(Medicare Claims Processing Manual)

Rev #  Issue Date  Subject  Impl Date  CR#  R2603CP  11/30/2012  Implementing the Claims -Based Data Collection Requirement for Outpatient Therapy Services --  Section 3005(g) of the Middle Clas s Tax Relief and Jobs Creation Act (MCTRJCA) of 2012  Rescinded and replaced by Transmittal 2622 01/07/2013 8005 R2537CP  08/31/2012  Expiration of 2012 Therapy Cap Revisions and User -Controlled Mechanism to Identify Legislative Effective Dates  01/07/2013 7881 R2532CP  08/24/2012  Implementing the Claims -Based Data Collection Requirement for Outpatient Therapy Services --  Section 3005(g) of the Middle Class Tax Relief and Jobs Creation Act (MCTRJCA) of 2012  Rescinded and replaced by Transmittal 2603 01/07/2013 8005 R2457CP  04/27/2012  Revisions of the Financial Limitation for Outpatient Therapy Services -Section 3005 of the Middle Class Tax Relief and Job Creation Act of 2012  Rescinded and replaced by Transmitta l 2615 10/01/2012 7785 R2328CP  10/27/2011  Claim Adjustment Reason Code (CARC) Used for Therapy Claims Subject to the Multiple Procedure Payment Reduction 04/02/2012 7564 R2160CP  02/18/2011  Correction to Manual References in Chapter 5, Section 20.2 05/19/2011 7315 R2121CP  12/17/2010  Reporting of Service Units With HCPCS  03/21/2011 7247 R2091CP  11/12/2010  Correct Reporting of Modifiers and Revenue Codes on Claims for Therapy Services  04/04/2011 7170 R2073CP  10/22/2010  Therapy Cap Values for Calendar Year (CY) 2011 01/03/2011 7107   Rev #  Issue Date  Subject  Impl Date  CR#  R2055CP  09/17/2010  Therapy Cap Values for Calendar Year (CY) 2011  Rescinded and replaced by Transmittal 2073 01/03/2011 7107 R2044CP  09/03/2010  Revisions and Re -issuance of Audiology Policies  09/30/2010 6447 R2007CP  07/23/2007  Revisions and Re -issuance of Audiology Policies  Rescinded and replaced by Transmittal 2044  08/11/2010 6447 R1985CP  06/11/2010  Clarifications and Updates of Therapy Services Policies  07/11/2010 6980 R1975CP  05/28/2010  Revisions and Re -issuance of Audiology Policies -  Rescinded and replaced by Transmittal 2007  07/28/2010 6447 R1951CP  04/27/2010  Removal of the Provider Reporting Requirement for Total Number of Therapy Visits U sing Value Codes 50- 53 10/04/2010 6899 R1921CP  02/19/2010  Billing for Services Related to Voluntary Uses of Advanced Beneficiary Notices of Noncoverage (ABNs)  04/05/2010 6563 R1894CP  01/15/2010  Billing for Services Related to Voluntary Uses of Advanced Beneficiary Notices of Noncoverage (ABNs)  Rescinded and replaced by Transmittal 1921 04/05/2010 6563 R1876CP  12/18/2009  Coverage of Kidney Disease Patient Education Services  04/05/2010 6557 R1860CP  11/20/2009  Therapy Cap Values for Calendar Year (CY) 2010 01/04/2010 6660 R1851CP  11/13/2009  Therapy Cap Values for Calendar Year (CY) 2010  Rescinded and replaced by Transmittal 1860 01/04/2010 6660   Rev #  Issue Date  Subject  Impl Date  CR#  R1850CP  11/13/2009  2010 Annual Update to the Therapy Code List  01/04/2010 6719 R1843CP  10/30/2009  Outpatient Mental Health Treatment Limitation  01/04/2010 6686 R1840CP  10/29/2009  Billing for Services Related to Voluntary Uses of Advanced Beneficiary Notices of Noncove rage (ABNs)  Rescinded and replaced by Transmittal 1894 04/05/2010 6563 R1733CP  05/08/2009  Manual Clarification for Skilled Nursing Facility (SNF) and Therapy Billing  04/27/2009 6407 R1717CP  04/24/2009  Speech -Language Pathology Practice Payment Policy  07/06/2009 6381 R1706CP  03/27/2009  Manual Clarification for Skilled Nursing Facility (SNF) and Therapy Billing  Rescinded and replaced by Transmittal 1733 04/27/2009 6407 R1678CP  02/13/2009  Outpatient Therapy Caps With Exceptions in CY 2009 04/06/2009 6321 R1631CP  11/07/2008  Extension of Therapy Cap Exception Process  12/08/2008 6222 R1593CP  09/12/2008  Smoking and Tobacco Use Cessation Counseling Billing Update for Comprehensive Outpatient Rehabilitation Facilities (CORFs) and Outpatient Physical Therapy Providers (OPTs) 12/12/2008 6163 R1472CP  03/06/2008  Update of Institutional Claims References  04/07/2008 5893 R1459CP  02/22/2008  Comprehensive Outpatient Rehabilitation Facility (CORF) Billing Requirement Updates for Fiscal Year (FY) 2008  07/07/2008 5898 R1421CP  01/25/2008  Update of Institutional Claims References -  Rescinded and Replaced by Transmittal 1472 04/07/2008 5893   Rev #  Issue Date  Subject  Impl Date  CR#  R1414CP  01/17/2008  Outpatient Therapy Caps Without KX Modifier Exceptions Start January 1, 2008  01/07/2008 5871 R1407CP  01/10/2008  Outpatient Therapy Caps Without KX Modifier Exceptions Start January 1, 2008  Replaced by Transmittal 1414  01/07/2008 5871 R1377CP  11/23/2007  2008 Annual Update to the Therapy Code List  01/07/2008 5810 R1183CP  02/09/2007  Infrared Th erapy Devices  01/16/2007 5421 R1145CP  12/29/2006  Outpatient Therapy Cap Exceptions Process for Calendar Year (CY) 2007  01/29/2007 5478 R1127CP  12/15/2006  Infrared Therapy Devices  Replaced by Transmittal 1183  01/16/2007 5421 R1106CP  11/09/2006  Outpatient Therapy Cap Clarifications  12/09/2006 5271 R1019CP  08/03/2006  Outpatient Therapy - Additional DRA Mandated Service Edits  01/02/2007 5253 R1016CP  07/28/2006  Outpatient Therapy - Additional DRA Mandated Service Edit  01/02/2007 5253 R1000CP  07/19/2006  Common Working File (CWF) to the Medicare Beneficiary Database (MBD) Data Exchange Changes  10/02/2006 4300 R980CP  06/14/2006  Changes Conforming to CR 3648 Instructions for Therapy Services -  Replaces Rev. 941  10/02/2006 4014 R941CP  05/05/2006  Changes Conforming to CR 3648 Instructions for Therapy Services  10/02/2006 4014 R908CP  04/21/2006  Common Working File (CWF) to the Medicare Beneficiary Database (MBD) Data Exchange Changes  10/02/2006 4300   Rev #  Issue Date  Subject  Impl Date  CR#  R855CP  02/15/2006  Therapy Caps Exception Process  3/13/2006 4364 R853CP  02/13/2006  Therapy Caps Exception Process  3/13/2006 4364 R805CP  01/06/2006  Annual Update to the Therapy Code List  02/06/2006 4226 R771CP  12/02/2005  Revisions to Pub.100- 04, Medicare Claims Processing Manual in Preparation for the National Provider Identifier  01/03/2006 4181 R759CP  11/18/2005  Therapy Caps to be Effective January 1, 2006  01/03/2006 4115 R515CP  04/01/2005  Update to 100- 04 and Therapy Code Lists  07/05/2005 3647 R463CP  02/04/2005  Update to 100- 04 and Therapy Code Lists  07/05/2005 3647 R319CP  10/22/2004  CORF/OPT Edit for Billing Inappropriate Supplies  04/04/2005 3468 R042CP  12/08/2003  The Financial Limitation on Therapy Services  12/08/2003 3005 R030CP  11/14/2003  The Financial Limitation on Therapy Services  01/05/2004 2973 R001CP  10/01/2003  Initial Publication of Manual  NA NA Back to top of Chapter