(Medicare Claims Processing Manual)

10/02/2017 10235 R3721CP  02/24/2017 Updates to Pub. 100- 04, Chapters 12, 17 and 23 to Correct Remittance Advice Messages  05/25/2017 9906 R3607CP  08/26/2016 Annual Clotting Factor Furnishing Fee Update 2017  01/03/2017 9759 R3538CP  06/09/2016 JW Modifier: Drug Amount Discarded/Not Administered to Any Patient  01/03/2017 9603 R3530CP  05/24/2016 JW Modifier: Drug Amount Discarded/Not Administered to Any Patient -  Rescinded and replaced by Transmittal 3538  07/05/2016 9603 R3508CP  04/29/2016 JW Modifier: Drug Amount Discarded/Not Administered to Any Patient  Rescinded and replaced by Transmittal 3530  07/05/2016 9603 R3340CP  08/21/2015 Annual Clotting Factor Furnishing Fee Update 2016  01/04/2016 9295  Rev #  Issue Date  Subject  Impl Date  CR#  R3292CP  07/10/2015 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes -  July 2015 Update  07/06/2015 9167 R3254CP  05/08/2015 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes -  July 2015 Update  07/06/2015 9167 R3085CP  10/03/2014 Update to Pub. 100- 04, Chapter 17 to Provide Language -Only Changes for Updating ICD -10 and ASC X12 11/04/2014 8647 R3055CP  08/29/2014 Annual Clotting Factor Furnishing Fee Update 2015  01/05/2015 8891 R2931CP  04/15/2014 Aprepitant for Chemotherapy Induced Emesis  07/07/2014 8418 R2903CP  03/11/2014 April Update of the Hospital Outpatient Prospective Payment System (OPPS)  04/07/2014 8653 R2894CP  02/28/2014 April Update of the Hospital Outpatient Prospective Payment System (OPPS)  Rescinded and replaced by Transmittal 2903 04/07/2014 8653 R2883CP  02/21/2014 Aprepitant for Chemotherapy Induced Emesis  Rescinded and replaced by Transmittal 2931  07/07/2014 8418 R2760CP  08/09/2013 Annual Clotting Factor Furnishing Fee Update 2014  01/06/2014 8423 R2554CP  09/28/2012 Annual Clotting Factor Furnishing Fee Update 2013  01/07/2013 8049 R2437CP  04/04/2012 Pharmacy Billing for Drugs Provided Incident to a Physician Service (This CR rescinds and fully replaces CR 7109)  01/01/2013 7397 R2424CP  03/16/2012 Influenza Virus Vaccine Annual Payment Limit Effective Date  08/01/2012 7741  Rev #  Issue Date  Subject  Impl Date  CR#  R2368CP  12/16/2011 Pharmacy Billing for Drugs Provided Incident to a Physician Service (This CR rescinds and fully replaces CR 7109)  Rescinded and replaced by Transmittal 2437 01/01/2013 7397 R2312CP  09/23/2011 Pharmacy Billing for Drugs Provided Incident to a Physician Service (This CR rescinds and fully replaces CR 7109)  Rescinded and replaced by Transmittal 2368 10/01/2011 7397 R2279CP  08/19/2011 Annual Clotting Factor Furnishing Fee Update 2012  01/03/2012 7543 R2271CP  08/05/2011 Pharmacy Billing for Drugs Provided Incident to a Physician Service (This CR rescinds and fully replaces CR 7109)  Rescinded and replaced by Transmittal 2312 10/01/2011 7397 R2251CP  07/01/2011 Pharmacy Billing for Drugs Provided Incident to a Physician Service (This CR rescinds and fully replaces CR 7109)  rescinded and replaced by Transmittal 2271 08/15/2011 7397 R2214CP  05/13/2011 Pharmacy Billing for Drugs Provided Incident to a Physician Service (This CR rescinds and fully replaces CR 7109)  Rescinded and replaced by Transmittal 2251 06/29/2011 7397 R2115CP  12/10/2010 Pharmacy Billing for Drugs Provided Incident to a Physician Service  Rescinded and replaced by Transmittal 21214 (CR 7397)  03/14/2011 7109 R2068CP  10/15/2010 Annual Clotting Factor Furnishing Fee Update 2011  01/03/2011 7168 R1962CP  04/30/2010 Discarded Drugs and Biologicals Updates  07/30/2010 6711  Rev #  Issue Date  Subject  Impl Date  CR#  R1908CP  02/05/2010 Clotting Factor Furnishing Fee -Conforming Manual Change to Unit  03/05/2010 6811 R1829CP  10/16/2009 Annual Clotting Factor Furnishing Fee Update  01/04/2010 6673 R1760CP  06/23/2009 July 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)  07/06/2009 6492 R1745CP  05/22/2009 July 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS) -  Rescinded and replaced by Transmittal 1760  07/06/2009 6492 R1657CP  12/31/2008 January 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)  01/05/2009 6320 R1653CP  12/19/2008 Annual Clotting Factor Furnishing Fee Update  01/05/2009 6277 R1599CP  09/19/2008 October Update of the Hospital Outpatient Prospective Payment System (OPPS)  10/06/2008 6196 R1581CP  08/29/2008 Discarded Erythropoietin Stimulating Agents for Home Dialysis  12/01/2008 6133 R1564CP  07/25/2008 New Hemophilia Clotting Factor and HCPCS Code  01/05/2009 6006 R1551CP  07/18/2008 New Hemophilia Clotting Factor and HCPCS Code -  Rescinded and replaced by Transmittal 1564 01/05/2009 6006 R1539CP  06/20/200/  Self-Administered Drug Exclusion Lists  07/21/2008 5988 R1513CP  05/23/2008 Average Sales Price Updates  06/23/2008 5798 R1506CP  05/16/2008 Competitive Acquisition Program (CAP): Updating Submission Deadlines for Quarterly Drug List Updates  10/06/2008 6010  Rev #  Issue Date  Subject  Impl Date  CR#  R1478CP  03/14/2008 Additional Clarification to Chapter 17, Section 40, Regarding Processing of Drug Claims with the JW Modifier  04/14/2008 5923 R1472CP  03/06/2008 Update of Institutional Claims References  04/07/2008 5893 R1453CP  02/22/2008 Systems Changes for Prescription Order Numbers for the Competitive Acquisition Program (CAP) for Part B Drugs and Biologicals  07/07/2008 5855 R1448CP  02/15/2008 Adjudicating Claims for Immunosuppressive Drugs When Medicare Did Not Pay for the Original Transplant  07/07/2008 5916 R1445CP  02/08/2008 January 2008 Update of the Hospital Outpatient Prospective Payment System (OPPS) -Manualization  03/10/2008 5946 R1421CP  01/25/2008 Update of Institutional Claims References - Rescinded and Replaced by Transmittal 1472 04/07/2008 5893 R1413CP  01/14/2008 Erythropoiesis Stimulating Agents (ESAs) in Cancer and Related Neoplastic Conditions  04/07/2008 5818 R1412CP  01/11/2008 Reporting of Hematocrit or Hemoglobin Levels on All Claims for the Administration of Erythropoiesis Stimulating Agents (ESAs), Implementation of New Modifiers for Non-ESRD Indications, and Reporting of Hematocrit/Hemoglobin Levels on all Non-ESRD, Non -ESA Claims Requesting Payment for Anti -Anemia Drugs  04/07/2008 5699 R1409CP  01/11/2008 Correction to Pub. 100- 04, Chapter 17, Section 100.2.1 02/11/2008 5857 R1357CP  10/26/2007 Payment: Allowances for the Influenza Virus Vaccine and the Pneumococcal Vaccine When Payment is Based on 95 11/26/2007 5744  Rev #  Issue Date  Subject  Impl Date  CR#  Percent of the Average Wholesale Price (AWP)  R1338CP  09/21/2007 Medicare Payment for Preadministration Related Services Associated With  IVIG Administration  Payment Extended Through CY 2008 01/07/2008 5713 R1313CP  07/23/2007 Response to Competitive Acquisition for Part B Drugs and Biologicals (CAP) Claims When the Common Working File (CWF) 69XD Error Code is Received  08/23/2007 5658 R1281CP  07/06/2007 Clarification on Billing for Oral Three Drug Combination Anti -Emetic (Aprepitant)  01/07/2008 5655 R1248CP  05/25/2007 Revisions, in the Medicare Claims Processing Manual, to Section 40, titled, "Discarded Drugs and Biologicals," and Section 100.2.9, titled, "Submission of Claims With the Modifier JW, 'Drug Amount Discarded/Not Administered to Any Patient.  07/02/2007 5520 R1212CP  03/30/2007 Requirements for Providing Route of Administration Codes for Erythropoiesis Stimulating Agents (ESAs)  06/29/2007 5480 R1207CP  03/19/2007 Competitive Acquisition Program (CAP) for Part B Drugs  04/19/2007 5546 R1076CP  10/13/2006 Competitive Acquisition Program (CAP)  Instructions on Special CAP Appeals Requirements and Delivery of Dispute Resolution Services  11/13/2006 5207 R1055CP  09/11/2006 Competitive Acquisition Program (CAP) - Creation of Automated Tables for Provider Information, Expansion of CAP Fee Schedule File Layout, and Additional Instructions for Claims Received from Railroad Retirement Board (RRB) Beneficiaries  10/02/2006 5079  Rev #  Issue Date  Subject  Impl Date  CR#  R1034CP  08/18/2006 Competitive Acquisition Program (CAP) - Claim Processing for Not Otherwise Classified ("NOC") Drugs  01/02/2007 5259 R953CP  05/19/2006 CAP -Creation of Automated tables for Providers Information, Expansion of CAP Fee Schedule  10/02/2006 5079 R882CP  03/03/2006 Hospital Billing for Take -Home Drugs  07/03/2006 4301 R867CP  02/17/2006 Elimination of the Durable Medical Equipment Regional Carriers (DMERC) Information Form (DIF)  04/03/2006 4241 R866CP  02/17/2006 Additional Requirements for the Competitive Acquisition Program (CAP) for Part B Drugs  07/03/2006 4309 R840CP