evekhm/cms_iom_500 huggingface dataset:
(Medicare Claims Processing Manual)
Impl  Date  CR#  (ESRD) Related Epoetin Alfa (EPO) Effective January 1, 2007 R1030CP  08/11/2006 Policy Changes to the Fiscal Intermediary (FI) Calculation of Hospital Outpatient Payment System (OPPS) and Community Mental Health Center (CMHC) Cost to Charge Ratios (CCRs)  01/02/2007 5238 R1007CP  07/28/2006 Change in Healthcare Common Procedure Coding System (HCPCS) for Renal Dialysis Facilities and Hospitals Billing for End Stage Renal Disease (ESRD) Related Epoetin Alfa (EPO) Effective January 1, 2007 01/02/2007 5216 R980CP  06/14/2006 Changes Conforming to CR 3648 Instructions for Therapy Services -  Replaces Rev. 941  10/02/2006 4014 R976CP  06/09/2006 Billing of Temporary "C" HCPCS Codes by Non- Outpatient Prospective Payment System (Non- OPPS) Providers  10/02/2006 5027 R941CP  05/05/2006 Changes Conforming to CR 3648 Instructions for Therapy Services  10/02/2006 4014 R903CP  04/14/2006 Payment for Blood Clotting Factors Administered to Hemophilia Inpatients  07/14/2006 4229 R881CP  03/03/2006 Outpatient Prospective Payment System Hospital Emergency Room Services Exceeding 24 Hours  04/03/2006 4252 R817CP  01/20/2006 Update to the Inpatient Provider Specific File (PSF) and the Outpatient Provider Specific File (OPSF) to Retain Provider Information 04/03/2006 4279 R803CP  01/03/2006 Administration of Drugs and Biologicals in a Method II Critical Access Hospital  04/03/2006 4234 Rev #  Issue Date  Subject  Impl  Date  CR#  R795CP  12/30/2005 Redefined Type of Bill 14X for Non-Patient Laboratory Specimens -CR 3835 Manualization  04/03/2006 4208 R787CP  12/16/2005 January 2006 Update of the Hospital Outpatient Prospective Payment System Manual Instruction: Changes to Coding and Payment for Drug Administration.  01/03/2006 4259 R785CP  12/16/2005 January 2006 Update of the Hospital Outpatient Prospective Payment System Manual Instruction: Changes to Coding and Payment for Drug Administration.  01/03/2006 4258
(Medicare Claims Processing Manual)
for Drug Administration.  01/03/2006 4259 R785CP  12/16/2005 January 2006 Update of the Hospital Outpatient Prospective Payment System Manual Instruction: Changes to Coding and Payment for Drug Administration.  01/03/2006 4258 R771CP  12/02/2005 Revisions to Pub.100- 04, Medicare Claims Processing Manual in Preparation for the National Provider Identifier  01/03/2006 4181 R768CP  12/02/2005 Lung Volume Reduction Surgery  03/02/2006 4149 R763CP  11/25/2005 Update to Repetitive Billing -- Manualization  N/A 4047 R734CP  10/28/2005 Redefined Type of Bill (TOB), 14x, for Non-Patient Laboratory Specimens  04/03/2006 3835 R711CP  10/14/2005 Update to Repetitive Billing -- Manualization  N/A 4047 R673CP  09/09/2005 Manual Update on Medical Nutrition Therapy (MNT) Services -  Manualization  N/A 3955 R658CP  08/26/2005 Billing for Devices Under the Hospital Outpatient Prospective Payment System (OPPS)  10/03/2005 4017 R650CP  08/12/2005 Manual Update on Medical Nutrition Therapy Services -  Manualization  N/A 3955 Rev #  Issue Date  Subject  Impl  Date  CR#  R646CP  08/12/2005 Update to the Inpatient Provider Specific File (PSF) and the Outpatient PSF to Retain Provider Information 01/03/2006 3940 R617CP  07/22/2005 Administration of Drugs and Biologicals in a Method II Critical Access Hospital (CAH)  10/24/2005 3911 R616CP  07/22/2005 Certified Registered Nurse Anesthetist Pass-Through Payment  01/03/2006 3833 R608CP  07/22/2005 New Health Professional Shortage Area (HPSA) Modifier  01/03/2006 3935 R596CP  06/24/2005 Indian Health Service (IHS) or Tribal Hospitals Including Critical Access Hospital (CAH) Payment Methodology for Inpatient Social Admissions and Outpatient Services Occurring During Concurrent Stays  04/04/2005 3452 R573CP  06/03/2005 Clarifying Manual Instructions for Coding and Payment for Drug Administration Under the Hospital Outpatient Prospective Payment System (OPPS)  06/01/2005 3848
(Medicare Claims Processing Manual)
Occurring During Concurrent Stays  04/04/2005 3452 R573CP  06/03/2005 Clarifying Manual Instructions for Coding and Payment for Drug Administration Under the Hospital Outpatient Prospective Payment System (OPPS)  06/01/2005 3848 R566CP  05/20/2005 Clarifying Manual Instructions for Coding and Payment for Drug Administration Under the Hospital Outpatient Prospective Payment System (OPPS)  06/01/2005 3848 R557CP  05/06/2005 Clarifying Manual Instructions for Coding and Payment for Drug Administration Under the Hospital Outpatient Prospective Payment System (OPPS)  06/01/2005 3848 R530CP  04/22/2005 Billing Requirements for Physician Services Rendered in Method II Critical Access Hospitals (CAHs)  07/05/2005 3800 Rev #  Issue Date  Subject  Impl  Date  CR#  R496CP  03/04/2005 Billing for Blood and Blood Products Under the Hospital Outpatient Prospective Payment System (OPPS)  07/05/2005 3681 R483CP  02/25/2005 Hospital Partial Hospitalization Services Billing Requirements  10/04/2004 3297 R477CP  02/18/2005 New Case -Mix Adjusted End Stage Renal Disease (ESRD) Composite Payment Rates and New Composite Rate Exceptions Window for Pediatric ESRD Facilities  04/04/2005 3720 R465CP  02/04/2005 Billing Requirements for Physician Services in Method II Critical Access Hospitals (CAHs)  07/05/2005 3559 R442CP  01/21/2005 Hospital Outpatient Prospective Payment System (OPPS): Use of Modifiers - 52, -73 and -74 for Reduced or Discontinued Services  02/22/2005 3507 R407CP  12/17/2004 Hospital Billing for Repetitive Services  01/03/2005 3633 R404CP  12/17/2004 January 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Changes to Coding and Payment for Drug Administration  01/03/2005 3610 R403CP  12/17/2004 January 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Billing for Devices that do not have Transitional Pass -Through Status, and that are not Classified as New Technology Ambulatory Payment Classification (APC) Groups  01/03/2005 3606 R379CP  11/26/2004 Low Osmolar Contrast Material/Laboratory Tests/Payment for Inpatient Services Furnished by a Critical Access Hospital
(Medicare Claims Processing Manual)
as New Technology Ambulatory Payment Classification (APC) Groups  01/03/2005 3606 R379CP  11/26/2004 Low Osmolar Contrast Material/Laboratory Tests/Payment for Inpatient Services Furnished by a Critical Access Hospital (CAH)  04/04/2005 3439 R370CP  11/19/2004 New Case -Mix Adjusted End Stage Renal Disease (ESRD) Composite 04/04/2005 3572 Rev #  Issue Date  Subject  Impl  Date  CR#  Payment Rates and New Composite Rates and New Composite Rate Exceptions Window for Pediatric ESRD Facilities  R351CP  10/29/2004 Editing of Hospitals and Skilled Nursing Facilities Part B Inpatient Services (Full Replacement of Change Request 3366)  01/03/2005 3531 R336CP  10/29/2004 Indian Health Service (IHS) or Tribal Hospitals including Critical Access Hospitals (CAH) Payment Methodology for Inpatient Social Admissions and Outpatient Services Occurring During Concurrent Stays  04/04/2005 3452 R301CP  09/17/2004 Editing Of Hospital And Skilled Nursing Facility Part B Inpatient Services  01/03/2005 3366 R270CP  08/03/2004 Update to the Frequency of Billing  01/03/2005 3382 R262CP  07/30/2004 Bonus Payment to Physicians That Render Services in a CAH in a Designated Physician Scarcity Area  01/03/2005 3262 R251CP  07/23/2004 Editing Of Hospital And Skilled Nursing Facility Part B Inpatient Services  01/03/2005 3366 R243CP  07/23/2004 Patient Status Code and Reason for Patient Visit for the Hospital Outpatient Prospective Payment System (OPPS)  01/03/2005 2800 R239CP  07/23/2004 Update to the Frequency of Billing  01/03/2005 3382 R231CP  07/23/2004 Indian Health Service (IHS) or Tribal Critical Access Hospital (CAH) Payment Methodology for Inpatient and Outpatient Services  01/03/2005 3235 R180CP  05/14/2004 Hospital Partial Hospitalization Services Billing Requirements  N/A 3297 Rev #  Issue Date  Subject  Impl  Date  CR#  R167CP  04/30/2004 Discontinued Use of Revenue Code 0910 10/04/2004 3194 R156CP  04/30/2004 Payment Procedure for Maryland Hospitals Under the Jurisdiction of the Health Services Cost Review Commission  10/04/2004 3200
(Medicare Claims Processing Manual)
Medicare Claims Processing Manual  Chapter 4 - Part B Hospital  (Including Inpatient Hospital Part B and OPPS)  Table of Contents (Rev. 11426, 05-20-22) (Rev. 11457, 06-15-22)   Transmittals for Chapter 4   10 - Hospital Outpatient Prospective Payment System (OPPS)  10.1 - Background  10.1.1 - Payment Status Indicators  10.2 - APC Payment Groups 10.2.1 - Composite APCs  10.2.2 - Cardiac Resynchronization Therapy  10.2.3 - Comprehensive APCs   10.2.4. - Reporting for Certain Outpatient Department Services (That Are Similar to Therapy Services) (Non -Therapy Outpatient Department Services) and Are Adjunctive to Comprehensive APC Procedures  10.3 - Calculation of APC Payment Rates  10.4 - Packaging  10.4.1 - Combinations of Packaged Services of Different Types That are Furnished on the Same Claim  10.5 - Discounting 10.6 - Payment Adjustments  10.6.1 - Payment Adjustment for Certain Rural Hospitals  10.6.2 - Payment Adjustment for Failure to Meet the Hospital Outpatient Quality Reporting Requirements  10.6.2.1 -  Hospitals to which the Payment Reduction Applies  10.6.2.2 -  Services to which the Payment Reduction Applies  10.6.2.3 - Contractor Responsibilities  10.6.2.4 - Application of the Payment Reduction Factor in Calculation of the Reduced Payment and Reduced Copayment  10.6.3 - Payment Adjustment for Certain Cancer Hospitals  10.6.3.1 - Payment Adjustment for Certain Cancer Hospitals for CY 2012 and CY 2013 10.6.3.2 - Payment Adjustment for Certain Cancer Hospitals for CY 2014   10.6.3.3 -  Payment Adjustment for Certain Cancer Hospitals Beginning CY 2015 10.6.3.4 -  Payment Adjustment for Certain Cancer Hospitals   Beginning CY 2016 10.6.3.5 -  Payment Adjustment for Certain Cancer Hospitals Beginning CY 2017 10.6.3.6 -  Payment Adjustment for Certain Cancer Hospitals Beginning CY 2018        10.6.3.7 -  Payment Adjustment for Certain Cancer Hospitals         Beginning CY 2019         10.6.3.8 -  Payment Adjustment for Certain Cancer Hospitals
(Medicare Claims Processing Manual)
Beginning CY 2020  10.7 -  Outliers  10.7.1 -  Outlier Adjustme nts 10.7.2 -  Outlier Reconciliation  10.7.2.1 -  Identifying Hospitals and CMHCs Subject to Outlier Reconciliation  10.7.2.2 -  Reconciling Outlier Payments for Hospitals a nd CMHCs  10.7.2.3 -  Time Value of Money  10.7.2.4 -  Procedures for Medicare Contractors to Perform and Record Outlier Reconciliation Adjustments  10.8 -  Geographic Adjustments  10.8.1 -  Wage Index Changes  10.9 -  Updates  10.10 -  Biweekly Interim Payments for Certain Hospital Outpatient Items and Services That Are Paid on a Cost Basis, and Direct Medical Education Payments, Not Included in the Hospital Outpatient Prospective Payment System (OPPS)  10.11 -  Calculation of Overall Cost to Charge Ratios (CCRs) for Hospitals Paid Under the Outpa tient Prospective Payment System (OPPS) and Community Mental Health Centers (CMHCs) Paid Under the Hospital OPPS  10.11.1 -  Requirement to Calculate CCRs for Hospitals Paid Under OPPS and for CMHCs  10.11.2 -  Circumstances in Which CCRs are Used  10.11.3 -  Selection of the CCR to be Used 10.11.3.1 -  CMS Specification of Alternative CCR  10.11.3.2 -  Hospital or CMHC Request for Use of a Different CCR  10.11.3.3 -  Notification to Hospitals Paid Under the OPPS of a Change in the CCR  10.11.4 -  Use of CCRs in Mergers, Acquisitions, Other Ownership Changes , or Errors Related to CCRs  10.11.5 -  New Providers and Providers with Cost Report Periods Less Than a Full Year  10.11.6 -  Substitut ion of Statewide CCRs for Extreme OPPS Hospital Specific CCRs  10.11.7 -  Methodology for Calculation of Hospital Overall CCR for Hospitals that Do Not Have Nursing and Paramedical Education Programs  for Cost Reporting Periods Be ginning Before  May 1, 2010, Under Cost Report Form 2552- 96 10.11.7.1 -  Methodology for Calculation of Hospital Overall CCR for Hospitals That Do Not Have Nursing and Paramedical Education Programs for Cost Reporting Periods Beginning On or After May 1, 2010, Under Cost Report 2552- 10  10.11.8 -  Methodology for Calculation of Hospital Overall
(Medicare Claims Processing Manual)
of Hospital Overall CCR for Hospitals That Do Not Have Nursing and Paramedical Education Programs for Cost Reporting Periods Beginning On or After May 1, 2010, Under Cost Report 2552- 10  10.11.8 -  Methodology for Calculation of Hospital Overall CCR for Hospitals That Have Nursing and Paramedical Education Programs  for Cost Reporting Periods Beginning Before  May 1, 2010, Under Cost Report Form 2552- 96 10.11.8.1 -  Methodology for Calculation of Hospital Overall CCR for Hospitals That Have Nursing and Paramedical Education Programs for Cost Reporting Periods Beginning On or  After May 1, 2010, Under Cost Report 2552- 10 10.11.9 -  Methodology for Calculation of CCR for CMHCs  10.11.10 -  Location of Statewide CCRs, Tolerances for Use of Statewide CCRs in Lieu of Calculated CCRs and Cost Centers to be Used in the Calculation of CCRs  10.11.11 -  Reporting of CCRs for Hospitals Paid Under OPPS and for CMHCs  10.12 -  Payment Window for Outpatient Services Treated as Inpatient Services  20 - Reporting Hospital Outpatient Services Using Healthcare Common Procedure Coding System (HCPCS)  20.1 -  General  20.1.1 -  Elimination of the 90 -day Grace Period for HCPCS (Level I and Level II)  20.2 -  Applicability of OPPS to Specific HCPCS Codes  20.3 -  Line Item Dates of Service  20.4 -  Reporting of Service Units  20.5 -  Clarification of HCPCS Code to Revenue Code Reporting 20.6 -  Use of Modifiers  20.6.1 -  Where to Report Modifiers on the Hospital Part B Claim  20.6.2 -  Use o f Modifiers - 50, -LT, and -RT 20.6.3 -  Modifiers - LT and -RT 20.6.4 -  Use of Modifiers for Discontinued Services  20.6.5 -  Modifiers for Repeat Procedures  20.6.6 -  Modifiers for Radiology Services  20.6.7 -  CA Modifier  20.6.8 -  HCPCS Level II Modifiers  20.6.9 -  Use of HCPCS Modifier -FB 20.6.10 -  Use of HCPCS Modifier - FC 20.6.11 -  Use of HCPCS Modifier -  PO 20.6.12 -  Use of HCPCS Modifier  PN   20.6.13 -
(Medicare Claims Processing Manual)
-  Use of HCPCS Modifier - FC 20.6.11 -  Use of HCPCS Modifier -  PO 20.6.12 -  Use of HCPCS Modifier  PN   20.6.13 -  Use of HCPCS Modifier -  CT 20.6.14 -  Use of HCPCS Modifier  FX  20.6.15 -  Use of HCPCS Modifier -  FY 20.6.16-  Use of HCPCS Modifier -  JG 20.6.17-  Use of HCPCS Modifier  - TB 20.6.18-  Use of HCPCS Modifier -  ER 20.6.19 -  Use of HCPCS Modifier  CG  20.7 -  Billing of C HCPCS Codes by Non- OPPS Providers  30 - OPPS Coinsurance   30.1 - Coinsurance Election 30.2 - Calculating the Medicare Payment Amount and Coinsurance 40 - Outpatient Code Editors (OCEs) 40.1 - Integrated OCE (July 2007 and Later) 40.1.1 - Patient Status Code and Reason for Patient Visit for the Hospital OPPS  40.2 - Outpatient Prospective Payment System (OPPS) OCE (Prior to July 1, 2007) 40.2.1 - Patient Status Code and Reason for Patient Visit for the Hospital OPPS  40.3 - Non -OPPS OCE (Rejected Items and Processing Requirements) Prior to July 1, 2007  40.4 - Payi ng Claims Outside of the IOCE  40.4.1 - Requesting to Pay Claims Without IOCE Approval  40.4.2 - Procedures for Paying Claims Without Passing through the IOCE  40.5 - Transition al Pass - Throughs for Designated Drugs or Biologicals
(Medicare Claims Processing Manual)
50 - Outpatient PRICER  50.1 - Outpatient Provider Specific File  50.2 - Deductible Application  50.3 - Transitional Pass -Through Payments for Designated Devices 50.4 - Changes to Pricer Logic Effective April 1, 2002 50.5 - Changes to the OPPS Pricer Logic Effective January 1, 2003 50.6 - Changes to the OPPS Pricer Logic Effective January 1, 2003 Through  January 1, 2006 50.7- Annual Updates to the OPPS Pricer for Calendar Year (CY) 2007 and Later  50.8 - Annual Updates to the OPPS Pricer for Calendar Year (CY) 2007 and Later  60 - Billing for Devices Eligible for Transitional Pass -Through Payments and Items Classified in New Technology APCs  60.1 - Categories for Use in Coding Devices Eligible for Transitional Pass-Through Payments Under the Hospital OPPS  60.2 - Roles of Hospitals, Manufacturers, and CMS in Billing for Transitional Pass- Through Items  60.3 - Devices Eligible for Transitional Pass -Through Payments  60.4 -  General Coding and Billing Instructions and Explanations                                     60.4.1 - Explanations of Terms 60.4.2 - Complete List of Device Pass -through Category Codes 60.4.3. - Explanations of Certain Terms/Definitions Related to Device Pass -Through Category Codes 60.5 - Services Eligi ble for New Technology APC Assignment and Payments 61 - Billing for Devices under the OPPS  61.1 - Requirements that Hospitals Report Device Codes on Claims on Which They Report Specified Procedures  61.2 - Edits for Claims on Which Specified Procedures are to be Reported With Device Codes and For Which Specified Devices are to be Reported With Procedure Codes  61.2.1  Bypass Edit Modifier CG for Claims on Which Specified Procedures are to be Reported With Device Codes   61.3 -  Billing for Devices Furnished Without Cost to an OPPS Hospital or Beneficiary or for Which the Hospital Rec eives a Full or Partial Credit and Payment for OPPS Services Required to Furnish the Device  61.3.1 -  Reporting and Charging Requirements When a Device is Furnished Without Cost to the Hospital  Prior to January 1, 2014  61.3.2 -  Reporting and Charging Requirements When the Hospital Receives Full Credit for the Replaced Device against the Cost of a More Expensive Replacement Device Prior to January 1, 2014  61.3.3 -  Reporting Re quirements When the Hospital Receives Partial Credit for the Replaced Device Prior to January 1, 2014
(Medicare Claims Processing Manual)
Hospital Receives Full Credit for the Replaced Device against the Cost of a More Expensive Replacement Device Prior to January 1, 2014  61.3.3 -  Reporting Re quirements When the Hospital Receives Partial Credit for the Replaced Device Prior to January 1, 2014 61.3.4 -  Medicare Payment Adjustment Prior to January 1, 2014  61.3.5 -  Reporting and Charging Requirements When a Device is Furnished Without Cost to the Hospital or When the Hospital Receives a Full or Partial Credit for the Replacement Device Beginning January 1, 2014  61.3.6 -  Medicare Payment Adjustment Beginning January 1, 2014  61.4 -  Billing and Payment for Brachytherapy Sources  61.4.1 -  Billing for Brachytherapy Sources -  General  61.4.2 -  Definition of Brachytherapy Source for Separate Paymen t 61.4.3 -  Billing of Brachytherapy Sources Ordered for a Specific Patient  61.4.4 -  Billing for Brachytherapy Source Supervision, Handling and Loading Costs  61.4.5 -  Payment for New Brachytherapy Sources  61.5 -  Billing for Intracoronary Stent Placement  70 - Transitional Corridor Payments  70.1 -  TOPs Calculation for CY 2000 and CY 2001 70.2 -  TOPs Calculation for CY 2002
(Medicare Claims Processing Manual)
70.3 -  TOPs Calculation for CY 2003  70.4 -  TOPs Calculation for CY 2004 and CY 2005  70.5 -  TOPs Calculation for CY 2006 -  CY 2008  70.6 -  Transitional Outpatient Payments (TOPs) for CY 2009 70.7 -  Transitional Outpatient Payments (TOPs) for CY 2010 through CY 2012 70.8 -  TOPs Overpayments  80 - Shared system Requirements to Incorporate Provider -Specific Payment -to-Cost Ratios into the Calculation of Interim Transitional Outpatient Payments Under OPPS  80.1 -  Background -  Payment -to-Cost Ratios  80.2 -  Using the Newly Calculated PCR for Determining Final TOP Amounts  80.3 -  Using the Newly Calculated PCR for Determining Interim TOPs  90 - Discontinuation of Value Code 05 Reporting  100 -  Medicare Summary Notice (MSN)  110 -  Procedures for Submitting Late Charges Under OPPS  120 -  General Rules for Reporting Outpatient Hospital Services  120.1 -  Bill Types Subject to OPPS   120.2 -  Routing of Claims  140 -  All-Inclusive Rate Hospitals  141 -  Maryland Waiver Hospitals  150 -  Hospitals That Do Not Provide Outpatient Services  160 -  Clinic and Emergency Visits  160.1- Critical Care Services  170 -  Hospital and CMHC Reporting Requirements for Services Performed on the Same Day  180 -  Accurate Reporting of Surgical and Medical Procedures  and Services  180.1 -  General Rules  180.2 -  Selecting and Reporting Procedure Codes  180.3 -  Unlisted Service or Procedure  180.4 -  Proper Reporting of Condition Code G0 (Zero)  180.5 -  Proper Reporting of Condition Codes 20 and 21 180.6 -  Emergency Room (ER) Services That Span Multiple Service Dates  180.7 -  Inpatient -only Services  190  Payer Only Codes Utilized by Medicare  200 -  Special Services  for OPPS Billing  200.1 -  Billing for Corneal Tissue  200.2 -  Hospital Dialysis Services For Patients with and without End Stage Renal Disease (ESRD)  200.3 -  Billing Codes fo r Intensity Modulated Radiation Therapy (IMRT) and Stereotactic Radiosurgery (SRS)  200.3.1 -  Billing Instructions for IMRT Planning and Delivery  200.3.2 -  Billing for Multi- Source Photon (Cobalt  60-Based) Stereotactic Radiosurgery (SRS) Planning and Delivery  200.4 -  Billing for Amniotic Membrane  200.5 -  Reserved  200.6 -  Billing and Payment for Alcohol and/or Substance Abuse Assessment and Intervention Services  200.7 -  Billing for Cardiac
(Medicare Claims Processing Manual)
Radiosurgery (SRS) Planning and Delivery  200.4 -  Billing for Amniotic Membrane  200.5 -  Reserved  200.6 -  Billing and Payment for Alcohol and/or Substance Abuse Assessment and Intervention Services  200.7 -  Billing for Cardiac Echocardiography Services  200.7.1 -  Cardiac Echocardiography Without Contrast  200.7.2 -  Cardiac Echocardiography With Contrast  200.8 -  Billing for Nuclear Medicine Procedures  200.9 -  Billing for Sometimes Therapy Services that May be Paid as Non -Therapy Services for Hospital Outpatients  200.10 -  Billing for Cost Based Payment for Certified Registered Nurse Anesthetists (CRNA) Services Furnished by Outpatient Prospective Payment System (OPPS) Hospitals  200.11  Billing Advance Care P lanning (ACP)  230 -  Billing and Payment for Drugs and Drug Administration  230.1 -  Coding and Payment for Drugs and Biologicals  and Radiopharmaceuticals  230.2 -  Coding and Paym ent for Drug Administration   231 -  Billing and Payment for Blood, Blood Products, and Stem Cells and Related Services Under the Hospital Outpatient Prospective Payment System (OPPS)  231.1 -  When a Provider  Paid Under the OPPS Does Not Purchase the Blood or Blood Products That It Procures from a Community Blood Bank, or When a Provider Paid Under the OPPS Does Not Assess a Charge for Blood or Blood Products Supplied by the Providers Own Blood Bank Other Tha n Blood Processing and Storage  231.2 -  When a Provider Paid Under the OPPS Purchases Blood or Blood Products from a Community Blood Bank or When a Provider Paid Under the OPPS Assesses a Charge for Blood or Blood Products Collect ed By Its Own Blood Bank That Reflects More Than Blood Processing and Storage  231.3 -  Billing for Autologous Blood (Including Salvaged Blood) and Directed Donor Blood  231.4 -  Billing for Split Unit of B lood 231.5 -  Billing for Irradiation of Blood Products  231.6 -  Billing for Frozen and Thawed Blood and Blood Products  231.7 -  Billing for Unused Blood  231.8 -  Billing for Transfusion Services  231.9 -  Billing for Pheresis and Apheresis Services  231.10 -  Billing for Autologous Stem Cell Transplants  231.11 -  Billing for Allogeneic Stem Cell Transplants  231.12 -  Correct Coding Initiative (CCI) Edits  240 -  Inpatient Part B Hospital Services  240.1 -  Editing of Hospital Part B