Transmittals

Internet Only Manual (IOM) Update to 100-04 Chapter 12, Section 30.5 - Payment for Codes for Chemotherapy Administration and Nonchemotherapy Injections and Infusions.

Revisions to Medicare Part B Coverage of Pneumococcal Vaccinations for the Medicare Benefit Policy Manual Chapter 15, Section 50.4.4.2

Chapter 3 Revisions (Segment 1) in Publication (Pub.) 100-08 Program Integrity Manual (PIM)

User Enhancement Change Request (UECR): ViPS Medicare System (VMS) – Improve Processing of Capped Rental Items Billed with RT (right) / LT (left) Modifiers

"Calendar Year (CY) 2025 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment"

Calendar Year 2025 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule

Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 32 Sections 90, 190.2 and 300.2 for Coding Revisions to the National Coverage Determinations (NCDs) - April 2025 (1 of 2) Change Request (CR) 13818

The Fiscal Year 2025 Updates for the CMS Internet Only Manual (IOM) Publication (Pub.) 100-06, Medicare Financial Management Manual, Chapter 7 - Internal Control Requirements

Revisions to State Operations Manual (SOM) Appendix Q – Core Guidelines for Determining Immediate Jeopardy

Revisions to the State Operations Manual (SOM) Appendix X, Transplant Program Interpretive Guidelines and Survey Procedures and Chapter 9 - Exhibits

Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Injury (AKI) in ESRD Facilities for Calendar Year (CY) 2025.

April 2025 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

April 2025 Update to the Medicare Severity – Diagnosis Related Group (MS-DRG) Grouper and Medicare Code Editor (MCE) Version 42.1

Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) – April 2025

Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 31.1, Effective April 1, 2025

Updates of Chapter 4 and Exhibits in Publication (Pub.) 100-08, Including the Unified Program Integrity Contractor (UPIC) and Medical Review Accuracy Contractor (MRAC) Coordination Process.

Revisions to State Operations Manual SOM, Chapter 2, section 2779A1 CCN for Medicare Providers

Combined Common Edits Enhancements Modules CCEM Code Set Update

National Coverage Determination NCD 210.15 Pre Exposure Prophylaxis PrEP for Human Immunodeficiency Virus HIV Prevention

National Coverage Determination NCD 210.15 Pre Exposure Prophylaxis PrEP for Human Immunodeficiency Virus HIV Prevention