(Medicare Benefit Policy Manual)

01/07/2013 8005 Rev #  Issue Date  Subject  Impl Date  CR#  R157BP  06/08/2012 July 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)  07/02/2012 7847 R151BP 11/18/2011 Expansion of Medicare Telehealth Services for CY 2012 01/03/2012 7504 R147BP 08/26/2011 Clarification of Evaluation and Management Payment Policy  11/28/2011 7405 R146BP 08/12/2011 Expansion of Medicare Telehealth Services for CY 2012  Rescinded and replaced by Transmittal 151 01/03/2012 7504 R145BP 07/08/2011 Influenza Virus Vaccine  08/08/2011 7453 R140BP  02/28/2011 Expansion of Medicare Telehealth Services for CY 2011 01/03/2011 & 04/04/2011 7049 R138BP 02/15/2011 Annual Wellness Visit (AWV), Including Personalized Prevention Plan Services (PPPS)  04/04/2011 7079 R134BP 12/03/2010 Annual Wellness Visit (AWV), Including Personalized Prevention Plan Services (PPPS)  Rescinded and replaced by Transmittal 138 04/04/2011 7079 R132BP 09/03/2010 Revisions and Re- issuance of Audiology Policies 09/30/2010 6447 R131BP  08/20/2010 Expansion of Medicare Telehealth Services for CY 2011  Rescinded and replaced by Transmittal 140 01/03/2011 7049 R129BP 07/23/2010 Revisions and Re- issuance of Audiology Policies - Rescinded and replaced by Transmittal 132 08/11/2010 6447 R127BP 05/28/2010 Revisions and Re- issuance of Audiology Policies - Rescinded and replaced by Transmittal 129 07/28/2010 6447 R126BP 05/21/2010 Cardiac Rehabilitation and Intensive Cardiac Rehabilitation  10042010 6850 Rev #  Issue Date  Subject  Impl Date  CR#  R124BP  05/07/2010 Pulmonary Rehabilitation (PR) Services  10/04/2010 6823 R123BP  04/30/2010 Determining Self -Administration of Drug or Biological 07/30/2010 6950 R120BP  01/29/2010 Revision of Definition of Compendia as Authoritative Source for Use in the Determination of a Medically -Accepted Indication of Drugs/Biologicals Used Off- Label in Anti- Cancer Chemotherapeutic Regimens  03/01/2010 6806 R118BP 12/18/2009 Expansion of Telelhealth Services for CY 2010 01/04/2010 6705 R117BP 12/18/2009 Coverage of Kidney Disease Patient Education Services  04/05/2010 6557 R116BP 12/11/2009 January 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS)  01/04/2010 6751 R109BP 08/07/2009 Diabetes Self -Management Training (DSMT) Certified Diabetic Educator  09/08/2009 6510 R108BP 07/31/2009 New Reporting Requirements for the Quarterly Opt Out Report in Contractor Reporting of Operational Workload Data (CROWD)  01/04/2010 6562 R106BP 04/24/2009 Speech -Language Pathology Practice Payment Policy  07/06/2009 6381 R105BP  04/24/2009 List of Medicare Telehealth Services  05/26/2009 6458 R104BP 03/13/2009 April 2009 Update to the ASC Payment System; Summary of Payment Policy Changes/Manual Revisions 04/06/2009 6424 Rev #  Issue Date  Subject  Impl Date  CR#  R99BP  12/24/2008 Expansion of Medicare Telehealth Services  01/05/2009 6130 R97BP  11/14/2008 Adding Certain Entities as Originating Sites for Payment of Telehealth Services -Section 149 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA)  01/05/2009 6215 R96BP 10/24/2008 Compendia as Authoritative Sources for Use in the Determination of a Medically Accepted Indication of Drugs and Biologicals Used Off-Label in an Anti-Cancer Chemotherapeutic Regimen  11/25/2008 6191 R94BP 08/29/2008 Physician Signature Requirements for Diagnostic Tests 09/30/2008 6100 R93BP 07/25/2008 Screening DNA Stool Test for Colorectal Cancer  08/25/2008 6145 R92BP 06/27/2008 Private Contracting/Opting Out of Medicare  09/29/2008 6081 R91BP 06/20/2008 Self-Administered Drug Exclusion Lists  07/21/2008 5988 R88BP  05/07/2008 Therapy Personnel Qualifications and Policies Effective January 1, 2008 06/09/2008 5921 R87BP 05/02/2008 Incident to Policy Update - Rescinded  06/02/2008 5288 R86BP 04/18/2008 Payments for Medicare Part B Services Furnished by Certain Indian Health Service (IHS) Hospitals and Clinics  05/19/2008 5807 R85BP 02/29/2008 Psychological and Neuropsychological Tests 12/28/2006 5204 Rev #  Issue Date  Subject  Impl Date  CR#  R84BP  02/29/2008 Update to Audiology Policies 04/07/2008 5717 R81BP  02/07/2008 Process for Amending the List of Compendia for Determination of Medically -Accepted Indications for Off-Label Uses of Drugs and Biologicals in an Anti- Cancer Chemotherapeutic Regimen  03/07/2008 5870 R80BP 01/11/2008 Requirements for Ordering and Following Orders for Diagnostic Tests  Replaced by Transmittal 80  11/19/2007 5743 R79BP 10/19/2007 Requirements for Ordering and Following Orders for Diagnostic Tests  Replaced by Transmittal 80  11/19/2007 5743 R78BP 09/21/2007 Unlabeled Use for Anti- Cancer Drugs  Medical Literature Used to Determine Medically Accepted Indications for Drugs and Biologicals Used in Anti- Cancer Treatment  10/22/2007 5729 R77BP 08/29/2007 Testing and Implementation of 2008 Ambulatory Surgical Center (ASC) Payment System Changes 01/07/2008 5680 R76BP 07/20/2007 Testing and Implementation of 2008 Ambulatory Surgical Center (ASC) Payment System Changes  Replaced by Transmittal 77  01/07/2008 5680 R75BP 08/17/2007 Nurse Practitioner (NP) Services and Clinical Nurse Specialist (CNS) Services  11/19/2007 5639 R74BP 06/29/2007 Medicare Telehealth Services  01/07/2008 5628 R72BP  05/25/2007 Guidelines for Payment of Diabetes Self-Management Training (DSMT) 07/02/2007 5433 Rev #  Issue Date  Subject  Impl Date  CR#  R71BP  05/25/2007 Clarification of Manual Instruction Regarding the Scope of Portable X-Ray Benefit  07/02/2007 5536 R70BP 05/11/2007 Bone Mass Measurements (BMMs)  07/02/2007 5521 R64BP  01/19/2007 Guidelines for Payment of Diabetes Self-Management Training (DSMT)  Replaced by Transmittal 72 07/02/2007 5433 R63BP 12/29/2006 Outpatient Therapy Cap Exceptions Process for Calendar Year (CY) 2007 01/29/2007 5478 R62BP 12/22/2006 Private Contracting -Definition of Physician/Practitioner  04/02/2007 5426 R60BP  11/09/2006 Outpatient Therapy Cap Clarification  01/02/2007 5271 R55BP 09/29/2006 Psychological and Neuropsychological Tests  Rescinded and Replaced by Transmittal 85  12/28/2006 5204 R53BP 07/07/2006 Medicare Telehealth Services Update 08/07/2006 5122 R52BP 06/30/2006 Therapy Caps Exception Process 03/13/2006 4364 R51BP  06/23/2006 Requirements for Diagnostic X-Ray, Diagnostic Laboratory, and Other Diagnostic Tests; Clinical Psychologist Services 09/21/2006 4400 R48BP 03/24/2006 Expansion of Glaucoma Screening Services  04/03/2006 4365 R47BP 02/15/2006 Therapy Caps Exception Process 03/13/2006 4364 R46BP  02/13/2006 Therapy Caps Exception Process - Rescinded and replaced by Transmittal 47  03/13/2006 4364 Rev #  Issue Date  Subject  Impl Date  CR#  R43BP  12/23/2005 List of Medicare Telehealth Services  04/03/2006 4204 R37BP  08/12/2005 Conforming Changes for Change Request 3648 to Pub. 100-02 09/12/2005 3912 R36BP 06/24/2005 Pub. 100-02, Chapter 15, Sections 220 and 230 Therapy Services 06/06/2005 3648 R34BP 05/06/2005 Pub. 100-02, Chapter 15, Sections 220 and 230 Therapy Services 06/06/2005 3648 R31BP 04/01/2005 List of Medicare Telehealth Services  05/02/2005 3747 R30BP 02/18/2005 Policy for Repair and Replacement of Durable Medical Equipment (DME)  N/A 3693 R24BP 10/29/2004 Revision of Section 300.5.1, Chapter 15 of the Medicare Benefit Policy Manual to include 22x TOB as an applicable TOB for Diabetes Self-Management Training  01/03/2005 3531 R23BP 10/08/2004 Revised Requirements for Chiropractic Billing of Active/Corrective Treatment and Maintenance Therapy. Full Replacement of CR 3063 10/04/2004 3449 R20BP 09/17/2004 Providing Information for Incident to Services.  Full Replacement of CR CR 3242. - Rescinded  04/01/2005 3460 R18BP 09/03/2004 Revised Requirements for Chiropractic Billing of Active/Corrective Treatment and Maintenance Therapy.  Full Replacement of CR 3063 10/04/2004 3449 R17BP 06/18/2004 Providing Information for Incident to Services. - Replaced by Transmittal 20 -CR 3460. 10/04/2004 3242 Rev #  Issue Date  Subject  Impl Date  CR#  R13BP  05/28/2004 Diabetes Self Management Training Services  06/28/2004 3185 R12BP  05/28/2004 Chiropractors Services  10/04/2004 3063 R09BP  04/23/2004 Arrangements for Physical, Occupational, and Speech Language Pathology Services (PT, OT, SLP)  05/24/2004 3134 R06BP 01/23/2004 Intravenous Immune Globulin 04/05/2004 3059 R05BP  01/09/2004 Coverage of Outpatient Physical Therapy, Occupational Therapy and Speech -Language Pathology Services Under Medical Insurance  03/15/2004 2859 & 2779 R04BP