October 2024

A listing of the individual articles included in the Jurisdiction E Medicare A News bulletin dated October 2024 is provided. Each article title functions as a hyperlink to a specific article.

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Articles Source
Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement CR13732
Annual Wellness Visit: SDOH Risk Assessment - Revised CR13486
Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs) (A57161) - R4 - Effective October 1, 2015
Billing and Coding MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R19 - Effective August 1, 2024
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55239) - R17 - Effective July 1, 2024
Billing and Coding: MolDX: Afirma™ Assay by Veracyte (A54356) Retirement - Effective July 28, 2024
Billing and Coding: MolDX: BCR-ABL (A55595)- R5 - Effective September 19, 2024
Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID® Update (A54386) - R11 - Effective October 1, 2024
Billing and Coding: MolDX: Blood Product Molecular Antigen Typing (A57124) - R5 - Effective October 1, 2024
Billing and Coding: MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease (A57421) - R11 - Effective October 1, 2024
Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer (A58679) - R6 - Effective August 1, 2024
Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer (A58679) - R7 - Effective October 1, 2024
Billing and Coding: MolDX: Minimal Residual Disease Testing for Hematologic Cancers (A58996) - R6 - Effective October 1, 2024
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58454) - R7 - Effective July 11, 2024
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58454)- R8 - Effective September 26, 2024
Billing and Coding: MolDX: Molecular Biomarker Testing to Guide Targeted Therapy Selection in Rheumatoid Arthritis (A59521) - R2 - Effective July 1, 2024
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57526) - R19 - Effective July 1, 2024
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R18 - Effective July 1, 2024
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720)- R20 - Effective October 1, 2024
Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies (A57891) - R8 - Effective October 1, 2024
Billing and Coding: MolDX: Proteomics Testing (A59641) - R5 - Effective July 1, 2024
Billing and Coding: MolDX: Repeat Germline Testing (A57331) - R12 - Effective July 1, 2024
Billing and Coding: MolDX: Repeat Germline Testing (A57331) - R13 - Effective September 5, 2024
Changes to the Laboratory NCD Edit Software: January 2025 Update CR13785
Changes to the Laboratory NCD Edit Software: October 2024 Update CR13672
Claims Denied in Error with Revenue Code 048X - Resolved 09/17/24 Alert
Clinical Laboratory Fee Schedule & Laboratory Services Reasonable Charge Payment: October Update CR13717
CMS Officially Launched the GUIDE Dementia Model July 1, 2024
CMS to Update the Shortage Status of Essential Medicines List Quarterly Beginning October 1, 2024
Complex Add-on Code G2211 Frequently Asked Questions (FAQ)
Correctly Billing DEX® Diagnostics Exchange Registry Z-Codes and Molecular Diagnostic Services Program (MolDX) Appeals Newsletter Part 10
Cost Report Referral Process Changes Beginning October 1, 2024
CSC and CSCC Update CR13206
Diabetes Screening & Definitions Update: CY 2024 Physician Fee Schedule Final Rule - Revised CR13487
DMEPOS Fee Schedule: October 2024 Quarterly Update CR13774
Facet Joint Interventions for Pain Management L38801 - R3 and Billing and Coding: Facet Joint Interventions for Pain Management A58403 - R5 - Effective July 7, 2024
Holding Claims for Pricing Based on the July 2024 FISS Release
Holding Claims for Pricing Based on the October 2024 FISS Release
Hospital OPPS: July 2024 Update - Revised CR13632
Hospital Outpatient Prospective Payment System: October 2024 Update CR13784
ICD-10 & Other Coding Revisions to National Coverage Determinations: January 2025 Update CR13706
Influenza Vaccine Payment Allowances - Annual Update for 2024-2025 Season CR13718
Inpatient Psychiatric Facilities Prospective Payment System: FY 2025 Updates CR13766
Intervertebral Disc Repair - Published for Review and Comments
IPPS & LTCH PPS: FY 2025 Changes - Revised CR13734
IRF Annual Update: Prospective Payment System (PPS) Pricer Changes for Fiscal Year (FY) 2025 CR13699
July 2024 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files CR13560
July 2024 Quarterly Update to HCPCS Codes Used for SNF CB Enforcement CR13576
Local Coverage Determinations (LCDs) Finalized - Effective August 18, 2024
Local Coverage Determinations (LCDs) Finalized - Effective September 22, 2024
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