(Medicare Claims Processing Manual)

10/01/2018  10604 R4001CP  03/16/2018 Internet Only Manual Updates to Pub. 100-01, 100- 02 and 100- 04 to Correct Errors and Omissions (SNF) (2018)  06/19/2018  10512 R3895CP  10/27/2017 Revised and New Modifiers for Oxygen Flow Rate  04/02/2018  10158 R3824CP  08/02/2017 July Quarterly Update for 2017 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule  07/03/2017  10071 R3801CP  06/28/2017 Extension of the Transition to the Fully Adjusted Durable Medical Equipment, Prosthetics, Orthotics and Supplies Payment Rates under Section 16007 of the 21st Century Cures Act  07/03/2017  9968 Rev #  Issue Date  Subject  Impl Date  CR#  R3730CP  03/03/2017 Payment for Oxygen Volume Adjustments and Portable Oxygen Equipment  04/03/2017  9848 R3716CP  02/10/2017 Extension of the Transition to the Fully Adjusted Durable Medical Equipment, Prosthetics, Orthotics and Supplies Payment Rates under Section 16007 of the 21st Century Cures Act  Rescinded and replaced by transmittal 3801 07/03/2017  9968 R3713CP  02/03/2017 Extension of Payment Change for Group 3 Complex Rehabilitative Power Wheelchairs Accessories and Seat and Back Cushions under Section 16005 of the 21st Century Cures Act  07/03/2017  9966 R3679CP  12/16/2016 Payment for Oxygen Volume Adjustments and Portable Oxygen Equipment -  Rescinded and replaced by Transmittal 3730  04/03/2017  9848 R3649CP  11/10/2016 Payment for Oxygen Volume Adjustments and Portable Oxygen Equipment  Rescinded and replaced by Transmittal 3679 04/03/2017  9848 R3593CP  08/17/2016 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP): Additional Instructions for the Implementation of Round 2 Recompete of the DMEPOS CBP and National Mail Order (NMO) Recompete  10/03/2016  9579 R3565CP  07/20/2016 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP): Additional Instructions for the Implementation of Round 2 Recompete of the DMEPOS CBP and National Mail Order (NMO) Recompete  Rescinded and replace d by Transmittal 3593 10/03/2016  9579 Rev #  Issue Date  Subject  Impl Date  CR#  R3535CP  07/07/2016 Payment Change for Group 3 Complex Rehabilitative Power Wheelchairs Accessories and Seat and Back Cushions under Section 2 of the Patient Access and Medicare Protection Act (PAMPA)  07/05/2016  9520 R3500CP  04/28/2016 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP): Additional Instructions for the Implementation of Round 2 Recompete of the DMEPOS CBP and National Mail Order (NMO) Recompete  Rescinded and replace d by Transmittal 3565 10/03/2016  9579 R3493CP  04/14/2016 Payment Change for Group 3 Complex Rehabilitative Power Wheelchairs Accessories and Seat and Back Cushions under Section 2 of the Patient Access and Medicare Protection Act (PAMPA)  Rescinded and replaced by Transmittal 3535.  07/05/2016  9520 R3491CP  04/05/2016 Payment for Purchased Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Furnished to Medicare Beneficiaries Residing Outside the U.S. -  Expatriate Beneficiaries  07/05/2016  9468 R3459CP  02/05/2016 Payment Change for Group 3 Complex Rehabilitative Power Wheelchairs Accessories and Seat and Back Cushions under Section 2 of the Patient Access and Medicare Protection Act (PAMPA)  Rescinded and replaced by Transmittal 3493.  07/05/2016  9520 R3444CP  01/29/2016 Payment for Purchased Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Furnished to Medicare Beneficiaries Residing Outside the U.S. -  Expatriate Beneficiaries  Rescinded and replaced by Transmittal 3491 07/05/2016  9468 Rev #  Issue Date  Subject  Impl Date  CR#  R3443CP  01/29/2016 Manual Update to Pub. 100- 04, Chapter 20, to Include Used Rental Equipment  07/05/2016  9488 R3416CP  11/23/2015 CY 2016 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule  01/04/2016  9431 R3196CP  02/13/2015 Payment Repairs to Capped Rental Equipment Prior to the End of the 13- Month Cap 07/06/2015  9062 R2993CP  07/25/2014 Update to Pub. 100- 04, Chapter 20 to Provide Language -Only Changes for Updating ICD -10 and ASC X12 08/25/2014  8694 R2977CP  06/20/2014 Clarification of Billing Instructions Related to the Home Health Benefit 09/23/2014  8775 R2687CP  04/19/2013 Clarify the Definition of Customized Durable Medical Equipment (DME) Items  07/19/2013  8194 R2629CP  01/04/2013 Updating the VMAP/4D Table with B5 Ocularist Specialty Code  02/05/2013  8123 R2605CP  11/30/2012 Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Low Back Pain (CLBP)  01/07/2013  7836 R2511CP  08/03/2012 Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Low Back Pain (CLBP)  Rescinded and replaced by Transmittal 2605 01/07/2013  7836 R2487CP  06/08/2012 Internet Only Manual (IOM) Update for Laboratory Services and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Claims Processed under the End Stage Renal Disease Prospective Payment System (ESRD PPS)  06/19/2012  7749 R2475CP  05/18/2012 Internet Only Manual (IOM) Update for Laboratory Services and Durable Medical 06/19/2012  7749 Rev #  Issue Date  Subject  Impl Date  CR#  Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Claims Processed under the End Stage Renal Disease Prospective Payment System (ESRD PPS)  R2465CP  05/11/2012 Assigned Codes for Home Oxygen Use for Cluster Headaches (CH) in a Clinical Trial (ICD -10) 10/01/2012  7820 R2464CP  05/04/2012 Enhance the Multi -Carrier System (MCS) and ViPS  Medicare System (VMS) to Maintain Five Full Years of Pricing Data and to Automatically Price Claims/Adjustments at the Rates in Effect at the Dates of Service  10/01/2012 for VMS  7383 R2299CP  09/08/2011 Enhance the Multi -Carrier System (MCS) and ViPS Medicare System (VMS) to Maintain Five Full Years of Pricing Data and to Automatically Price Claims/Adjustments at the Rates in Effect at the Dates of Service  Rescinded and replaced by Transmittal 2464. 10/03/2011  7383 R2210CP  05/06/2011 Enhance the Multi -Carrier System (MCS) and ViPS Medicare System (VMS) to Maintain Five Full Years of Pricing Data and to Automatically Price Claims/Adjustments at the Rates in Effect at the Dates of Service  Rescinded and replaced by Transmittal 2299 10/03/2011  7383 R1961CP  04/30/2010 Payment for Replacement of Oxygen Equipment in Bankruptcy Situations  10/04/2010  6838 R1603CP  09/26/2008 Claims Jurisdiction and Enrollment Procedures for Suppliers of Certain Prosthetics, Durable Medical Equipment (DME) and Replacement Parts, Accessories and Supplies  10/27/2008  5917 R1493CP  04/18/2008 Establish Pre -Payment Auto- denial Edits in Applicable States for DMEPOS Suppliers of 04/07/2008  5929 Rev #  Issue Date  Subject  Impl Date  CR#  Oxygen and Oxygen Equipment (DME MACs only)  R1472CP  03/06/2008 Update of Institutional Claims References  04/07/2008  5893 R1421CP  01/25/2008 Update of Institutional Claims References -  Rescinded and Replaced by Transmittal 1472  04/07/2008  5893 R1378CP  11/23/2008 Establish Pre -Payment Auto- denial Edits in Applicable States for DMEPOS Suppliers of Oxygen and Oxygen Equipment (DME MACs only)  Replaced by Transmittal 1493  04/07/2008  5471 R1368CP  11/02/2007 Reporting an NPI and the EY Modifier on Claims for DMEPOS Items Dispensed Without a Physicians Order to Obtain a Medicare Denial for Coordination of Benefits (COB)  04/07/2008  5771 R1142CP  12/22/2006 DMERC Claim Modifiers for Upgrades  04/02/2007  5367 R961CP  05/26/2006 Home Use of Oxygen in Approved Clinical Trials  10/03/2006  4389 R867CP  02/17/2006 Elimination of the DMERC Information Form (DIF)  04/03/2006  4241 R863CP  02/17/2006 Update to Chapter 20, Billing for Oxygen and Oxygen Equipment, Section 130.6 03/17/2006  4271 R745CP  11/04/2005 Elimination of the DMERC Information Form (DIF)  04/03/2006  4040 R656CP  08/19/2005 Full Replacement of CR 3607, Payment Edits in Applicable States for DMEPOS Suppliers of Prosthetics and Certain Custom -Fabricated Orthotics, Change Request 3607 is Rescinded (DMERC Only)  10/03/2005  3959 R629CP  07/29/2005 Certificate of Medical Necessity Claim Edits Workload Reporting  01/03/2006  3699 Rev #  Issue Date  Subject  Impl Date  CR#  R546CP  04/29/2005 Number of DMEPOS Pricing Files That Must be Maintained Online for Medicare -DMERC, FI and RHHI Only 10/03/2005  3792 R489CP  03/04/2005 Correction to Healthcare Common Procedure Coding System (HCPCS) Code A4217 07/05/2005  3714 R445CP  01/21/2005 Payment to Providers/Suppliers Qualified to Bill Medicare for Prosthetics and Certain Custom Fabricated Orthotics  07/05/2005  3607 R330CP