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Transmittals

  • Reporting the National Provider Identifier (NPI) on Claims for Reference Laboratory and Purchased Diagnostic Services Performed Outside the Billing Jurisdiction
  • Surgery for Diabetes National Coverage Determination (NCD)
  • Influenza Vaccine and the Pneumococcal Vaccine Payment Allowances Based on 95 Percent of the Average Wholesale Price (AWP)
  • Heartsbreath Test for Heart Transplant Rejection
  • Reporting National Provider Identifiers (NPI) on Claims for Out-of-Jurisdiction Purchased Mammography Preventive Screening and Diagnostic Services
  • October 2008 Update to the Ambulatory Surgical Center (ASC) Payment System; Summary of Payment Policy Changes
  • Claims Jurisdiction and Enrollment Procedures for Suppliers of Certain Prosthetics, Durable Medical Equipment (DME) and Replacement Parts, Accessories and Supplies
  • Beneficiary Submitted Claims
  • October 2008 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
  • Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 14.3, Effective October 1, 2008
  • October Update to the 2008 Medicare Physician Fee Schedule Database (MPFSDB)
  • Clinical Laboratory Fee Schedule - Medicare Travel Allowance Fees for Collection of Specimens
  • Artificial Hearts
  • New Waived Tests
  • New Hemophilia Clotting Factor and HCPCS Code
  • Physician Fee Schedule Payment Policy Indicator File Record Layout for Use in Processing Method II Critical Access Hospital (CAH) Claims for Professional Services
  • Transmittal 1579, dated August 21, 2008, rescinds and replaces Transmittal 1546, dated July 1, 2008. The corrections are explained in the Summary of Changes. The implementation date is also changed. All other material remains the same
  • Medicare Improvements for Patients and Providers Act of 2008 - Legislative Change to Independent Laboratory Billing for the Technical Component of Physician Pathology Services.
  • Clarification on the Correct Condition Code to Report on Provider Adjustment Requests to Indicate a Health Insurance Prospective Payment System (HIPPS) Code Change
  • Part B Drug Competitive Acquisition Program (CAP) Quarterly Drug List Update
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