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CMS Transmittals and MLN Matters Articles

Medicare Weekly Update, June 5, 2007

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Discarded drugs and biologicals

On May 25, CMS issued a transmittal clarifying that Medicare will cover the amount of a single-use vial or single-use package of a drug or biological that was discarded along with the amount of that single-use vial/package that was administered to the patient.

Effective Date: July 1, 2007
Implementation Date: July 2, 2007

View this transmittal.
View the relating MLN Matters article.

Quarterly update to medically unlikely edits

On May 25, CMS issued a transmittal announcing implementation of the next version of medically unlikely edits, which is version 1.2. Unfortunately, however, CMS is still not disclosing the actual edits.

Effective Date: July 1, 2007
Implementation Date: July 2, 2007

View this transmittal.
View the relating MLN Matters article.

Summary of payment policy changes in the hospital Outpatient Prospective Payment System

On June 1, CMS issued a transmittal describing the changes to and billing instructions for the payment policies implemented in the July 2007 Outpatient Prospective Payment System update.

Effective Date: July 1, 2007
Implementation Date: July 2, 2007

View this transmittal.

Revised HCPCS codes for Albuterol, Levalbuterol, and Reclast

On June 1, CMS issued a transmittal changing the HCPCS codes for Albuterol, Levalbuterol, and Reclast.

Effective Date: July 1, 2007
Implementation Date: July 2, 2007

View this transmittal.

Revised HCPCS codes for certain Immune Globulins

On June 1, CMS issued a transmittal implementing changes to the HCPCS codes for certain Immune Globulins.

Effective Date: July 1, 2007
Implementation Date: July 2, 2007

View this transmittal.

Unique Physician Identification Number (UPIN) registry discontinuation

On May 31, CMS issued a transmittal that announces the discontinuance of the UPIN registry. Effective Date: May 29, 2007
Implementation Date: June 29, 2007

View this transmittal.
View the relating MLN Matters article.

Clarification to portable x-ray coverage

On May 25, CMS issued a transmittal clarifying that the Medicare portable x-ray benefit includes films of other extremities in addition to arms and legs.

Effective Date: N/A
Implementation Date: July 2, 2007

View this transmittal.

Coverage of foot care

On May 30, CMS issued a special edition MLN Matters article clarifying Medicare coverage for foot care.

View this MLN Matters article.

Using modifier -59

On May 29, CMS issued a special edition MLN Matters article clarifying the proper use of modifier -59.

View this MLN Matters article.

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