CodeMap®  150 North Wacker Drive
Suite 1870
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2020 (July)
2019

Physician Fee Schedule

2020
2019

OPPS Fee Schedule

2020-October
2020-July

ASC Fee Schedule

2020-October
2020-July

APC Codes

2020-October
2020-July

DRG Codes

2020
2019

ASP Drug Pricing Files

October 2020
July 2020


CMS Transmittals



Fall 2020 Webinar Series Announcement-Click here for details

Issue DateTransmittalTitleImplementation Date
2020-10-30 R10417OTN Update to the Fiscal Intermediary Shared System (FISS) Integrated… 2021-04-05
2020-10-30 R10432OTN International Classification of Diseases, 10th Revision (ICD-10) and… 2020-12-16
2020-10-30 R10415DEMO

Primary Care First (PCF) and Serious Illness Patient (SIP)…

2021-04-05
2020-10-30 R10429OTN

Processing of Multiple Unsolicited Responses on the Same Home…

2021-04-05
2020-10-30 R10433CP

Quarterly Update to Home Health (HH) Grouper

2021-01-04
2020-10-30 R10407CP

Internet Only Manual Update, Pub. 100-04, Chapter 11 - This CR…

2020-12-01
2020-10-30 R10412OTN

Special Provisions for Radiology Additional Documentation…

2020-12-01
2020-10-30 R10424OTN Health Insurance Portability and Accountability Act (HIPAA) Electronic… 2021-04-05
2020-10-27 R10409OTN Utility to Reprocess Bypassed Common Working File (CWF) Informational… 2021-01-04
2020-10-27 R10410CP October Quarterly Update for 2020 Durable Medical Equipment,… 2020-10-05
2020-10-27 R10403CP

Penalty for Delayed Request for Anticipated Payment (RAP)…

2021-01-04
2020-10-23 R10401MSP Electronic Correspondence Referral System (ECRS) User Guide Updates… 2020-11-24
2020-10-20 R10402CP Change to the Payment of Allogeneic Stem Cell Acquisition Services… 2020-10-05
2020-10-14 R10395OTN

Implementation for First Coast Service Options (FCSO) and Novitas for the CMS Enterprise…

2021-01-15
2020-10-16 R10396CP 2021-01-04 12031
2020-10-15 R10397CP New Waived Tests

2021-01-04
2020-10-09 R10387FM

The Fiscal Intermediary Shared System (FISS) Submission of…

2021-01-04
2020-10-13 R10394FM

Notice of New Interest Rate for Medicare Overpayments and Underpayments -1st Qtr Notification…

2020-10-20
2020-10-09 R10383PI Updates to Chapters 4, 5, 8, 15, and Exhibits of Publication (Pub.)… 2020-11-10
2020-10-09 R10384MPI

Updates to Chapter 1 of Publication (Pub.) 100-15

2020-11-10
2020-10-09 R10391CP

January 2021 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and…

2021-01-04
2020-10-02 R1P247

Home Health Agency (HHA) Cost Report, Form CMS‑1728‑20,

2020-10-02
2020-10-02 R10382CP

October 2020 Integrated Outpatient Code Editor (I/OCE)…

2020-10-05
2020-09-25 R10374CP

New Physician Specialty Code for Micrographic Dermatologic…

2020-10-05
2020-09-25 R10374FM

New Physician Specialty Code for Micrographic Dermatologic…

2020-10-05
2020-09-29 R10378OTN 2020-10-05 11728
2020-09-29 R10379DEMO Primary Care First (PCF) and Serious Illness Patient (SIP) Models:… 2021-01-04
2020-10-02 R10376CP Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04,… 2020-11-03
2020-10-02 R10380CP

File Conversions Related to the Spanish Translation of the…

2021-01-04
2020-10-02 R10381CP

 New Waived Tests

2021-01-04
2020-10-02 R10365PI Updates to Chapters 1, 2, 3, 4, 6, 7, 8, 10, 11, and Exhibits of… 2020-08-27
2020-09-23 R10366CP

October 2020 Update of the Ambulatory Surgical Center (ASC) Payment System

2020-10-05
2020-09-24 R10367CP

Quarterly Update for Clinical Laboratory Fee Schedule and…

2020-10-05
2020-09-24 R10369CP

Penalty for Delayed Request for Anticipated Payment (RAP) Submission -- Implementation

2021-01-04
2020-09-24 R10371CP Change to the Payment of Allogeneic Stem Cell Acquisition Services… 2020-10-05
2020-09-24 R10373CP

October 2020 Update of the Hospital Outpatient Prospective…

2020-10-05
2020-09-25 R10364CP

Quarterly Update to the National Correct Coding Initiative (NCCI…

2021-01-04
2020-09-18 R10357CP Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04,… 2020-10-19
2020-09-17 R10361OTN

Update to the Implementation of the Increased Payments for COVID-19 Discharges Under the…

2020-10-05
2020-09-18 R10360CP

Fiscal Year (FY) 2021 Inpatient Prospective Payment System (IPPS…

2020-10-05
2020-09-18 R10355PI

Completion of Removal/Moving of Instructions from Chapter 15 of…

2020-09-18
2020-09-18 R10356CP Update to the Medicare Claims Processing Manual… 2020-10-19
2020-09-18 R10358CP Instructions for Downloading the Medicare ZIP Code File for January… 2021-01-04
2020-09-15 R10359MSP

Update to the Model Admission Questions for Providers to Ask Medicare Beneficiaries

2020-12-07
2020-09-11 R10353PI Chapter 15 of Publication (Pub.) 100-08 Manual Redesign – Additional… 2021-02-01
2020-09-11 R10345PI

 Chapter 15 of Publication (Pub.) 100-08 Manual Redesign –…

2020-11-13
2020-09-11 R10349CP

2021 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled…

2021-01-04
2020-09-11 R10348CP

October 2020 Update of the Ambulatory Surgical Center (ASC) Payment System

2020-10-05
2020-09-11 R10346NCD

National Coverage Determination (NCD 90.2): Next Generation…

2020-11-13
2020-09-10 R10352OTN

Updates to Bills Pending Reports to Assist Medicare…

2021-01-04
2020-09-04 R10341CP

Internet Only Manual Update to Pub. 100-04, Chapter 16, Section 60.1.2 and Pub. 100-04, Chapter…

2020-10-06
2020-09-04 R10342MSP Update to the Model Admission Questions for Providers to Ask Medicare… 2020-12-07
2020-09-04 R10343CP

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

2020-10-06
2020-08-28 R10323CP

2021 Annual Update for the Health Professional Shortage Area (…

2021-01-04
2020-08-28 R10325CP

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

2021-01-04
2020-08-28 R10320CP Updates to Chapter 23 - Fee Schedule Administration and Coding… 2020-12-01
2020-08-27 R10337CP

National Coverage Determination (NCD30.3.3): Acupuncture for…

2020-10-05
2020-08-28 R10334CP October Quarterly Update for 2020 Durable Medical Equipment,… 2020-10-05
2020-08-28 R10332CP

October 2020 Integrated Outpatient Code Editor (I/OCE)…

2020-10-05
2020-08-28 R10331CP

October 2020 Update of the Hospital Outpatient Prospective Payment System (OPPS)

2020-10-05
2020-08-28 R10329CP Annual Clotting Factor Furnishing Fee Update 2021… 2021-01-04
2020-08-21 R10317OTN

Update to the International Classification of Diseases, Tenth…

2020-04-06
2020-08-27 R10338CP

Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index…

2020-10-05
2020-08-27 R10337NCD

National Coverage Determination (NCD30.3.3): Acupuncture for…

2020-10-05
2020-08-27 R10336DEMO

Implementation of Nurse Practitioners Certifying Diabetic Shoe Orders Under the Primary Care…

2021-01-04
2020-08-21 R10318CP Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory… 11937
2020-08-21 R4SPMP

New State Payment of Medicare Premiums, (SPMP)

2020-09-08
2020-08-21 R10315OTN Updates to Nursing and Allied Health Education Medicare Advantage… 2020-11-23
2020-08-21 R10312CP Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS)… 2020-10-05
2020-08-21 R10316OTN

Revision to the Cost Report Acceptability Checklists - This CR…

2020-12-31
2020-08-19 R10314CP

Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY…

2020-10-05
2020-08-14 R10301OTN

Updates to Bills Pending Reports to Assist Medicare…

2021-01-04
2020-08-14 R10305CP

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2020…

2020-10-05
2020-08-14 R10295OTN Shared System Support Hours for Application Programming Interfaces (… 2021-01-04
2020-08-07 R10265CP

Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to…

2020-10-05
2020-08-13 R10302OTN

Shared System Enhancement 2018: Rewrite Fiscal Intermediary…

2019-04-01
2020-08-07 R10278OTN

Create a New Media Preference Indicator Custom Format and New eMedicare Correspondence…

2021-07-06
2020-08-07 R10283OTN

COBOL Version 6.2 Upgrade - Phased Implementation for ViPS Medicare System (VMS) and the Common…

2021-07-05
2020-08-07 R10274CP

Update to Osteoporosis Drug Codes Billable on Home Health Claims

2021-01-04
2020-08-07 R10269BP

Billing for Home Infusion Therapy Services On or After January 1, 2021

2021-01-04
2020-08-07 R10271OTN

Utility to Reprocess Bypassed Common Working File (CWF) Informational Unsolicited Responses (…

2021-04-05
2020-08-07 R10275OTN

Correction to Editing Update for Vaccine Services

2021-01-04
2020-08-07 R10269CP

Billing for Home Infusion Therapy Services On or After January 1, 2021

2021-01-04
2020-08-07 R10281DEMO

Primary Care First (PCF) and Serious Illness Patient (SIP) Models: Part 2: FFS Payments and…

2021-01-04
2020-08-07 R10282DEMO

Telehealth Expansion Benefit Enhancement under the Pennsylvania Rural Health Model (PARHM) -…

2021-01-04
2020-08-06 R10291OTN

Expand Retention of Claims History for Outpatient, Part B, and…

2020-10-05
2020-07-31 R10254CP

Penalty for Delayed Request for Anticipated Payment (RAP)…

2021-01-04
2020-07-31 R10263CP

Influenza Vaccine Payment Allowances - Annual Update for 2020-2021 Season

2020-10-01
2020-07-31 R10261OTN

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

2020-08-31
2020-07-31 R10260DEMO

Implementation of Nurse Practitioners Certifying Diabetic Shoe…

2021-01-04
2020-07-31 R10248OTN

Update the Combined Common Edits Module (CCEM) for Compatibility…

2021-01-04
2020-07-31 R10250OTN

Update the Combined Common Edits Module (CCEM) for Compatibility…

2021-01-04
2020-07-31 R10243MSP

Updating the Common Working File (CWF) to allow for a Medicare Secondary Payer (MSP) Termination…

2021-01-04
2020-07-31 R10241OTN

Reason Code Updates for the 2020 Annual Therapy Current Procedural Terminology (CPT) Codes in…

2021-01-04
2020-07-31 R10258OTN

Send Electronic Funds Transfer (EFT) Information from Provider Enrollment Chain and Ownership…

2021-01-04
2020-07-31 R10252OTN

Version 6.2 Upgrade - Phased Implementation for Fiscal…

2021-01-04
2020-07-31 R10236CP Update to the IOM Publication (Pub) 100-04, Medicare Claims Processing… 2020-08-31
2020-07-31 R10240OTN

IDR Shared Systems (IDRSS) Reference File Request for the Fiscal…

2021-01-04
2020-07-28 R10239PI

Implementation of Provider Enrollment Provisions in CMS-6058-FC – Phase 1 – Continued Removal/…

2020-08-10
2020-07-27 R10228PI

Updates to Chapters 1, 2, 3, 4, 5, 6, 7, 8, 10, 11, and Exhibits of Publication (Pub.) 100-08

2020-08-27