Technical Revisions Only to the NCD Manual, Pub 100-03

Related CR Release Date: June 29, 2023
Effective Date: June 29, 2023
Implementation Date: July 31, 2023
Related Change Request (CR) Number: CR 13220
Related CR Transmittal Number: R12112NCD

CR 13220 announces technical changes that were made to the National Coverage Determination (NCD) Manual, Publication (Pub)100-03, Chapter 1 Parts 1, 3, and 4. Proposed manual changes include: (1) In Chapter 1, Part 1, Section 20.33 Transcatheter Edge-To-Edge (TEER) for Mitral Valve Regurgitation title was corrected to align with the title of the NCD. (2) In Chapter 1, Part 1, Section 20.4 Implantable Cardioverter Defibrillators (ICDs), in Part B number 4 added verbiage ‘or cardiac arrest due to VF’ to align with Section I of the Final Decision Memo. (3) In Chapter 1, Part 3, Section 190.1 Histocompatibility Testing, removed 4 bullets and replaced them with letters to align with the original Coverage Issues Manual language. (4) In Chapter 1, Part 4, Section 280.1, in the DME reference list, the Muscle Stimulator hyperlink is being changed from 250.4 to 160.12 to refer back to the correct section in the manual.

Make sure your billing staffs are aware of these changes.

View the complete CMS Change Request (CR)13220.

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