(Medicare Claims Processing Manual)

Billing for Services Related to Voluntary Uses of Advanced Beneficiary Notices of Noncoverage (ABNs)  Rescinded and replaced by Transmittal 1894  04/05/2010  6563  R1838CP  10/28/2009  Processing of Non -Covered International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Procedure Codes on Inpatient Hospital Claims  Rescinded and replaced by Transmittal 1890  04/05/2010  6547  R1812CP  09/04/2009  Claims Submitted for Items or Services Furnished to Medicare Beneficiaries in State or Local Custody Under a Penal Authority and Examples of Application of Government Entity Exclusion - Rescinded and replaced by CR 6880, Transmittal 1944  12/07/2009  6544  R1803CP  08/28/2009  October 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)  10/05/2009  6626  R1771CP  07/17/2009  Interest Payment on Clean Non -PIP Claims Not Paid Timely  08/17/2009  6542  R1761CP  06/26/2009  Billing Routine Cost of Clinical Trials  09/28/2009  6431  R1760CP  06/23/2009  July 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)  07/06/2009  6492  R1747CP  05/22/2009  Beneficiary -Submitted Claims  06/23/2009  6434  R1745CP  05/22/2009  July 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS) - Rescinded and replaced by Transmittal 1760  07/06/2009  6492  R1743CP  05/22/2009  Billing Routine Cost of Clinical Trials - Rescinded and replaced by Transmittal 1761  07/10/2009  6431  R1733CP  05/08/2009  Manual Clarification for Skilled Nursing Facility (SNF) and Therapy Billing  04/27/2009  6407  R1732CP  05/08/2009  Pricing Claims for Services Rendered in Place of Service Home  10/05/2009  6429  R1721CP  04/29/2009  Billing Routine Cost of Clinical Trials - Rescinded and replaced by Transmittal 1743  07/10/2009  6431  Rev #  Issue Date  Subject  Impl Date  CR#  R1710CP  04/10/2009  Billing Routine Cost of Clinical Trials - Rescinded and replaced by Transmittal 1721  07/10/2009  6431  R1707CP  03/27/2009  Assignment of Initial Enrollment FQHCS, ESRD Facilities, and RHCs  04/27/2009  6207  R1706CP  03/27/2009  Manual Clarification for Skilled Nursing Facility (SNF) and Therapy Billing  Rescinded and replaced by Transmittal 1733  04/27/2009  6407  R1690CP  02/27/2009  Reporting the National Provider Identifier (NPI) on Claims for Reference Laboratory and Purchased Diagnostic Services Performed Outside the Billing Jurisdiction  03/27/2009  6362  R1681CP  02/13/2009  Payments to Institutional Providers With Multiple Service Delivery Locations  07/06/2009  6300  R1677CP  02/13/2009  Shipboard Services Billed to the Carrier and Services Not Provided Within the United States.  Rescinds and fully replaces CR 6217.  03/13/209  6327  R1675CP  01/30/2009  Standard System Change to Allow Claims Processing Contractors Flexibility With 9 -Digit ZIP Codes  07/06/2009  6293  R1609CP  10/03/2008  Shipboard Services Billed to the Carrier and Services Not Provided Within the United States - Rescinded and replaced by CR 6327, Transmittal 1677  01/05/2009  6217  R1591CP  09/09/2008  ZIP Code Files by Date of Service - Replaced by Transmittal 1591  07/07/2008  5881  R1589CP  09/08/2008  Indicator for the Technical Component of Purchased Diagnostic Services  12/08/2008  6122  R1588CP  09/05/2008  Beneficiary Submitted Claims  08/18/2008  5683  R1586CP  09/05/2008  Pneumococcal Pneumonia, Influenza Virus, and Hepatitis B Vaccines  10/06/2008  6079  R1583CP  08/29/2008  Artificial Hearts  10/06/2008  6185  R1578CP  08/15/2008  Implementation of a New Claim Adjustment Reason Code (CARC) No. 213, Non- compliance with the Physician Self -referral Prohibition Legislation or Payer Policy  01/05/2009  6131  R1557CP  07/18/2008  Beneficiary Submitted Claims - Rescinded and replaced by Transmittal 1588  08/18/2008  5683  R1526CP  05/30/2008  Institutional Services Paid on the Medicare Physician Fee Schedule (MPFS)  07/07/2008  5990  R1522CP  05/30/2008  Charges to Hold a Bed During SNF Absence  06/30/2008  6030  R1486CP  04/04/2008  Exception to 60 -Day Limit on Substitute Billing Arrangements for Physicians Called to Active Duty in the Armed Forces Reserves  05/05/2008  5985  Rev #  Issue Date  Subject  Impl Date  CR#  R1472CP  03/06/2008  Update of Institutional Claims References  04/07/2008  5893  R1463CP  02/22/2008  ZIP Code Files by Date of Service - Replaced by Transmittal 1591  07/07/2008  5881  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  R1432CP  02/01/2008  Medicare Fee for Service Legacy Provider IDs Prohibited on Form CMS-1500 and Form CMS- 1450 (UB-04) Claims  04/07/2008  5858  R1421CP  01/25/2008  Update of Institutional Claims References  Rescinded and Replaced by Transmittal 1472  04/07/2008  5893  R1418CP  01/18/2008  New HCPCS Modifiers When Billing for Patient Care in Clinical Research Studies  04/07/2008  5805  R1361CP  11/02/2007  New Patient Status Discharge Code 70 to Define Discharges or Transfers to Other Types of Health Care Institutions not Defined Elsewhere in the UB-04 (CMS -1450) Manual Code List  04/07/2008  5764  R1335CP  09/14/2007  Updating the Internet Only Manual to Include Language or NPI When Required  10/01/2007  5708  R1328CP  08/31/2007  Delete References to Reporting of the National Provider Identifier (NPI) on or after May 23, 2007, and Revise References to a When Required Date  10/01/2007  5678  R1325CP  08/29/2007  Testing and Implementation of 2008 Ambulatory Surgical Center (ASC) Payment System Changes  01/07/2008  5680  R1312CP  07/20/2007  Timeliness Standards for Processing Other -Than -Clean Claims  01/07/2008  5513  R1308CP  07/20/2007  Testing and Implementation of 2008 Ambulatory Surgical Center (ASC) Payment System Changes  Replaced by Transmittal 1325  01/07/2008  5680  R1279CP  06/29/2007  Charges for Missed Appointments  10/01/2007  5613  R1250CP  05/25/2007  Implementation of the Carrier Jurisdictional Pricing Rates for All Purchased Diagnostic Service Claims  10/01/2007  5543  R1249CP  05/25/2007  Update to Publication 100 -04, Chapters 1 and 15 for ZIP5 and ZIP9 Medicare Zip Code Files.  10/01/2007  5578  R1231CP  04/27/2007  The Use of Benefit's Exhaust (BE) Day as the Day of Discharge for Payment Purposes for the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) and Clarification of Discharge for Long Term Care Hospitals (LTCH) and the Allowance of No-Pay Benefits Exhaust Bills (TOB 110)  12/03/2007  5474  R1193CP  03/09/2007  Use of 9 -Digit Zip Codes for Determining the Correct Payment Locality for Services Paid Under 10/01/2007  5208  Rev #  Issue Date  Subject  Impl Date  CR#  the Medicare Physician Fee Schedule (MPFS) and Anesthesia Services  R1187CP  02/23/2007  Revisions to Incomplete or Invalid Claims Instructions Necessary to Implement the Revised Health Insurance Form CMS -1500 (8/05)  05/23/2007  5391  R1171CP  02/02/2007  Revisions to the Medicare Physician Fee Schedule (MPFS) Disclosure Format  07/02/2007  5476  R1169CP  02/02/2007  Revision of Editing to Ensure Demand Bills Remain Identifiable in Claims History After Processing  07/02/2007  5248  R1167CP  01/26/2007  Use of 9 -Digit Zip Codes for Determining the Correct Payment Locality for Services Paid Under the Medicare Physician Fee Schedule (MPFS) and Anesthesia Services - Replaced by Transmittal 1193  10/01/2007  5208  R1160CP  01/19/2007  Colorectal Cancer Screening Flexible Sigmoidoscopy and Colonoscopy Coinsurance Payment Change  07/02/2007  5387  R1144CP  12/29/2006  Elimination of CMS -1491 and CMS -1490U Forms  04/02/2007  5390  R1114CP  11/22/2006  Reporting of Taxonomy Codes to Identify Provider Subparts on Institutional Claims  01/02/2007  5243  R1108CP  11/09/2006  Reporting of Taxonomy Codes to Identify Provider Subparts on Institutional Claims  01/02/2007  5243  R1065CP  09/22/2006  Disabling the Revenue/HCPCS Consistency Edit Codes in the Fiscal Intermediary Shared System (FISS)  04/03/2006  4049  R1054CP  09/08/2006  Reporting of Taxonomy Codes to Identify Provider Subparts on Institutional Claims  01/02/2007  5243  R1035CP  08/18/2005  Updating Publication 100 -04, Chapter 30 Regarding the CD ROM Initiative for the Annual Dear Doctor Mailing  09/18/2006  5214  R1024CP  08/04/2006  Reporting of Taxonomy Codes to Identify Provider Subparts on Institutional Claims  01/02/2007  5243  R989CP  06/23/2006  Correction to CR