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LCDs and LCAs
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PLA Codes

Laboratory Fee Schedule

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CMS Transmittals



Issue DateTransmittalTitleImplementation Date
2022-08-05 R11541CP

Medicare Part A Skilled Nursing Facility (SNF) Prospective…

2022-10-03
2022-08-04 R11542CP Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and… 2022-10-03
2022-08-04 R11543CP Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS)… 2022-10-03
2022-08-05 R11536PI Provider/Supplier Enrollment Adverse Legal Actions… 2022-09-06
2022-08-05 R11540CP Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective… 2022-10-03
2022-08-05 R11539OTN Implementation of the Award for the Jurisdiction N (J-N) Part A and… 2022-09-01
2022-08-05 R11535OTN Health Insurance Portability and Accountability Act (HIPAA) Electronic… 2023-01-03
2022-08-05 R11545OTN International Classification of Diseases, 10th Revision (ICD-10) and… 2022-10-03
2022-07-29 R491PR1

The inflation factors in Section 1499 are applied at the beginning of a…

N/A
2022-08-04 R11547CP

New Waived Tests

2022-10-03
2022-08-04 R11546CP

International Classification of Diseases, 10th Revision (ICD-10…

2022-09-06
2022-08-04 R11544CP Quarterly Update to the Medicare Physician Fee Schedule Database (… 2022-10-03
2022-07-29 R490PR1 The factor for CY 2021 has been added and the factor for CY 2011 has been deleted.  The factors are… N/A
2022-07-29 R3P246i This transmittal revises, clarifies and makes corrections to Chapter 46, Rural Health Clinic (RHC)… N/A
2022-07-28 R11515DEMO Federally Qualified Health Center (FQHC) Participation in and Payment Under the Maryland Primary… 2023-01-03
2022-07-29 R11533OTN Implementation of the Capital Related Assets Adjustment (CRA) for the Transitional Add-on Payment… 2023-01-03
2022-07-28 R11521OTN Multi-Carrier System (MCS) Removal of the Physician Pay for Reporting (P4R), Physician Quality… 2023-01-03
2022-07-28 R11509CP Cessation of Use of MyMedicare.gov Web Address 2023-01-03
2022-07-28 R11510CP Masking the Medicare Beneficiary Identifier (MBI) on the Medicare Summary Notice (MSN) 2023-01-03
2022-07-28 R11529PI Update of Chapter 3 in Publication (Pub.) 100-08, Including Update to Medicare Program Integrity… 2022-08-30
2022-07-28 R11517DEMO Remove Beneficiaries Below 18 Years Old From Model Adjustments - Correction for CR 11390 2023-01-03
2022-07-21 R11505DEMO Concatenation of Multiple Separate Comma-Separated Values Files to One File - Update to CR 12492 -… 2023-01-03
2022-07-27 R11526OTN User Enhancement Change Request (CR)- Update the Model Participant Provider (M1) Screen and Model… 2023-01-03
2022-07-28 R11522OTN Remove Hard Coded Logic for Edits 004H and 005H - Remove the Edits from Displaying on the H99RBEA1… 2023-01-03
2022-07-28 R11525OTN User Enhancement Change Request (CR) - Update the Multi-Carrier System (MCS) Desk Top Tool (MCSDT)… 2023-01-03
2022-07-28 R11516DEMO Monthly Report of Performance Payment Adjustment (PPA) Claims - Addition to Change Request (CR)… 2023-01-03
2022-07-14 R11496CP October 2022 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions… 2022-10-03
2022-07-21 R11503OTN Corrections to Processing of Canceled Home Health Notices of Admission and of Period Sequence Edits 2023-01-03
2022-07-21 R11504CP Modification of Existing Common Working File (CWF) Editing for Preventive Services 2023-01-03
2022-07-14 R11493CP Claim Status Category and Claim Status Codes Update 2022-10-03
2022-07-14 R11499FM The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files to the Provider and… 2022-10-03
2022-07-12 R11495FM Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Qtr Notification for… 2022-07-18
2022-07-08 R11491OTN Interns and Residents Information System (IRIS) XML Format 2022-08-19
2022-07-07 R11488OTN New Edit for Prospective Payment System (PPS) Outpatient and Inpatient Bill Types Receiving an… 2023-01-03
2022-07-08 R11492OTN User CR: MCS - HIMR Functions Menu Additional Fields 2022-10-03
2022-07-07 R11485OTN Instructions to the Fiscal Intermediary Shared System [FISS] Edit to Expand the Existing MA Bypass… 2023-01-03
2022-06-29 R11474CP Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)… 2022-10-03
2022-07-06 R11489DEMO ESRD Treatment Choices (ETC) Model Performance Payment Adjustment (PPA) - Facility Component (… 2022-04-04
2022-06-29 R11475CP Instructions for Downloading the Medicare ZIP Code Files for October 2022 2022-10-03
2022-06-23 R11466CP Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy… 2022-10-03
2022-06-23 R11472CP July 2022 Update of the Ambulatory Surgical Center (ASC) Payment System 2022-07-05
2022-06-23 R11468CP Combined Common Edits/Enhancements Modules (CCEM) Code Set Update 2022-10-03
2022-06-23 R11467CP Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer… 2022-10-03
2022-06-23 R11462FM Federal Paper Tax Levy 2022-07-25
2022-06-23 R11465CP Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2022 2022-10-03
2022-06-23 R11463CP Internet Only Manual Update to Publication 100-04, Chapter 16, Sections 70.5, 70.8, and 70.9 to… 2022-07-25
2022-06-23 R11471CP Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP)… 2022-10-03
2022-06-21 R11461OTN National Coverage Determination (NCD) 90.2, Next Generation Sequencing (NGS) 2022-11-23
2022-06-17 R11460OTN International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to… 2022-10-03
2022-06-17 R206SOMA Revisions to the State Operations Manual (SOM) Appendix L - Ambulatory Surgical Centers and Chapter… 2022-06-17
2022-06-15 R11457CP July 2022 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2022-07-05
2022-06-09 R11452CP July 2022 Update of the Ambulatory Surgical Center (ASC) Payment System 2022-07-05
2022-06-10 R11453OTN International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to… 2022-07-06
2022-06-06 R11448BP Revisions to Medicare Part B Coverage of Pneumococcal Vaccinations for the Medicare Benefit Policy… 2022-06-06
2022-06-09 R11451CP uly Quarterly Update for 2022 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (… 2022-07-05
2022-06-06 R11447BP Update to Chapter 7, “Home Health Services,” of the Medicare Benefit Policy Manual (Pub 100-02) 2022-05-26
2022-06-02 R11440CP Annual (2023) Update of the International Classification of Diseases, Tenth Revision, Clinical… 2022-10-03
2022-06-03 R11445CP Revisions to Chapters 3, “Inpatient Hospital Billing” of the Medicare Claims Processing Manual (Pub… 2022-05-09
2022-06-02 R11439CP Shared System Support Hours for Application Programming Interfaces (APIs 2022-10-03
2022-06-02 R11443CP File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding… 2022-10-03
2022-05-26 R11435CP July 2022 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2022-07-05
2022-05-27 R11437CP New/Modifications to the Place of Service (POS) Codes for Telehealth 2022-04-04
2022-05-26 R11432PI Transition of Enrollment and Certification Activities for Various Certified Provider and Supplier… 2022-05-27
2022-05-26 R11434CP July 2022 Integrated Outpatient Code Editor (I/OCE) Specifications Version 23.2 2022-07-05
2022-05-26 R11436CP October 2022 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder 2022-10-03
2022-05-26 R11431PI Publication (Pub.) 100-08, Chapter 5 Update - Planned Elimination of Certificates of Medical… 2022-06-28
2022-05-26 R11433OTN Update to Addition of Disposition Category U to Recovery Audit Contractor Data Warehouse (RACDW)… 2022-10-03
2022-05-24 R11430CP Update to 'J' Drug Code List for Billing Home Infusion Therapy (HIT) Services 2022-05-24
2022-05-23 R11429NCD Revisions to National Coverage Determination (NCD) 240.2 (Home Use of Oxygen) and 240.2.2 (Home… 2023-01-03
2022-05-24 R11430OTN Update to 'J' Drug Code List for Billing Home Infusion Therapy (HIT) Services 2022-05-24
2022-05-20 R11426NCD An Omnibus CR Covering: (1) Removal of Two National Coverage Determination (NCDs), (2) Updates to… 2022-05-20
2022-05-23 R11429CP Revisions to National Coverage Determination (NCD) 240.2 (Home Use of Oxygen) and 240.2.2 (Home… 2023-01-03
2022-05-20 R11425CP Update to the Payment for Grandfathered Tribal Federally Qualified Health Centers (FQHCs) for… 2022-07-05
2022-05-20 R11426BP An Omnibus CR Covering: (1) Removal of Two National Coverage Determination (NCDs), (2) Updates to… 2022-07-05
2022-05-20 R11426CP An Omnibus CR Covering: (1) Removal of Two National Coverage Determination (NCDs), (2) Updates to… 2022-05-20
2022-05-20 R11427CP Claims Processing Manual Update - Pub. 100.04 for Elimination of Certificates of Medical Necessity… 2023-01-03
2022-05-20 R11424CP Quarterly Update to the End-Stage Renal Disease Prospective Payment System (ESRD PPS) 2022-07-05
2022-05-19 R11423CP Annual Updates to the Prior Authorization/Pre-Claim Review Federal Holiday Schedule Tables for… 2022-10-03
2022-05-19 R11419MSP Update the International Classification of Diseases, Tenth Revision (ICD-10) 2023 Tables in the… 2022-10-03
2022-05-19 R11416OTN User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Off-line History Retrieval of… 2022-10-03
2022-05-19 R11417CP Quarterly Update to Home Health (HH) Grouper 2022-10-03
2022-05-19 R11418OTN Interns and Residents Information System (IRIS) XML Format 2022-08-19
2022-05-17 R1121OTN Updates to Current Inpatient Claim Edits 2022-10-03
2022-05-12 R11408CP Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July 2022 Update 2022-07-05
2022-05-12 R11414CP Claims Processing Manual Update - Pub. 100-04 for Elimination of Certificates of Medical Necessity… 2022-06-13
2022-05-12 R11409OTN User Enhancement - Update the Multi-Carrier System (MCS) to Display the Full History of a Claims'… 2022-10-03
2022-05-12 R11412OTN User Enhancement Multi-Carrier System (MCS) - Update the Procedure Code File Maintenance Screen… 2022-10-03
2022-05-04 R11397CP Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2022 2022-08-04
2022-05-12 R11413OTN User CR: ViPS Medicare System (VMS) - Improve Transportation within VMS Subsystems 2022-10-03
2022-05-12 R11411MSP Automation of the Medicare Duplicate Primary Payment (DPP) Process 2022-10-03
2022-05-04 R11400OTN International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to… 2022-10-03
2022-05-04 R11401CP Quarterly Update to the End-Stage Renal Disease Prospective Payment System (ESRD PPS) 2022-07-05
2022-05-04 R11395GI Updated Instructions for the Change Request Implementation Report (CRIR) and Technical Direction… 2022-05-31
2022-05-04 R11396CP Update to Chapters 3, 4, 27 and 37 of Publication (Pub.) 100-04 Medicare Claims Processing Manual… 2022-10-03
2022-05-04 R11399BP Revisions to Medicare Part B Coverage of Pneumococcal Vaccinations for the Medicare Benefit Policy… 2022-06-06
2022-05-04 R11398CP Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to… 2022-07-05
2022-04-29 R11388NCD National Coverage Determination (NCD) 210.14 Reconsideration – Screening for Lung Cancer with Low… 2022-10-03
2022-05-02 R11392CP Revisions to Chapters 3, “Inpatient Hospital Billing” of the Medicare Claims Processing Manual (Pub… 2022-05-09
2022-04-29 R11376OTN  Medicare Summary Notice (MSN) Created with Wrong Beneficiary Data - Update Beneficiary Data… 12710
2022-04-29 R11373OTN Update the Common Working File Utilization Reject 86x7 and 86x6 2022-10-03