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Transmittals

  • Claim Status Category and Claim Status Codes Update
  • Utilization of KX Modifier Medicare Physician Fee Schedule Payment for Dental Services Inextricably Linked to Covered Medical Services
  • Manual Updates for Clarification on Services Under the Medicare Hospice Benefit for Dually Eligible Veterans
  • July 2024 Update of the Ambulatory Surgical Center [ASC] Payment System
  • A Social Determinants of Health Risk Assessment in the Annual Wellness Visit Policy Update in the Calendar Year 2024 Physician Fee Schedule Final Rule
  • A Social Determinants of Health Risk Assessment in the Annual Wellness Visit Policy Update in the Calendar Year 2024 Physician Fee Schedule Final Rule
  • October 2024 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
  • Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2024
  • Instructions for Downloading the Medicare ZIP Code File for October 2024 Files
  • July Quarterly Update for 2024 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
  • July 2024 Update of the Ambulatory Surgical Center [ASC] Payment System
  • Manual Update Pub. 100-02 Medicare Benefit Policy, Chapter 15, Section 110.8 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Benefit Category Determinations
  • Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 32, Section 150.3 for Coding Revisions to the National Coverage Determinations (NCDs)--October 2024 Change Request (CR)13596
  • Fiscal Year (FY) 2025 Annual Update to the Medicare Code Editor (MCE) and International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) and Procedure Coding System (ICD-10-PCS)
  • Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 30.3, Effective October 1, 2024
  • Revisions to the State Operations Manual (SOM) Appendix G - RHC
  • Revisions to the State Operations Manual (SOM) Appendix M-Hospice
  • October 2024 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement
  • Replacement Wheelchair Equipment When the Manufacturer Exits Wheelchair Business
  • Billing and Payment for Telehealth Services with Place of Service (POS) 10
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