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LCDs and LCAs
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PLA Codes

Laboratory Fee Schedule

2022
2021

Physician Fee Schedule

2022
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OPPS Fee Schedule

2022-October
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APC Codes

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DRG Codes

2022
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ASP Drug Pricing Files

October 2022
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CMS Transmittals



Issue DateTransmittalTitleImplementation Date
2022-12-01 R11722CP

Calendar Year 2023 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (…

2023-01-03
2022-12-01 R11728OTN

Medicare Administrative Contractors (MACs) Updating Their Systems to Integrate with Call Center…

2023-02-28
2022-12-01 R11727CP

Fiscal Year (FY) 2023 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (…

2022-10-03
2022-11-30 R11725OTN

User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) Edit/Audit/…

2023-04-03
2022-11-22 R7P242

Medicare 

N/A
2022-11-28 R11721CP National Coverage Determination (NCD 110.24): Chimeric Antigen… 2023-01-03
2022-11-23 R11718CP

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

2023-01-03
2022-11-22 R11720OTN

MAC Use of Jira and Confluence

2022-12-28
2022-11-23 R11717CP

New Waived Tests

2023-04-03
2023-04-01 R11719OTN

Update the Common Working File (CWF) to Apply Error Code 7282 to all Applicable Detail Lines of…

2023-04-03
2022-11-17 R11706CP

Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP)…

2023-04-03
2022-11-18 R11714CP

Home Health Claims - New Grouper Return Code Edits and Informational Unsolicited Response

2023-04-03
2022-11-17 R11707CP

Correction to Stem Cell Transplantation Instructions in Chapter 3, Section 90.3

2022-12-20
2022-11-17 R11709OTN

User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) Comment Screen

2023-04-03
2022-11-17 R11708CP

Summary of Policies in the Calendar Year (CY) 2023 Medicare Physician Fee Schedule (MPFS) Final…

2023-01-03
2022-11-17 R11704CP

Combined Common Edits/Enhancements Modules (CCEM) Code Set Update

2023-04-03
2022-11-17 R11711CP

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

2023-04-03
2022-11-17 R11703CP

Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds…

2023-04-03
2022-11-14 R11675CP Calendar Year (CY) 2023 Participation Enrollment and Medicare… 2022-11-15
2022-11-10 R11700CP Changes to the Laboratory National Coverage Determination (NCD) Edit… 2023-01-03
2022-11-10 R11702CP

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

2023-01-03
2022-11-09 R11692NCD

National Coverage Determination (NCD) 200.3 - Monoclonal Antibodies Directed Against Amyloid for…

2022-12-12
2022-11-10 R11701PI

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

2023-01-06
2022-11-09 R11694PI

Medicare Enrollment of Rural Emergency Hospitals (REHs)

2022-10-28
2022-11-09 R11696PI Updates to Chapter 4 of Publication (Pub.) 100-08, to Include the… 2022-12-12
2022-11-09 R11697PI Update to Process and Responsibility for Tracking Medicare Contractors… 2023-04-03
2022-11-09 R11689OTN

User Enhancement Change Request (UECR): Add the Common Working…

2023-04-03
2022-11-09 R11695OTN

New State Codes for North Carolina

2023-04-03
2022-11-09 R11698OTN Modern Solution to SuperOp Claim Counter Maximum Implementation… 2023-04-03
2022-11-03 R11678BP Implementation of Changes in the End-Stage Renal Disease (ESRD)… 2023-01-03
2022-11-09 R11688OTN User Enhancement Change Request (UECR): Enhance the Multi-Carrier… 2023-04-03
2022-11-09 R11685CP Billing for Hospital Part B Inpatient Services… 2022-12-12
2022-11-09 R11686OTN User Enhancement Change Request (UECR): ViPS Medicare System (VMS) -… 2023-04-03
2022-11-09 R11693BP

International Classification of Disease (ICD-10) Code Update for Coverage of Intravenous Immune…

2022-12-12
2022-11-03 R11680OTN

User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) to Include…

2023-04-02
2022-10-06 R11626CP 2023 Annual Update of Per-Beneficiary Threshold Amounts… 2023-01-03
2022-10-19 R11646BP

New Medicare Part B Immunosuppressant Drug Benefit (PBID) - Implementation

2023-01-03
2022-11-03 R11682PI

Seventh General Update to Provider Enrollment Instructions in Chapter 10 of CMS Publication (Pub…

2022-12-05
2022-11-03 R11677CP

Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) for…

2023-01-02
2022-11-03 R11679OTN

User Enhancement Change Request (UECR): Enhance the Multi-Carrier System (MCS) Related…

2022-04-02
2022-11-03 R11681OTN

User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) Edit/Audit/…

2023-04-02
2022-11-03 R11676OTN

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

2023-04-02
2022-07-21 R11502CP New Codes to Report Home Health (HH) Services Furnished by Telehealth… 2023-01-03
2022-10-19 R11646CP

New Medicare Part B Immunosuppressant Drug Benefit (PBID) -

2023-01-03
2022-10-19 R11646GI

New Medicare Part B Immunosuppressant Drug Benefit (PBID) - Implementation

2023-01-03
2022-10-28 R5P244i

This transmittal updates Chapter 44, Federally Qualified Health…

N/A
2022-10-28 R1P248i

.Chapter 48, Home Office Cost Statement, Form CMS‑287-22,

N/A
2022-10-27 R11674DEMO

Modification to Value-Based Insurance Design (VBID) Model Change Requests (CRs)

2023-04-03
2022-10-27 R11663CP

Instructions for Retrieving the 2023 Pricing and Healthcare Common Procedure Coding System (…

2023-01-03
2022-10-27 R11670CP

File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding…

2023-01-03
2022-10-28 R492PR

Table 34 to update the Medicare Payment Rates for routine SNF-type…

N/A
2022-10-27 R11667OTN

User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) to Display the…

2023-04-03
2022-10-24 R11661CP October 2022 Update of the Ambulatory Surgical Center (ASC) Payment… 2022-10-03
2022-10-21 R11660OTN

Extensions of Certain Temporary Changes to the Low-Volume…

2022-11-01
2022-10-21 R11659OTN

Updates to the Common Working File (CWF) for Editing and Claims Processing to Allow Medicare Fee…

2022-07-05
2022-10-21 R208SOMA

Revisions to State Operation Manual (SOM), Appendix PP

2022-10-24
2022-10-20 R11651OTN

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

2023-04-03
2022-10-20 R11650OTN

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

2023-04-03
2022-10-13 R11644CP

Home Health Claims - New Grouper Return Code Edits and Informational Unsolicited Response

2023-04-03
2022-10-20 R11649OTN

User Enhancement Change Request (UECR): Fiscal Intermediary Shared System (FISS) - Skilled…

2023-04-03
2022-10-20 R11648OTN

Instructions for Durable Medical Equipment (DME) Medicare Administrative Contractors (MACs) to…

12930
2022-10-13 R11640CP

Calendar Year (CY) 2023 Participation Enrollment and Medicare…

2022-11-15
2022-10-13 R11641GI

Update to Medicare Deductible, Coinsurance and Premium Rates for…

2023-01-03
2022-10-13 R11642CP

Ambulance Inflation Factor (AIF) for Calendar Year (CY) 2023 and Productivity Adjustment

2023-01-03
2022-10-07 R11639CP

Provider Specific File (PSF) changes for Direct Medical…

0023-04-03
2022-10-12 R11643FM Notice of New Interest Rate for Medicare Overpayments and… 2022-10-18
2022-10-06 R11634CP

Home Health Claims - New Grouper Return Code Edits and…

2023-04-03
2022-10-07 R11637PI Provider Enrollment Appeals and Rebuttals - Revised Instructions and… 2022-10-09
2022-10-06 R11627CP Quarterly Update to Home Health (HH) Grouper… 2023-01-03
2022-10-06 R11628CP Shared System Support Hours for Application Programming Interfaces (… 2023-01-03
2022-10-06 R11629OTN

User CR: Fiscal Intermediary Shared System (FISS) Enhancement to…

2023-04-03
2022-10-06 R11630CP

Instructions to the Fiscal Intermediary Shared System [FISS] to…

2023-04-03
2022-10-06 R11633CP

New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician…

0203-04-03
2022-10-05 R11636OTN International Classification of Diseases, 10th Revision (ICD-10) and… 2022-09-06
2022-10-04 R11624OTN

Mobile Personal Identity Verification (PIV) Station

2023-01-06
2022-09-29 R11617CP Instructions for Retrieving the January 2023 Home Infusion Therapy (… 2023-01-03
2022-09-30 R11623OTN Updates to the Common Working File (CWF) for Editing and Claims… 2022-07-05
2022-09-30 R207SOMA

Revisions to State Operation Manual (SOM), Appendix PP

2022-10-01
2022-09-29 RR11616COM

The Supplemental Security Income (SSI)/Medicare Beneficiary Data…

2022-11-01
2022-09-29 R11619CP October Quarterly Update for 2022 Durable Medical Equipment,… 2022-10-03
2022-09-29 R11618CP Instructions for Retrieving the January 2023 Home Infusion Therapy (… 2023-01-03
2022-09-29 R11622OTN

Changes to Beneficiary Coinsurance for Additional Procedures…

2022-10-03
2022-10-10 R17P240

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

N/A
2022-09-23 R11612CP

Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS…

2023-01-03
2022-09-23 R11610CP October 2022 Update of the Ambulatory Surgical Center (ASC) Payment… 2022-10-03
2022-09-22 R11613PI Final Round of Transition of Enrollment and Certification Activities… 2022-11-07
2022-09-23 R11611CP

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

2023-01-03
2022-09-22 R11464CP

Fiscal Year (FY) 2023 Annual Update to the Medicare Code Editor…

2022-10-03
2022-09-15 R11599CP Quarterly Update to the National Correct Coding Initiative (NCCI)… 2023-01-03
2022-09-16 R11604CP Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and… 2022-10-03
2022-09-15 R11600CP Instructions for Retrieving the January 2023 Opioid Treatment Program… 2023-01-03
2022-09-15 R11601CP

Annual Update of Healthcare Common Procedure Coding System (…

2023-01-03
2022-09-09 R11593CP October 2022 Integrated Outpatient Code Editor (I/OCE) Specifications… 2022-10-03
2022-09-13 R11596CP

Annual Clotting Factor Furnishing Fee Update 2023

2023-01-03
2022-09-08 R11587NCD Revision to National Coverage Determination (NCD) 240.2 (Home Use of… 2023-01-03
2022-09-09 R11594CP October 2022 Update of the Hospital Outpatient Prospective Payment… 2022-10-03
2022-09-08 R11589CP Billing for Hospital Part B Inpatient Services… 2022-10-11
2023-01-03 R11590CP

Update to the Internet Only Manual (IOM) Publication (Pub.) 100-…

2023-01-03
2022-09-08 R11591CP

Instructions for Retrieving the January 2023 Medicare Physician…

2023-01-03
2022-09-01 R11583CP Changes to the Laboratory National Coverage Determination (NCD) Edit… 2023-01-03