Transmittals

Changes to the Laboratory National Coverage Determination [NCD] Edit Software for October 2021

October 2021 Quarterly Average Sales Price [ASP] Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Qtr Notification for FY 2021

Quarterly Update to the National Correct Coding Initiative [NCCI] Procedure-to-Procedure [PTP] Edits, Version 27.3, Effective October 1, 2021

Annual (2022) Update of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)

Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Prior Authorization Coversheet Requirements

Annual Updates to the Prior Authorization/Pre-Claim Review Federal Holiday Schedule Tables for Generating Reports

July Quarterly Update for 2021 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule

October Quarterly Update to 2021 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement

July 2021 Update of the Ambulatory Surgical Center [ASC] Payment System

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July 2021 Update

Direct Contracting Model - Professional and Global Options: Homebound Home Health Waiver and Concurrent Care for Beneficiaries that Elect the Medicare Hospice Benefit - Implementation - This CR Rescinds and Fully Replaces CR 11863.

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 202

Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment

July 2021 Update of the Hospital Outpatient Prospective Payment System (OPPS)

July 2021 Integrated Outpatient Code Editor (I/OCE) Specifications Version 22.2

Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) - October 2021

Addition of the QW Modifier to Healthcare Common Procedure Coding System (HCPCS) Codes 0240U, 0241U, 87637

Quarterly Update to Home Health (HH) Grouper

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