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LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2023
2022

Physician Fee Schedule

2023
2022

OPPS Fee Schedule

2023-October
2023-July

ASC Fee Schedule

2023-October
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APC Codes

2023-October
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DRG Codes

2023
2022

ASP Drug Pricing Files

October 2023
July 2023


CMS Transmittals



Issue DateTransmittalTitleImplementation Date
2023-12-07 R12398CP

Calendar Year 2024 Update for Durable Medical Equipment,…

2024-01-02
2023-12-06 R12401CP

Instructions for Retrieving the 2024 Pricing and Healthcare Common Procedure…

2024-01-02
2023-12-07 R12393PI

Incorporation of Recent Provider Enrollment Regulatory Changes into Chapter 10…

2024-01-02
2023-12-07 R12396CP

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

2024-01-09
2023-12-07 R12397OTN

Payment of Codes for Chemotherapy Administration and Nonchemotherapy Injections…

2023-12-21
2023-12-05 R12392OTN

Enforcing Billing Requirements for Intensive Outpatient Program (IOP) Services…

2024-01-04
2023-12-06 R12400BP

 Hospice Benefit Policy Manual Updates Related to the Addition of Marriage and…

2024-01-02
2023-11-30 R12390DEMO

Making Care Primary (MCP) Model Implementation

2024-04-01
2023-11-28 R12382CP

Separate Payment for Disposable Negative Pressure Wound Therapy Devices…

2024-01-02
2023-11-30 R12385BP

Hospice Benefit Policy Manual Updates Related to the Addition of…

2024-01-02
2023-11-30 R12384CP

April 2024 Update to the Medicare Severity – Diagnosis Related Group (MS…

2024-04-01
2023-11-30 R12389CP

Calendar Year (CY) 2024 Annual Update for Clinical Laboratory Fee…

2024-01-02
2023-11-24 R12381CP

New Waived Tests 

2024-01-02
2023-11-28 R12382BP

Separate Payment for Disposable Negative Pressure Wound Therapy Devices…

2024-01-02
2023-11-24 R12380CP

Diagnosis Code Update for Add-on Payments for Blood Clotting Factor…

2024-04-01
2023-11-22 R12377CP

Remittance Advice Remark Code (RARC), Claims Adjustment Reason…

2024-04-01
2023-11-22 R12373CP

January 2024 Annual Rural Emergency Hospital (REH) Monthly…

2024-01-02
2023-11-22 R12379CP

Implementation of New Benefit Category for Lymphedema Compression Treatment Items…

2024-01-02
2023-11-22 R12378CP

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

2024-04-01
2023-11-21 R12370CP

Implement Edits to Prevent Payment of Complexity Add-On Code G2211 When…

2024-01-02
2023-11-22 R12371BP

Implementation of Changes in the End-Stage Renal Disease (ESRD)…

2024-01-02
2023-11-22 R12372CP

Summary of Policies in the Calendar Year (CY) 2024 Medicare…

2024-01-02
2023-11-22 R12376CP

 Implement Operating Rules - Phase III Electronic Remittance…

2024-04-01
2023-11-17 R12369CP

Implementation of Rural Emergency Hospital (REH) Provider Type

2023-01-03
2023-11-16 R12288CP

Update to Rural Health Clinic (RHC) All Inclusive Rate (AIR) Payment…

2024-01-02
2023-11-16 R12361CP

Updates to Chapter 1 of the Medicare Claims Processing Manual (Publication (Pub.)…

2023-12-19
2023-11-16 R12362OTN

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

2024-04-01
2023-11-16 R12364NCD

NCD 220.6.20 - Beta Amyloid Positron Emission Tomography in Dementia and…

2023-12-19
2023-11-16 R12365DEMO

Guiding an Improved Dementia Experience (GUIDE) Model Implementation

2024-04-01
2023-11-16 R12364CP

NCD 220.6.20 - Beta Amyloid Positron Emission Tomography in…

2023-12-19
2023-11-09 R12356PI

Incorporation of Recent Provider Enrollment Regulatory Changes…

2024-01-02
2023-11-16 R12267CP

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

2024-01-02
2023-11-09 R12359CP

Implementation of New Benefit Category for Lymphedema Compression Treatment Items…

2024-01-02
2023-11-09 R12355OTN

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

2024-01-02
2023-11-08 R12352BP

Manual Updates for Coverage of Intravenous Immune Globulin (IVIG) For Treatment of…

2024-01-02
2023-11-03 R12351OTN

Requirements for a Provider Direct Mailing and Education & Outreach for…

2023-11-06
2023-11-03 R12350OTN

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

2023-11-21
2023-11-02 R12344CP

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

2024-01-02
2023-11-01 R12346FM

Revisions and Deletions to the Internet Only Manual (IOM),…

2023-10-30
2023-11-02 R12338PACE

Update to the Internet Only Manual (IOM) Publication (Pub.) 100-11, IOM Chapter 4…

2023-12-05
2023-11-02 R12340OTN

Implementation to Expand Monetary Amount Fields Related to…

2024-04-01
2023-11-02 R12342CP

 April 2024 Healthcare Common Procedure Coding System (HCPCS)…

2024-04-01
2023-11-02 R12343CP

Quarterly Update to Home Health (HH) Grouper

2024-04-01
2023-10-27 R12334OTN

 Remittance Advice (RA) Changes due to Durable Medical Equipment…

2024-01-02
2023-10-31 R12345OTN

Implementation of a National Fee Schedule for Medicare Part B…

2023-04-03
2023-10-26 R12333PI

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

2023-11-28
2023-10-26 R12331OTN Report of Hospice Election for Part D (Response File)… 2024-04-01
2023-10-20 R12323FM

Revisions and Deletions to the Internet Only Manual (IOM),…

2023-10-30
2023-10-26 R12325CP

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

2023-11-28
2023-10-26 R12326CP Internet-Only Manual Update, Pub. 100-04, Chapter 23 (Fee Schedule… 2024-01-29
2023-10-26 R12329FM The Fiscal Intermediary Shared System (FISS) Submission of Copybook… 2024-01-02
2023-10-26 R12330OTN Implement Edits on Hospice Claims

2024-04-01
2023-10-20 R12308OTN

User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Hold Data on the Program…

2024-04-01
2023-10-20 R12317OTN

User Enhancement Change Request (UECR): New Multi-Carrier System (MCS) Inquiry Search Screen…

2026-01-06
2023-10-20 R12305CP

Calendar Year (CY) 2024 Participation Enrollment and Medicare Participating Physicians and…

2023-11-15
2023-10-20 R12310OTN

Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - New Reason…

2024-04-01
2023-10-20 R12312OTN

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

2024-04-01
2023-10-20 R12311OTN

Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Add the…

2024-04-01
2023-10-19 R12304MSP

Changes to The Electronic Correspondence Referral System (…

2023-11-21
2023-10-20 R12313OTN

User Enhancement Change Request (UECR) - Update the Multi-Carrier System (MCS) to Add a Location…

2024-04-01
2023-10-19 R12306CP Processing Claims When the Dates of Service Are Beyond the Time Limit… 2024-01-24
2023-10-18 R12321CP Implementation of Rural Emergency Hospital (REH) Provider Type… 2024-01-03
2023-10-18 R12303OTN

Adjustment to Fraud Prevention System (FPS) and Unified…

2024-01-02
2023-10-18 R12307GI

Update to Medicare Deductible, Coinsurance and Premium Rates…

2024-01-02
2023-10-19 R12309OTN Fiscal Intermediary Shared System (FISS) User Enhancement Change… 2024-04-01
2023-10-19 R12318OTN International Classification of Diseases, 10th Revision (ICD-10) and… 2023-11-21
2023-10-19 R12319OTN International Classification of Diseases, 10th Revision (ICD-10) and… 2023-11-21
2023-10-19 R12314OTN

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

2024-04-01
2023-10-12 R12299BP

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

2023-11-13
2023-10-12 R12293QRI

Payments to Home Health Agencies That Do Not Submit Required Quality Data -…

2023-11-13
2023-10-12 R12299CP

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

2023-11-13
2023-10-11 R12297FM Notice of New Interest Rate for Medicare Overpayments and… 2023-10-17
2023-10-06 R12292OTN Implementation to Expand Monetary Amount Fields Related to Billing and… 2024-01-02
2023-10-05 R12285OTN

Requirements for a Provider Direct Mailing and Education &…

2023-11-06
2023-10-05 R12283CP Internet Only Manual Updates to Pub. 100-02 and 100-04 to Implement… 2024-01-08
2023-10-05 R12286OTN Patient Driven Payment Model (PDPM) Corrections to Interrupted Stay… 2024-04-01
2023-10-05 R12284CP Deleting Internet Only Manuals (IOM) Pub. 100-04, Chapter 4, Section… 2023-11-06
2023-10-05 R12290CP

Diagnosis Code Update for Add-on Payments for Blood Clotting…

2024-04-01
2023-09-28 R12269OTN Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason… 2023-04-01
2023-10-05 R12283BP  Internet Only Manual Updates to Pub. 100-02 and 100-04 to Implement… 2024-01-08
2023-09-27 R12274OTN

Allow Users to Modify the Provider Demonstration File in the User Acceptance…

2023-12-11
2023-09-28 R12262FM Revisions and Deletions to the Internet Only Manual (IOM), Publication… 2023-10-30
2023-09-28 R12265CP

Instructions for Downloading the Medicare ZIP Code File for January 2024

2024-01-02
2023-09-28 R12266CP 2024 Annual Update of Healthcare Common Procedure Coding System (HCPCS… 2024-01-02
2023-09-28 R12268CP Ambulance Inflation Factor (AIF) for Calendar Year (CY) 2024 and… 2024-01-02
2023-09-22 R12261FM Updating Overpayment Manual, Chapter 3, Sections 200.2.6-200.4.7,… 2020-11-11
2023-09-27 R12273OTN

Report of Hospice Election for Part D

2024-01-02
2023-09-21 R12260CP

2024 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments

2024-01-02
2023-09-20 R12256CP

Influenza Vaccine Payment Allowances - Annual Update for 2023-2024…

2023-10-02
2023-09-21 R12257CP

Instructions for Retrieving the 2024 Pricing and Healthcare Common Procedure Coding System (…

2024-01-02
2023-09-21 R12258CP

January 2024 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and…

2024-01-02
2023-09-21 R12259CP

Instructions for Retrieving the January 2024 Opioid Treatment Program (OTP) Payment Rates…

2024-01-02
2023-09-20 R12254CP New Place of Service (POS) Code 27 - Outreach Site/Street”… 2024-01-02
2023-09-15 R12250OTN Modernize the Vaccine Process and Roster Billing - Full Agile Pilot CR… 2023-04-03
2023-09-07 R12236FM Updating Overpayment Manual, Chapter 3, Sections 200.2.6-200.4.7,… 2023-12-11
2023-09-15 R12246CP

Quarterly Update to the National Correct Coding Initiative (NCCI…

2024-01-02
2023-09-15 R12251OTN Revision to Implementation of Consolidated Appropriations Act (CAA) of… 2024-03-19
2023-09-06 R12239CP

Instructions To Process Services During Disenrollment From The Programs Of All-Inclusive Care…

2024-01-02
2023-08-31 R12229CP October 2023 Update of the Ambulatory Surgical Center (ASC) Payment… 2023-10-02
2023-09-06 R12240OTN

Patient Responsibility Reporting with Medicare Secondary…

2023-10-09