Transmittals

Revised Payment Files for the 2010 Medicare Physician Fee Schedule Database (MPFSDB) and Retroactive Provisions under the Patient Protection and Affordable Care Act (Pub. L. 111-148) (the Affordable Care Act)

Clinical Review Judgment

Clinical Review Judgment (CRJ)

April 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS)

July 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

Repeal of Section 20.10, Publication 100-03, National Coverage Determinations (NCD) Manual, Cardiac Rehabilitation Programs

Accumulation of Claims with Condition Code 04 on the Provider Statistical and Reimbursement Report (PS and R)

Percutaneous Transluminal Angioplasty (PTA) of the Carotid Artery Concurrent with Stenting

Additional ICD-9 Codes Analysis and Processing Direction (Institutional Claims Only)

April 2010 Integrated Outpatient Code Editor (I/OCE) Specifications Version 11.0

Revision of the Internet Only Manual (IOM) to Remove References to

Clinical Laboratory Fee Schedule (CLFS) - Medicare Travel Allowance Fees for Collection of Specimens

Change in Provider Enrollment Timeliness Standards for Certain Paper Applications

Clinical Laboratory Fee Schedule (CLFS) - Special Instructions for Specific Test Codes (CPT Code 80100, CPT Code 80101, CPT Code 80101QW, G0430, G0430QW, and G0431QW)

Billing and Processing Claims with Unlimited Occurrence Span Codes (OSCs)

Outpatient Intravenous Insulin Treatment (Therapy)

Reporting Changes in Surety Bonds

Claim Status Category Code and Claim Status Code Update

Positron Emission Tomography (PET) (NaF-18) to Identify Bone Metastasis of Cancer

Update to List of ICD-9-CM Diagnosis Codes Not Requiring the Q0 Healthcare Common Procedure Coding System (HCPCS) Modifier for Automatic Implantable Cardiac Defibrillator (ICD) Services Provided in a Clinical Study