Transmittals

Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) CORE

Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 29.1, Effective April 1, 2023

April 2023 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder

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

Summary of Policies in the Calendar Year (CY) 2023 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, CT Modifier Reduction List, and Preventive Services List

Implementation of a National Fee Schedule for Medicare Part B Vaccine Administration CMS

Calendar Year (CY) 2023 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures

Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2023

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2023

National Coverage Determination (NCD) 200.3 - Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer’s Disease (AD)

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) 2023

International Classification of Disease (ICD-10) Code Update for Coverage of Intravenous Immune Globulin (IVIG) Treatment of Primary Immune Deficiency Diseases in the Home

Billing for Hospital Part B Inpatient Services

2023 Annual Update of Per-Beneficiary Threshold Amounts

New Medicare Part B Immunosuppressant Drug Benefit (PBID) - Implementation

New Medicare Part B Immunosuppressant Drug Benefit (PBID) - Implementation

New Medicare Part B Immunosuppressant Drug Benefit (PBID) - Implementation

New Codes to Report Home Health (HH) Services Furnished by Telehealth

File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions

Instructions for Retrieving the 2023 Pricing and Healthcare Common Procedure Coding System (HCPCS) Data Files through CMS' Mainframe Telecommunications Systems