Correction for Inpatient Medicare Part B Ancillary 12X Claims & Manual Updates

Related CR Release Date: October 10, 2024
MLN Matters Number: MM13812
Effective Date: April 1, 2025
Related Change Request (CR) Number: CR 13812
Implementation Date: April 7, 2025
Related CR Transmittal Number: R12888CP

CR 13810 tells you about:

  • Editing correction for certain inpatient Part B ancillary 12X claims
  • Processing of service dates outside the inlier portion of the stay with occurrence span code 70
  • Billing provisions for all items and non-physician services inpatients receive

Make sure your billing staff knows about these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)13810.

Last Updated Oct 24 , 2024