Corporate Compliance

Transmittals: CMS issues HCPCS update, updates therapy code list, and more

Medicare Insider, November 11, 2008

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CMS issues annual update to the Healthcare Common Procedure Coding System (HCPCS)

On November 7, CMS issued a transmittal implementing an update to HCPCS for 2009.

Effective date: January 1, 2009
Implementation date: January 5, 2009

View the transmittal.

CMS updates Medicare deductible, coinsurance, and premium rates for 2009

On November 7, CMS issued a transmittal updating the rates for deductibles, coinsurance, and premiums in 2009.

Effective date: January 1, 2009
Implementation date: January 5, 2009

View the transmittal.

CMS updates previous transmittal on payment for implanted prosthetic devices for Part B inpatients in hospitals paid under the Medicare hospital Outpatient Prospective Payment System (OPPS)

On November 3, CMS rescinded and replaced its September 12, 2008, transmittal (Change Request 6050) on payment for implanted prosthetic devices for Part B inpatients in hospitals paid under the OPPS. A new C code, C9899, was not included until the release of the HCPCS contractor file. All other information remains the same.

Effective date: January 1, 2009
Implementation date: January 5, 2009

View the transmittal.

View a related MLN Matters article.

CMS updates Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) rates

On October 31, CMS issued an update to the visit rates for RHCs and FQHCs. 

Effective date: January 1, 2009
Implementation date: January 5, 2009

View the transmittal.

View a related MLN Matters article.

CMS updates therapy code list

On October 31, CMS issued the annual update to the list of codes that sometimes or always describe therapy services. The Medicare Claims Processing Manual, Chapter 5, § 20, has a full list of sometimes and always therapy service codes.

Effective date: January 1, 2009
Implementation date: January 5, 2009

View the transmittal.

View a related MLN Matters article.

CMS provides influenza vaccine and the pneumococcal vaccine payment allowances based on 95% of the average wholesale price (AWP)

On October 31, CMS issued a transmittal providing the payment allowances for influenza and pneumococcal vaccines when payment is based on 95% of the AWP.

Effective date: September 1, 2008
Implementation date: No later than December 1, 2008

View the transmittal.

View a related MLN Matters article.

CMS implements new hemophilia clotting factor HCPCS code

On October 24, CMS issued a transmittal implementing a new hemophilia clotting factor HCPCS code, J7186, as payable under Medicare, and terminating Q4096.

Effective date: January 1, 2009
Implementation date: April 6, 2009

View the transmittal.

View a related MLN Matters article.



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