(Medicare Benefit Policy Manual)

05/04/2022 Revisions to Medicare Part B Coverage of Pneumococcal Vaccinations for the Medicare Benefit Policy Manual Chapter 15, Section 50.4.4.2  06/06/2022 12723 R11355BP  04/14/2022  Update to Publication 100-04, Chapter 18 and Publication 100-02, Chapter 15, Section to Add Data Regarding Novel Coronavirus (COVID -19) and its Administration to Current Claims Processing Requirements and Other General Updates  05/06/2022 12634 Rev #  Issue Date  Subject  Impl Date  CR#  R11288BP  03/04/2022 Internet-Only Manual Updates (IOM) for Critical Care, Split/Shared Evaluation and Management Services, Teaching Physicians, and Physician Assistants  02/15/2022 12543 R11272BP  02/18/2022 An Omnibus CR Covering: (1) Removal of Two National Coverage Determination (NCDs), (2) Updates to the Medical Nutrition Therapy (MNT) Policy, and (3) Updates to the Pulmonary Rehabilitation (PR), Cardiac Rehabilitation (CR), and Intensive Cardiac Rehabilit ation (ICR) Conditions of Coverage- Rescinded and replaced by transmittal 11426  07/05/2022 12613 R11181BP  01/14/2022 Internet-Only Manual Updates (IOM) for Critical Care, Split/Shared Evaluation and Management Services, Teaching Physicians, and Physician Assistants  Rescinded and replaced by transmittal 11288  02/15/2022 12543 R10880BP  08/06/2021 Internet Only Manual Updates to Pub. 100-01, 100-02, and 100-04 to Implement Consolidated Appropriations Act Changes and Correct Errors and Omissions (SNF)  11/08/2021 12009 R10573BP  03/24/2021 Update to Pulmonary Rehabilitation (PR), Cardiac Rehabilitation (CR) and Intensive Cardiac Rehabilitation (ICR) Program Manual Sections  04/26/2021 12115      Rev #  Issue Date  Subject  Impl Date  CR#  R10639BP  03/12/2021 Update to the Manual for Telephone Services, Physician Assistant (PA) Supervision, and Medical Record Documentation for Part B Services  04/12/2021 11862 R10547BP 12/31/2020 Billing for Home Infusion Therapy Services On or After January 1, 2021 01/04/2021     11880   R10463BP  11/13/2020 Billing for Home Infusion Therapy Services On or After January 1, 2021  Rescinded and replaced by transmittal 10574  01/04/2021 11880 R10269BP 08/07/2020 Billing for Home Infusion Therapy Services On or After January 1, 2021- Rescinded and replaced by transmittal 10463  01/04/2021 11880 R259BP 07/12/2019 Update to Coverage of Intravenous Immune Globulin for Treatment of Primary Immune Deficiency Diseases in the Home  08/13/2019 11295 R256BP 02/01/2019 Update to Intensive Cardiac Rehabilitation (ICR) Programs  03/19/2019 11117 R255BP  01/25/2019 Updates to Reflect Removal of Functional Reporting Requirements and Therapy Provisions of the Bipartisan Budget Act of 2018 02/26/2019 11120 R251BP 11/30/2018 Revision of Definition of the Physician Supervision of Diagnostic Procedures, Clarification of DSMT Telehealth Services, and Establishing a Modifier for Expanding the Use of Telehealth for Individuals with Stroke 01/02/2019 11043   R241BP 02/02/2018 New K Code for Therapeutic Shoe Inserts 04/02/2018 10436 Rev #  Issue Date  Subject  Impl Date  CR#  R235BP  06/09/2017 Removal of Contractor Requirement to Submit Opt Out Data into the Contractor Reporting of Operational and Workload Data (CROWD) System (Form 8)  07/11/2017 10121 R228BP  10/13/2016 Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (SNF)  10/18/2016 9748  R227BP 09/16/2016 Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (SNF) - Rescinded and replaced by Transmittal 228  10/18/2016 9748 R222BP 05/13/2016 Revisions to Private Contracting/Opt-Out Manual Sections Due to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) 08/15/2016 9616 R221BP 03/11/2016 Telehealth Services  04/11/2016 9428 R216BP  12/22/2015 Advance Care Planning (ACP) as an Optional Element of an Annual Wellness Visit (AWV)  01/04/2016 9271 R212BP 11/06/2015 Update to the List of 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  02/10/2016 9386 R210BP 08/07/2015 Advance Care Planning (ACP) as an Optional Element of an Annual Wellness Visit (AWV)  Rescinded and replaced by Transmittal 216 01/04/2016 9271 Rev #  Issue Date  Subject  Impl Date  CR#  R206BP  04/10/2015 Private Contracting: Definition of Emergency Care Services and Appeals of Opt Out Determinations 07/13/2015 9116 R203BP 02/13/2015 Payment Repairs to Capped Rental Equipment Prior to the End of the 13-Month Cap 07/06/2015 9062 R202BP 12/31/2014 Modifications to Medicare Part B Coverage of Pneumococcal Vaccinations  02/02/2015 9051 R196BP 10/17/2014 Medicare Coverage of Ultrasound Screening for Abdominal Aortic Aneurysms (AAA) and Screening Fecal -Occult Blood Tests (FOBT) 11/18/2014 8881 R194BP 09/03/2014 Pub. 100-02 Language-Only Update for ICD-10 Upon Implementation of ICD -10 8605 R193BP 08/29/2014 Cardiac Rehabilitation Programs for Chronic Heart Failure  08/18/2014 8758 R192BP 08/01/2014 Clarification of the Confined to the Home Definition in Chapter 15, Covered Medical and Other Health Services, of the Medicare Benefit Policy Manual 09/02/2014 8818 R191BP 07/18/2014 Cardiac Rehabilitation Programs for Chronic Heart Failure  Rescinded and replaced by Transmittal 193  08/18/2014 8758 R186BP 04/16/2014 Clarification to Pub. 100-02, Medicare Benefit Policy Manual Regarding Antigens and Deletion of Section 13.14 from Chapter 13 of Pub. 100-08, Medicare Program Integrity Manual 05/12/2014 8665 R185BP 04/15/2014 Aprepitant for Chemotherapy Induced Emesis  07/07/2014 8418 Rev #  Issue Date  Subject  Impl Date  CR#  R184BP  04/11/2014 Clarification to Pub. 100-02, Medicare Benefit Policy Manual Regarding Antigens and Deletion of Section 13.14 from Chapter 13 of Pub. 100-08, Medicare Program Integrity Manual  Rescinded and replaced by Transmittal 186 05/12/2014 8665 R182BP 03/21/1014 Implementing the Part B Inpatient Payment Policies from CMS -1599-F 04/21/2014 8666 R181BP 03/14/2014 Pub. 100-02 Language-Only Update for ICD-10  Rescinded and replaced by Transmittal 194 10/01/2014 8605 R180BP  02/21/2014 Aprepitant for Chemotherapy Induced Emesis  Rescinded and replaced by Transmittal 185 07/07/2014 8418 R179BP 01/14/2014 Manual Updates to Clarify Skilled Nursing Facility (SNF), Inpatient Rehabilitation Facility (IRF), Home Health (HH), and Outpatient (OPT) Coverage Pursuant to Jimmo vs. Sebelius  01/07/2014 8458 R178BP 12/30/2013 Expansion of Medicare Telehealth Services for CY 2014 01/06/2014 8553 R176BP 12/13/2013 Manual Updates to Clarify Skilled Nursing Facility (SNF), Inpatient Rehabilitation Facility (IRF), Home Health (HH), and Outpatient (OPT) Coverage Pursuant to Jimmo vs. Sebelius  Rescinded and replaced by Transmittal 179 01/07/2014 8458 R170BP 05/10/2013 Updates to Medicare Coverage of Hepatitis B Vaccine and its Administration and Medicare Coverage of the Annual Wellness Visit (AWV) Providing Personalized Prevention Plan Services (PPPS)  06/10/2013 8275 Rev #  Issue Date  Subject  Impl Date  CR#  R167BP  02/06/2013 Expansion of Medicare Telehealth Services for CY 2012 01/25/2013 7900 R165BP  12/21/2012 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  01/07/2013 8005 R164BP 11/30/2012 Expansion of Medicare Telehealth Services for CY 2012 - Rescinded and replaced by Transmittal 167 01/07/2013 7900 R163BP 11/30/2012 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 165  01/07/2013 8005 R161BP 10/26/2012 Manual Updates to Clarify SNF Claims Processing  04/01/2013 8044 R160BP 10/26/2012 Effect of Beneficiary Agreements Not to Use Medicare Coverage and When Payment May be Made to a Beneficiary for Service of an Opt -Out Physician/Practitioner  01/28/2013 8100 R159BP 08/31/2012 Expansion of Medicare Telehealth Services for CY 2012 Rescinded and replaced by Transmittal 164 01/07/2013 7900 R158BP 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 163 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