claims Processing Manual for Opioid Treatment Programs (OTPs)

Calendar Year (CY) 2025 Home Infusion Therapy (HIT) Payment Rates and Instructions for Retrieving the January 2025 Home Infusion Therapy (HIT) Services Payment Rates Through the CMS Mainframe Telecommunications System

Revision to the Cost Report Acceptability Checklists - This CR Rescinds and Fully Replaces CR 11644.

Updates to Medicare Benefit Policy Manual and Medicare Claims Processing Manual for Opioid Treatment Programs (OTPs)

SUBJECT: Update - Federally Qualified Health Center (FQHC) Participation in and Payment Under the Maryland Primary Care Program (MDPCP) for Healthcare Common Procedure Coding System (HCPCS) Codes 99453 and 99454

Transmittal 1692 issued July 29, 2016, is being rescinded and replaced by Transmittal 13098, dated March 27, 2025, to remove 'Gender' from the background section as required by Executive Order 14168 issued on January 20, 2025, by President Trump, entitled Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government (Defending Women). The U.S. Office of Personnel Management (OPM) provided initial guidance to agencies regarding implementation of Defending Women. HHS considers sex as a biological variable and is committed to ensuring the health and safety of women across the lifespan. All CMS components are expected to comply with Defending Women and OPM guidance by taking prompt actions to end all agency programs that use taxpayer money to promote or reflect gender ideology as defined in Section 2(f) of Defending Women. All other information remains the same.