Transmittals

Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front-End Updates for January 2024

Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 32 Sections 130.1, for International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--October 2023 Update Change Request (CR) 13166

New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician National Provider Identifier (NPI) - Phase 2

Corrections to Home Health Processing - Claims with Condition DR or Claims Receiving Admission Source Edits

Technical Revisions Only to the National Coverage Determination (NCD) Manual, Publication (Pub) 100-03

Ninth General Update to Provider Enrollment Instructions in Chapter 10 of CMS Publication (Pub.) 100-08

The purpose of this Change Request (CR) is to provide changes to and billing instructions for various payment policies implemented in the July 2023 ASC payment system update. As appropriate, this notification also includes updates to the Healthcare Common Procedure Coding System (HCPCS).

Provider Education for the Review Choice Demonstration (RCD) for Inpatient Rehabilitation Facility Services (IRFs)

Implementation of the Award for the Jurisdiction B Durable Medical Equipment Medicare Administrative Contractor (JB DME MAC)

Allow Users to Modify the Provider Demonstration File in the User Acceptance Testing (UAT) Environment - Full Agile Pilot CR12934

Instructions for Downloading the Medicare ZIP Code File for October 2023 Files

Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) - October 2023

User Enhancement Change Request (UECR): Fiscal Intermediary Shared System (FISS) - Automate Inpatient/Skilled Nursing Facility Common Working File (CWF) Alerts Received on the L1001 and L1002 Reports

Allowing Audiologists to Furnish Certain Diagnostic Tests Without a Physician Order

October 2023 (2024 File) Update of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)

Internet Only Manual Update, Pub. 100-04, Chapter 11 (Processing Hospice Claims), Sections 20.1.1 - 20.1.5, 30.2.1, 30.3, 130.1 and 130.2

New Waived Tests

October 2023 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

Fiscal Year (FY) 2024 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 29.3, Effective October 1, 2023