Transmittals and MLN Matters articles: CMS corrects NCCI edit files, analyzes inclusion of additional ICD-9 codes on claims, and more
Medicare Weekly Update, January 12, 2010
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CMS corrects NCCI files
On January 8, CMS issued a transmittal to correct and replace the NCCI edit files it previously issued.
Effective date: January 1, 2010
Implementation date: January 5, 2010
CMS to analyze changes necessary for processing additional codes
On January 8, CMS issued a transmittal to initiate analysis of institutional online screens to determine the necessary changes to allow for additional ICD-9 diagnosis and procedure codes on claims; the analysis will also examine needed changes to accommodate ICD-10 codes.
Effective date: April 1, 2010
Implementation date: April 5, 2010
CMS revises MUE transmittal
On January 8, CMS issued a transmittal to rescind and replace its December 8 transmittal on medically unlikely edits (MUE). The new transmittal makes several changes, including updates to how CMS handles modifier -55.
Effective date: April 1, 2010
Implementation date: April 5, 2010
CMS revises previous transmittals
CMS made changes to several previously issued transmittals for various reasons.
- Processing of Non-Covered International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Procedure codes on Inpatient Hospital Claims
- PharmacogenomicTesting for Warfarin Response
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