Transmittals

Summary of Policies in the Calendar Year (CY) 2022 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 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) 2022

National Coverage Determination (NCD) 270.3 Blood-Derived Products for Chronic, Non-Healing Wounds

2022 Annual Update to the Therapy Code List

Clarifying Instructions for Billing and Processing and Payment of Claims Based on Locality of the Home Infusion Therapy (HIT) Service Visit

Update to Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) Claims Containing Non-Covered days

Low Utilization Payment Adjustment (LUPA) Add-on Amounts for Home Health (HH) Occupational Therapy Visits and Corrections to Payment Grouping Processes

2022 Annual Update of Per-Beneficiary Threshold Amounts

Skilled Nursing Facility (SNF) Claims Processing Updates

ETC Managing Clinician PPA and KCF PBA Implementation

Implementation of the GV Modifier for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) for Billing Hospice Attending Physician Services

Claims Processing Instructions for the New Pneumococcal 20-valent Conjugate Vaccine Code 90677

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs) -- April 2022

New Waived Tests

Calendar Year (CY) 2022 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures

Fiscal Year (FY) 2022 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Changes

Calendar Year (CY) 2022 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures

Skilled Nursing Facility (SNF) Claims Processing Update to Fiscal Year End (FYE) Edits

April 2022 Update to the Java Medicare Code Editor (MCE) for New Edit 20- Unspecified Code Edit

Intravenous Immune Globulin (IVIG) Demonstration Update for a New Drug Code J1554 - ASCENIV