evekhm/cms_iom_500 huggingface dataset:
(Medicare Claims Processing Manual)
G code associated with revenue code 0655, copied from the claim. Line Item DOS3  9(8) 167-174 Input item: The line item date of service associated with revenue code 655, copied from the claim.  UNITS3  9(7) 175-181 Input item: The number of units associated with revenue code 0655, copied from the claim. This represents the number of days of inpatient respite care to be paid.  THEIR -PAY-  CHG3  9(6)V99  182-189 Output item: The total payment to be made on the revenue code 0655 line.  REV4  X(4)  190-193 Input item: Revenue code 0656 (if present) copied from the claim.  HCPC4  x(5) 194-198 Input item: HCPCS G code associated with revenue code 0656, copied from the claim. Line Item DOS4  9(8) 199-206 Input item: The line item  date of service associated with revenue code 656, copied from the claim.  UNITS4  9(7) 207-213 Input item: The number of units associated with revenue code 0656, copied from the claim. This represents the number of days of general inpatient care to be paid.  THEIR -PAY-  CHG4  9(6)V99  214-221 Output item: The total payment to be made on the revenue code 0656 line.  NA Day 1 Add-on Pay 9(6)V99  222-229 Output item:  Not used  NA Day 2 Add-on Pay 9(6)V99  230-237 Output item:  Not used  EOL Day 1  Add-on Pay  9(6)V99  238-245 Output item: Payment associated with the corresponding ADD- ON-UNITS field (units multiplied by the CHC rate, up to a limit of 16 units)  EOL Day 2  Add-on Pay  9(6)V99  246-253 Output item: Payment associated with the corresponding ADD- ON-UNITS field (units multiplied by the CHC rate, up to a limit of 16 units)  EOL Day 3  Add-on Pay  9(6)V99  254-261 Output item: Payment associated with the corresponding ADD- ON-UNITS field (units multiplied by the CHC rate, up to a limit of 16 units)  EOL Day 4  Add-on Pay  9(6)V99  262-269 Output
(Medicare Claims Processing Manual)
Output item: Payment associated with the corresponding ADD- ON-UNITS field (units multiplied by the CHC rate, up to a limit of 16 units)  EOL Day 4  Add-on Pay  9(6)V99  262-269 Output item: Payment associated with the corresponding ADD- ON-UNITS field (units multiplied by the CHC rate, up to a limit of 16 units)  EOL Day 5  Add-on Pay  9(6)V99  270-277 Output item: Payment associated with the corresponding ADD- ON-UNITS field (units multiplied by the CHC rate, up to a limit of 16 units)  EOL Day 6  Add-on Pay  9(6)V99  278-285 Output item: Payment associated with the corresponding ADD- ON-UNITS field (units multiplied by the CHC rate, up to a limit of 16 units)  EOL Day 7  Add-on Pay  9(6)V99  286-293 Output item: Payment associated with the corresponding ADD- ON-UNITS field (units multiplied by the CHC rate, up to a limit of 16 units)  PAY- AMT  9(6)99  294-301 Output item: The sum of all payment amounts returned on this record.  RTC  XX 302-303 Output item: A return code set by Pricer to define the payment circumstances of the claim or an error in input data.
(Medicare Claims Processing Manual)
Payment return codes:                                                00 Home rate returned  73 Low RHC rate applies to all RHC  74 Low RHC rate with EOL SIA  75 High RHC rate applies to some or all RHC  77 High RHC with EOL SIA        No rate return error codes:      10 Bad units  20 Bad units2<8  30 Bad CBSA code  40 Bad hospice wage index from CBSA file  50 Bad bene wage index from CBSA  file  51 Bad provider number  High RHC Days  99 304-305 Output item: The number of high RHC days applied to the claim.  This number is placed on the claim as a value code 62 amount.  Low RHC Days  99 306-307 Output item: The number of low RHC days applied to the claim.  This number is placed on the claim as a value code 63 amount.  FILLER x(8) 308-315   130.2 Decision Logic Used by the Pricer on Claims    (Rev. 12083; Issued: 06- 15-23; Effective: 05 -15-23; Implementation: 07- 17-23)
(Medicare Claims Processing Manual)
130.2 Decision Logic Used by the Pricer on Claims    (Rev. 12083; Issued: 06- 15-23; Effective: 05 -15-23; Implementation: 07- 17-23)  The following components are used by the Hospice Pricer to determine the Hospice payment rate:   Wage Index   Labor and Non -Labor Amounts for each level of care rate  - Routine Home Care (RHC) rates days 1 thru 60  - Routine Home Care (RHC) rates days 60+  - Continuous Home Care (CHC) rates  - Inpatient Respite Care (IRC) rates  - General Inpatient Care (GIP) rates   Service Intensity Add- on (SIA) rates  These components are updated in the Hospice Pricer annually. Whenever the Hospice Pricer is updated, Medicare also publishes a Recurring Update Notification to inform providers and A/B MACs (HHH) about the changes.  On each input record, Pricer performs the following calculations:  1. Determine the payment rate for the RHC level of care REV1 by multiplying the labor portion of the RHC payment rate by the associated BENE CBSA wage index and sum with the non- labor portion.  The labor portion plus the non- labor portion, multiplied by the number of RHC days determines the payment amount.  There are high/low RHC labor and non- labor share rates. The RHC low rate is applied to all RHC days for service beyond the 60th day (calculated by looking at the span between the ADMISSION DATE field and the LINE ITEM DOS1 date field plus NA DAY 1 ADD- ON UNITS). The RHC high rates are applied to service on the 60th day or earlier.   If EOL Day 1 Add- on Units are present then SIA payment will be made. The payment will be equal to the CHC hourly rate, multiplied by the hours of nursing or social worker services provided (up to four hours total) that occurred on the day of service or a t otal of 16 units per day for the final seven days of life.
(Medicare Claims Processing Manual)
2. Determine the payment rate for the CHC level of care REV2 by multiplying the labor portion of the CHC payment rate by the associated BENE CBSA wage index and sum with the non- labor portion.  The labor portion plus the non- labor portion, multiplied by the number of CHC hours (UNITS2 divided by 4) determines t he payment amount.  3. Determine the payment rate for the IRC level of care REV3 by multiplying the labor portion of the IRC payment rate by the associated PROV CBSA wage index and sum with the non- labor portion.  The labor portion plus the non- labor portion, multiplied by the number of IRC days determines the payment amount.  4. Determine the payment rate for the GIP level of care REV4 by multiplying the labor portion of the GIP payment rate by the associated PROV CBSA wage index and sum with the non- labor portion.  The labor portion plus the non- labor portion, multiplied by the n umber of GIP days determines the payment amount.  5. Calculate the total claim payment by adding all the THEIR -PAY- CHRG fields plus the SIA payment amount total. This is informational only. The clams processing systems uses the THEIR -PAY-  CHRG fields to make payment.  Note: Pricer reduce payment by 4%  if the hospice does not submit quality data. A value of 1 in the QIP REDUCTION IND field indicates that the hospice is subject to the 4%  payment reduction due to not reporting required quality data.
(Medicare Claims Processing Manual)
Transmittals Issued for this Chapter  Rev #  Issue Date  Subject  Impl Date  CR# R12083CP  06/15/2023 Internet Only Manual Update, Pub. 100-04, Chapter 11 (Processing Hospice Claims), Sections 20.1.1 - 20.1.5, 30.2.1, 30.3, 130.1 and 130.2  07/17/2023 13238 R11286CP  03/03/2022 Internet Only Manual Update, Pub. 100-04, Chapter 11, Sections 20.1.4 and 30.3 Regarding the Cancellation of an Election and Billing for Services  06/03/2022 12626 R11280CP  02/25/2022 Gap Billing Between Hospice Transfers  07/05/2022 12619 R11258CP  02/10/2022 Gap Billing Between Hospice Transfers  - Rescinded and replaced by Transmittal 11280  07/05/2022 12619 R10485CP.pd 11/19/2020 Internet Only Manual Update, Pub. 100-04, Chapter 11 - This  Change Request (CR) Rescinds and Fully Replaces CR 11807. 12/01/2020 12026 R10453CP.pdf  11/09/2020 Internet Only Manual Update, Pub. 100-04, Chapter 11 - This  Change Request (CR) Rescinds and Fully Replaces CR 11807.- Rescinded and replaced by Transmittal 10485 12/01/2020 12026 R10407CP  10/30/2020 Internet Only Manual Update, Pub. 100-04, Chapter 11 - This CR Rescinds and Fully Replaces CR 11807. Rescinded and replaced by Transmittal 10453 12/01/2020 12026 R10173CP  06/12/2020 Internet Only Manual Update, Pub. 100-04, Chapter 11 09/07/2020 11807 R4393CP  09/13/2019 Internet Only Manual Update to Add New and Revise Sections of Publication 100-04, Chapter 11 11/25/2019 11431 Rev #  Issue Date  Subject  Impl Date  CR# R4280CP  04/19/2019 Update to Pub. 100-04, Chapter 11 07/21/2019 11205 R4254CP  03/13/2019 Ensuring Only the Active Billing Hospice Can Submit a Revocation 07/01/2019 11049 R4187CP
(Medicare Claims Processing Manual)
Update to Pub. 100-04, Chapter 11 07/21/2019 11205 R4254CP  03/13/2019 Ensuring Only the Active Billing Hospice Can Submit a Revocation 07/01/2019 11049 R4187CP  12/28/2018 Ensuring Only the Active Billing Hospice Can Submit a Revocation - Rescinded and replaced by Transmittal 4254  07/01/2019 11049 R4152CP
(Medicare Claims Processing Manual)
10/26/2018 Redesign of Hospice Periods  Additional Requirements 04/01/2019 10967 R4035CP  04/27/2018 Enhancements to Processing of Hospice Routine Home Care Payments  10/01/2018 10573 R3930CP  12/01/2017 Hospice Manual Update Only for Section 30.3 03/01/2018 10361 R3866CP  09/26/2017 Accepting Hospice Notices of Election via Electronic Data Interchange  01/02/2018 10064 R3813CP  07/27/2017 Accepting Hospice Notices of Election via Electronic Data Interchange
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01/02/2018 10064 R3621CP  10/07/2016 Billing of Vaccine Services on Hospice Claims  10/03/2016 9052 R3577CP  08/05/2016 New Condition Code To Use When Hospice Recertification Is Untimely and Corrections to Hospice Processing Problems 01/03/2017 9590 Rev #  Issue Date  Subject  Impl Date  CR# R3540CP  06/10/2016 Billing of Vaccine Services on Hospice Claims - Rescinded and replaced by Transmittal 3621 10/03/2016 9052 R3503CP  04/28/2016 Billing of Vaccine Services on Hospice Claims - Rescinded and replaced by Transmittal 3540 10/03/2016 9052 R3502CP  04/28/2016 Making Principal Diagnosis Codes Mandatory for Notice of Election (NOE) to be Accepted  10/03/2016 9575 R3378CP  10/16/2015 Additional G-Codes Differentiating RNs and LPNs in the Home Health and Hospice Settings 01/01/2016 9369 R3326CP  08/14/2015 Implementation of the Hospice Payment Reforms  01/04/2016 9201 R3118CP  11/06/2014 Correction to Remittance Messages When Hospice Claims are Reduced Due to Late Filing of the Notice of Election  04/06/2014 8923 R3032CP  08/22/2014 Hospice Manual Update for Diagnosis Reporting and Filing Hospice Notice of Election (NOE) and Termination or Revocation of Election. This CR rescinds and fully replaces CR 8777. 10/01/2014 8877 R3015CP  08/07/2014 Update to Pub. 100- 04, Medicare Claims Processing Manual, Chapter 11 to Provide Language-Only Changes for Updating ICD-10 and ASC X12  09/08/2014 8648 R2973CP  06/06/2014 Hospice Manual Update for Diagnosis Reporting and Filing Hospice Notice of Election (NOE) and Termination or Revocation of 10/01/2014 8777 Rev #  Issue Date  Subject  Impl Date  CR# Election  Rescinded and replaced by CR 8877 R2929CP  04/10/2014 Update to Pub. 100- 04, Medicare Claims Processing Manual, Chapter 11 to Provide Language-Only Changes for Updating ICD-10 and ASC X12  Rescinded and replaced by Transmittal 3015 10/01/2014 8648
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to Pub. 100- 04, Medicare Claims Processing Manual, Chapter 11 to Provide Language-Only Changes for Updating ICD-10 and ASC X12  Rescinded and replaced by Transmittal 3015 10/01/2014 8648 R2928CP  04/10/2014 Enforcement of the 5 day Payment Limit for Respite Care Under the Hospice Medicare Benefit  07/07/2014 8569 R2910CP  03/14/2014 Update to Pub. 100- 04, Medicare Claims Processing Manual, Chapter 11 to Provide Language-Only Changes for Updating ICD-10 and ASC X12  Rescinded and replaced by Transmittal 2929 10/01/2014 8648 R2867CP  02/05/2014 Enforcement of the 5 day Payment Limit for Respite Care Under the Hospice Medicare Benefit  Rescinded and replaced by Transmittal 2928  07/07/2014 8569 R2864CP  01/31/2014 Additional Data Reporting Requirements for Hospice Claims  01/06/2014 8358 R2748CP  07/26/2013 Demand Billing of Hospice General Inpatient Level of Care  01/06/2014 8371 R2747CP  07/26/2013 Additional Data Reporting Requirements for Hospice Claims  Rescinded and replaced by Transmittal 2864  01/06/2014 8358 R2696CP  05/03/1013 Implementation of the Hospice Quality Reporting Required by the Affordable Care Act (ACA) Section 3004 10/07/2013 8241 Rev #  Issue Date  Subject  Impl Date  CR# R2642CP  01/31/2013 Hospice Monthly Billing Requirement  07/01/2013 8142 R2482CP  06/01/2012 Updates to Caps and Limitations on Hospice Payments  07/02/2012 7838 R2448CP  04/26/2012`  Medicare System Update to Include Claim Level Referring Physician Data and Insuring Hospice Certifying Physician Identifiers Are Fully Processed  10/01/2012 7755 R2410CP  02/03/2012 New Hospice Condition code for Out of Service Area Discharges  07/02/2012 7677 R2391CP  01/25/2012 New Hospice Condition code for Out of Service Area Discharges  Rescinded and replaced by Transmittal 2410  07/02/2012 7677 R2326CP  10/27/2011 Discontinuation of Hospice Late Charge Claims  04/02/2012 7556
(Medicare Claims Processing Manual)
Out of Service Area Discharges  Rescinded and replaced by Transmittal 2410  07/02/2012 7677 R2326CP  10/27/2011 Discontinuation of Hospice Late Charge Claims  04/02/2012 7556 R2316CP  10/07/2011 Hospice Claims Processing Procedures When Required Face- to-Face Encounters Do Not Occur Timely  01/09/2012 7478 R2258CP  07/29/2011 Correction to Processing of Hospice Discharge Claims  01/03/2012 7473 R1955CP  04/28/2010 New Hospice Site of Service Code  10/04/2010 6905 R1907CP  02/05/2010 Medicare Systems Edit Refinements Related to Hospice Services  07/06/2010 6778 R1897CP  01/29/2010 Associating Hospice Visits to the Level of Care  04/29/2010 6791 R1885CP  12/23/2009 Hospice Reporting Requirements for the Attending Physician and the 01/04/2010 6540 Rev #  Issue Date  Subject  Impl Date  CR# Hospice Physician Certifying the Terminal Illness  R1870CP  12/11/2009 Hospice Reporting Requirements for the Attending Physician and the Hospice Physician Certifying the Terminal Illness  Rescinded and replaced by Transmittal 1885 01/04/2010 6540 R1863CP  11/27/2009 Hospice Reporting Requirements for the Attending Physician and the Hospice Physician Certifying the Terminal Illness  Rescinded and replaced by Transmittal 1870 01/04/2010 6540 R1738CP  05/15/2009 Additional Data Collection on Hospice Claims  10/05/2009 6440 R1713CP  04/24/2009 Additional Data Collection on Hospice Claims  Rescinded and replaced by Transmittal 1738 10/05/2009 6440 R1708CP  04/03/2009 Hospice Cap Calculations Letters and Administrative Appeals 07/06/2009 6400 R1673CP  01/30/2009 Correction to the Common Working File (CWF) for Late Recertification  07/06/2009 6332 R1558CP  07/18/2008 Hospice Discharge for Cause  01/05/2009 6115 R1494CP  04/29/2008 Reporting of Additional Data to Describe Services on Hospice Claims  01/07/2008 5567 R1447CP  02/12/2008 Reporting of Additional Data to Describe Services on Hospice Claims - Replaced by Transmittal 1494
(Medicare Claims Processing Manual)
04/29/2008 Reporting of Additional Data to Describe Services on Hospice Claims  01/07/2008 5567 R1447CP  02/12/2008 Reporting of Additional Data to Describe Services on Hospice Claims - Replaced by Transmittal 1494 01/07/2008 5567 R1397CP  12/18/2007 Reporting of Additional Data to Describe Services on Hospice Claims - Replaced by Transmittal 1447 01/07/2008 5567 Rev #  Issue Date  Subject  Impl Date  CR# R1372CP  11/02/2007 Reporting of Additional Data to Describe Services on Hospice Claims - Replaced by Transmittal 1397 01/07/2008 5567 R1352CP  10/15/2007 Billing Instructions Regarding Payment for Hospice Care Based on Location Where Care is Furnished  01/07/2008 5745 R1304CP  07/20/2007 Reporting of Additional Data to Describe Services on Hospice Claims  Replaced by Transmittal 1372 01/07/2008 5567 R1011CP  07/28/2006 Instructions for Reporting Hospice Services in Greater Line Item Detail  01/02/2007 5245 R999CP  07/14/2006 Non-Physician Practitioner (NPP) Payment for Care Plan Oversight 10/02/2006 4374 R993CP  06/23/2006 Non-Physician Practitioner (NPP) Payment for Care Plan Oversight 10/02/2006 4374 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 R771CP  12/02/2005 Revisions to Pub 100- 04, Medicare Claims Processing Manual in Preparation for the National Provider Identifier  01/03/2006 4181 R606CP  07/15/2005 Medicare Program -Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2005 10/04/2004 3386 R458CP  01/28/2005 Hospice Physician Recertification Requirements  07/05/2005 3686 Rev #  Issue Date  Subject  Impl Date  CR# R386CP  12/03/2004 Hospice Pre-Election Evaluation and Counseling Services 01/03/2005 3585 R304CP  09/24/2004 Nurse Practitioners As Attending Physicians in
(Medicare Claims Processing Manual)
Rev #  Issue Date  Subject  Impl Date  CR# R386CP  12/03/2004 Hospice Pre-Election Evaluation and Counseling Services 01/03/2005 3585 R304CP  09/24/2004 Nurse Practitioners As Attending Physicians in the Medicare Hospice Benefit  06/28/2004 3226 R271CP  08/04/2004 Medicare Program -Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2005 10/04/2004 3386 R264CP  07/30/2004 Medicare Program -Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2005 10/04/2004 3386 R205CP  06/15/2004 Nurse Practitioners As Attending Physicians in the Medicare Hospice Benefit  06/28/2004 3226 R193CP  05/28/2004 Nurse Practitioner as Attending Physician In Hospice 06/28/2004 3226 R001CP  10/01/2003 Initial Publication of Manual NA NA Back to top of Chapter
(Medicare Claims Processing Manual Crosswalk)
Medicare Claims Processing Manual Chapter 11 - Processing Hospice Claims  Crosswalk New Chap  New  Sect Int. Pub 13-3  Carrier Pub 14-3  HO Pub 10  HSP Pub 21  Other  Description 11                                               10 A3-3140,A3-3143,  B3-4175 AB-02-009,AB-03-008 Overview 11 20 HSP-201 Hospice Notice of Election  11 20.1 HSP-201 Procedures for Hospice Election  11 20.1.1 HSP-302 Notice of Election (NOE) - Form CMS-1450  11 20.1.2 HO-460  HSP-302.1 Completing the Uniform (Institutional Provider) Bill (Form CMS-1450) for Hospice Election  11 20.1.3 HSP-302.2 FI Reply to Notice of Election  11 30 Billing and Payment for General Hospice Services  11 30.1 A3-3143.2 HSP-401,HSP-402 HSP-402.5 A-03-016 Levels of Care  New Chap  New  Sect Int. Pub 13-3  Carrier Pub 14-3  HO Pub 10  HSP Pub 21  Other  Description 11 30.2
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HSP-403,HSP-404 9/5/01 ARA update memo, A-02-059 Payment Rates  11 30.3 A3-3648  HSP-302,HSP-303- HSP-303.1  Data Required on Claim to Intermediary  11 40 A3-3141.1 B3-4175,B3-2020G, B3-15513 HSP-406 Billing and Payment for Hospice Services Provided by a Physician  11 40.1 B3-4175,B3-2020G, B3-15513 HSP-406 Types of Physician Services  11 40.1.1 HSP-406 Administrative Activities  11 40.1.2 HSP-406 Patient Care Services  11 40.1.3 B3-4175,B3-4175.1, B3-4175.4 HSP-406 Attending Physician Services  11 40.1.3.1 B3-2020G,B3-15513 Care Plan Oversight  11 40.2 B3-4175.2,B3-4175.4 Carrier Processing of Claims for Hospice Beneficiaries  11 40.2.1  A3-3141.1 Claims After the End of Hospice Election Period  New Chap  New  Sect Int. Pub 13-3  Carrier Pub 14-3  HO Pub 10  HSP Pub 21  Other  Description 11 40.2.2                                                                          B3-4175.3 Claims From Medicare + Choice Organizations  11 50 B3-4175.2 HSP-303.2 AB-02-015  Billing and Payment for Services Unrelated to Terminal Illness  11 60 A-02-102 Billing and Payment for Services Provided by Hospices Under Contractual Arrangements With Other Institutions  11 60.1 A-02-102 Instructions for the Contractual Arrangement 11 60.2 A-02-102 Clarification of the Payment for Contracted Services  11 70 A3-3142  HSP-410 Deductible and Coinsurance for Hospice Benefit 11 70.1 A3-3142  HSP-410 General  11 70.2 A3-3142  HSP-410 Coinsurance on Outpatient Drugs and Biologicals
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11 70.1 A3-3142  HSP-410 General  11 70.2 A3-3142  HSP-410 Coinsurance on Outpatient Drugs and Biologicals 11 70.3 A3-3142  HSP-410 Coinsurance on Inpatient Respite Care  11 80 Caps and Limitations on Hospice Payments  11 80.1 HSP-405 Limitation on Payments for Inpatient Care  11 80.2 HSP-407-407.1 Cap on Overall Hospice Reimbursement  11 80.2.1 HSP-407-407.1 Services Counted  New Chap  New  Sect Int. Pub 13-3  Carrier Pub 14-3  HO Pub 10  HSP Pub 21  Other  Description 11 80.2.2                                     HSP-407-407.1 Counting Beneficiaries for Calculation  11 80.2.3 HSP-407-407.1 Adjustments to Cap Amount  11 90 HSP-303.5 Frequency of Billing  11 100 HSP-304 Medical Review of Hospice Claims  11 110 B3-7012  TM HSP R64,TM A3-R1846  Medicare Summary Notice (MSN) Messages/ASC X12N Remittance Advice Adjustment Reason and Remark Codes  11 120 B3-4175.1,B3-4175.6 Contractor Responsibilities for Publishing Hospice Information
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Medicare Claims Processing Manual  Chapter 12 - Physicians/Nonphysician Practitioners   Table of Contents  (Rev.  12423; Issued: 12- 20-23)    Transmittals for Chapter 12
(Medicare Claims Processing Manual)
10 - General  20 - Medicare Physicians Fee Schedule (MPFS)  20.1 -  Method for Computing Fee Schedule Amount  20.2 -  Relative Value Units (RVUs)  20.3 -  Bundled Services/Supplies  20.4 -  Summary of Adjustments to Fee Schedule Computations  20.4.1 -  Participating Versus Nonparticipating Differential  20.4.2 -  Site of Service Payment Differential  20.4.3 -  Assistant at Surgery Services  20.4.4 -  Supplies  20.4.5 -  Allowable Adjustments  20.4.6 -  Payment Due to Unusual Circumstances (Modifiers  -22 and  -52) 20.4.7 -   Technical Component Payment Reduction for X -Rays and Other Imaging Services  20.5 -  No Adjustments in Fee Schedule Amounts  20.6-  Update Factor for Fee Schedule Services  20.7 -  Comparability of Payment Provision of Delegation of Authority by CMS to Railroad Retirement Board  20.8 -  Payment for Teleradiology Physician Services Purchased by Indian Health Services (IHS) Providers and Physicians  30 - Correct Coding Policy 30.1 -  Digestive System (Codes 40000 -  49999)  30.2 -  Urinary and Male Genital Systems (Codes 50010 -  55899)  30.3 -  Audiology Sevices  30.4 -  Cardiovascular System (Codes 92950- 93799)  30.5 -  Payment for Codes for Chemotherapy Administration and Nonchemotherapy Injections and Infusions  30.6 -  Evaluation and Management Service Codes - General (Codes 99202 -  99499)  30.6.1 -  Selection of Level of Evaluation and Management Service  30.6.1.1 - Initial Preventive Physical Examination (IPPE) and Annual Wellness Visit (AWV)  30.6.2 -  Billing for Medically Necessary Visit on Same Occasion as Preventive Medicine Service  30.6.3 -  Payment for Immunosuppressive Therapy Management  30.6.4 -  Evaluation and Management (E/M) Services Furnished Incident to Physicians Service by Nonphysician Practitioners  30.6.5 -  Physicians in Group Practice  30.6.6 -  Payment for Evaluation and Management Services Provided During Global Period of Surgery  30.6.7 -  Payment for Office or Other Outpatient Evaluation and Management (E/M) Visits (Codes 99201 -  99215)  30.6.8 -  Payment for Hospital Observation Services and