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LCDs and LCAs
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PLA Codes

Laboratory Fee Schedule

2023
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Physician Fee Schedule

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OPPS Fee Schedule

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CMS Transmittals



Important Notice: Change of Address

Issue DateTransmittalTitleImplementation Date
2023-03-27 R11929NCD National Coverage Determination (NCD) 50.3 - Cochlear Implantation… 2023-03-24
2023-03-27 R11928OTN

User Enhancement Change Request (UECR): Update the Multi-Carrier…

2023-04-17
2023-03-24 R4P247i

This transmittal updates Chapter 47, Home Health Agency Cost Report, Form CMS-1728-20, by…

N/A
2023-03-27 R11929CP

National Coverage Determination (NCD) 50.3 - Cochlear Implantation Manual Update…

2023-03-24
2023-03-24 R19P240i

This transmittal updates Chapter 40, Hospital and Hospital Health Care Complex Cost Report (Form…

N/A
2023-03-23 R11919CP

Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2023

2023-06-26
2023-03-24 R11927CP April 2023 Update of the Ambulatory Surgical Center [ASC] Payment… 2023-04-03
2023-03-23 R11920CP

July 2023 Quarterly Average Sales Price (ASP) Medicare Part B…

2023-07-03
2023-03-16 R11903CP April 2023 Update of the Ambulatory Surgical Center [ASC] Payment… 2023-04-03
2023-03-21 R11917CP Inflation Reduction Act Section 11407: Limitations on Monthly… 2023-07-03
2023-03-16 R11904OTN

Implementation of Consolidated Appropriations Act (CAA) of 2023…

2023-12-28
2023-03-16 R11909CP Quarterly Update to the National Correct Coding Initiative (NCCI)… 2023-07-03
2023-03-16 R11910CP

April Quarterly Update for 2023 Durable Medical Equipment,…

2023-04-03
2023-05-17 R11912OTN Instructions Relating to the Evaluation of Section 1115 Waiver Days in… 2023-05-17
2023-03-16 R11901BP Update to the Manual to Clarify Supervision Requirements for… 2023-05-17
2023-03-16 R11902CP Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04,… 2023-04-17
2023-03-16 R11905BP Revisions to Medicare Part B Coverage of Pneumococcal Vaccinations for… 2023-04-17
2023-03-10 R11897CP April 2023 Update of the Hospital Outpatient Prospective Payment… 2023-04-03
2023-03-13 R11900CP Implementation of Rural Emergency Hospital (REH) Provider Type… 2023-01-03
2023-03-09 R11892NCD Technical Revisions Only to the National Coverage Determination (NCD)… 2023-04-10
2023-03-10 R11896CP April 2023 Integrated Outpatient Code Editor (I/OCE) Specifications… 2023-04-03
2023-03-10 R11894OTN User Enhancement Change Request (UECR): ViPS Medicare System (VMS) -… 2023-07-03
2023-03-02 R11886CP Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (… 2023-07-03
2023-03-09 R11891PI Second Policy Change Request (CR) Regarding Implementation of the… 2023-06-19
2023-03-09 R11899OTN Upload of Notice Program Reimbursement (NPR) Letters, Interim Rate… 2023-06-12
2023-03-02 R11882CP Instructions for Downloading the Medicare ZIP Code File for July 2023… 2023-07-03
2023-03-02 R11885CP Claim Status Category and Claim Status Codes Update… 2023-07-03
2023-03-02 R11887CP Combined Common Edits/Enhancements Modules (CCEM) Code Set Update… 2023-07-03
2023-03-01 R11884OTN

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to…

2023-03-03
2023-03-01 R11883CP

April 2023 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder

2023-04-03
2023-02-24 R8P242i

This transmittal updates Chapter 42, Independent Renal Dialysis Facility Cost Report, Form CMS-…

N/A
2023-02-28 R11881CP Calendar Year (CY) 2023 Annual Update for Clinical Laboratory Fee… 2023-01-03
2023-02-24 R11879OTN

Enhancements to Patient Driven Payment Model (PDPM) Claim Edits…

2023-04-03
2023-02-23 R11875NCD National Coverage Determination (NCD) 50.3 - Cochlear Implantation… 2023-03-24
2023-02-23 R11878OTN

 Extensions of Certain Temporary Changes to the Low-Volume…

2023-03-10
2023-02-23 R11870COM The Supplemental Security Income (SSI)/Medicare Beneficiary Data for… 2023-03-24
2023-02-23 R11875CP National Coverage Determination (NCD) 50.3 - Cochlear Implantation… 2023-03-24
2023-02-16 R11865NCD

An Omnibus CR to Implement Policy Updates in the CY 2023 PFS Final Rule, Including (1)…

2023-02-27
2023-02-23 R11874MSP Significant Updates to Internet Only Manual (IOM) Publication (Pub.)… 2023-03-24
2023-02-23 R11869OTN

User Enhancement Change Request (UECR): ViPS Medicare System (…

2023-07-03
2023-02-23 R11871CP

July 2023 Healthcare Common Procedure Coding System (HCPCS)…

2023-07-03
2023-02-16 R11862OTN User Enhancement Change Request (UECR): Fiscal Intermediary Shared… 2023-07-03
2023-02-16 R11865CP An Omnibus CR to Implement Policy Updates in the CY 2023 PFS Final… 2023-02-27
2023-02-16 R11865BP

An Omnibus CR to Implement Policy Updates in the CY 2023 PFS Final Rule, Including (1)…

2023-02-27
2023-02-16 R11859PI Eighth General Update to Provider Enrollment Instructions in Chapter… 2023-03-17
2023-02-16 R11860OTN User Enhancement Change Request (UECR): Update the Multi-Carrier… 2023-07-03
2023-02-16 R11864OTN

User Enhancement Change Request (UECR): Fiscal Intermediary…

2023-07-03
2023-02-10 R11857OTN

User Enhancement Change Request (UECR): ViPS Medicare System (VMS) – Process Change for ZIP Code…

2023-07-03
2023-02-02 R11834CP Inflation Reduction Act Section 11407: Limitations on Monthly… 2023-07-03
2023-02-09 R11847OTN Healthcare Integrated General Ledger Accounting System (HIGLAS)… 2023-07-03
2023-02-09 R11844MSP

Online Electronic Correspondence Referral System (ECRS) Added…

2023-03-09
2023-02-09 R11848CP

Quarterly Update to the Medicare Physician Fee Schedule Database…

2023-04-03
2023-02-09 R11852OTN User Enhancement Change Request (UECR): Update the Multi-Carrier… 2023-07-03
2023-02-09 R11842CP Internet-Only Manual (IOM) Updates to Pub. 100-04, Chapter 12 for the… 2023-05-09
2023-02-09 R11849CP April 2023 Quarterly Update to HCPCS Codes Used for Skilled Nursing… 2023-04-03
2023-02-10 R212SOMA

Revisions to State Operations Manual (SOM) Chapter 5.

2022-10-24
2023-02-10 R213SOMA

Revisions to State Operations Manual (SOM), Chapter 7

2023-02-10
2023-02-10 R11858OTN User Enhancement Change Request (UECR) - Update the Multi-Carrier… 2023-07-03
2023-02-03 R11837OTN User Enhancement Change Request (UECR): Update the Multi-Carrier… 2023-04-03
2023-02-03 R210SOMA

Revisions to the State Operations Manual (SOM)

2023-02-03
2023-02-02 R11836CP New Biweekly Interim Payments for Domestic N95 Respirator Procurement… 2023-07-03
2023-02-03 R211SOMA

Revisions to State Operations Manual (SOM), Appendix PP

2022-10-24
2023-02-02 R11829CP

Quarterly Update for Clinical Laboratory Fee Schedule and…

2023-04-03
2023-02-02 R11828CP Correction of Split (or Shared) Critical Care Billing Requirement in… 2023-03-03
2023-02-02 R11833OTN Patient Responsibility Reporting with Medicare Secondary Payer (MSP)… 2023-07-03
2023-02-02 R11832OTN International Classification of Diseases, 10th Revision (ICD-10) and… 2023-03-03
2023-01-27 R11824NCD

An Omnibus CR to Implement Policy Updates in the CY 2023 PFS Final Rule, Including (1)…

2023-02-27
2023-01-31 R11831CP

File Conversions Related to the Spanish Translation of the…

2023-04-03
2023-01-26 R11803BP Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC… 2023-02-27
2023-01-27 R11824BP

An Omnibus CR to Implement Policy Updates in the CY 2023 PFS…

2023-02-27
2023-01-27 R11824CP

An Omnibus CR to Implement Policy Updates in the CY 2023 PFS Final Rule, Including (1)…

2023-02-27
2023-01-26 R11812OTN

Shared System Support Hours for Application Programming Interfaces (APIs) - July 2023

2023-07-03
2023-01-26 R11807CP

Correction to the Manual Instructions Update Established under…

2023-07-03
2023-01-26 R11813OTN Update to Change Request (CR) 12636 Payment for Critical Access… 2023-07-03
2023-01-26 R11814OTN

Expand Bills Pending Reports Parameter (PARM) in Fiscal…

2023-07-03
2023-01-24 R11808PI

Incorporation of Recent Provider Enrollment Regulatory Changes into Chapter 10 of CMS…

2023-01-03
2023-01-20 R11801CP January 2023 Update of the Hospital Outpatient Prospective Payment… 2023-01-03
2023-01-19 R11794CP

Preventing Submission of Cross-Reference Document Control…

2023-04-03
2023-01-20 R11802CP

Home Health Prospective Payment System (HH PPS) Rate Update for…

2023-01-03
2023-01-19 R11787FM

Publication (Pub.) 100-06, Chapter 4, Section 70 Revision (Removal of Debt Collection System…

2023-04-21
2023-01-19 R11788MSP

Electronic Correspondence Referral System (ECRS) Updates to the…

2023-02-21
2023-01-19 R11789CP

Update to the Internet Only Manual (IOM) For Alpha-Numerical Order in Publication (Pub.) 100-04…

2023-02-21
2023-01-19 R11792BP Updates to Medicare Benefit Policy Manual and Medicare Claims… 2023-02-21
2023-01-19 R11792CP

Updates to Medicare Benefit Policy Manual and Medicare Claims Processing Manual for Opioid…

2023-02-21
2023-01-19 R11797PI

Updates of Chapters 4 and 8 in Publication (Pub.) 100-08,…

2023-02-21
2023-01-19 R11793CP

Internet-Only Manual [IOM] Updates for Ambulatory Surgical…

2023-02-21
2023-01-19 R11796CP

Revisions to Processing of Home Health Disaster Related Claims…

2023-04-03
2023-01-17 R11786CP January 2023 Update of the Ambulatory Surgical Center [ASC] Payment… 2023-01-03
2023-01-11 R11784FM

Notice of New Interest Rate for Medicare Overpayments and…

2023-01-18
2023-01-10 R11781CP January 2023 Integrated Outpatient Code Editor (I/OCE) Specifications… 2023-01-03
2023-01-06 R11778CP

Clinical Laboratory Fee Schedule – Medicare Travel Allowance…

2023-01-23
2023-01-05 R11776OTN Direct Mailing Notification to Hospice Providers Regarding the Value-… 2023-02-06
2023-01-04 R11777CP

Home Health Prospective Payment System (HH PPS) Rate Update for…

2023-01-03
2022-12-30 R11771BP

Internet-Only Manual (IOM) Updates for Nurse Practitioners (NPs) and Clinical Nurse Specialists…

2023-01-31
2022-12-30 R11775MSP

Automation of the Medicare Duplicate Primary Payment (DPP) Process

2022-10-03
2022-12-30 R11774CP

National Coverage Determination (NCD 110.24): Chimeric Antigen Receptor (CAR) Tcell Therapy

2023-01-31
2022-12-30 R11768CP

Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy…

2023-04-03
2022-12-29 R11773PI

Review Contractor (RC) Onboarding to the Electronic Submission of Medical Documentation (esMD)…

2023-07-03
2022-12-30 R11769BP

Manual Update Pub. 100-02 Medicare Benefit Policy, Chapter 15, Section 110.8 Durable Medical…

2023-01-31
2022-12-30 R11771PI

Internet-Only Manual (IOM) Updates for Nurse Practitioners (NPs) and Clinical Nurse Specialists…

2023-01-31