Update to the Medicare Claims Processing Manual

MLN Matters Number: MM11958
Related CR Release Date: September 18, 2020
Related CR Transmittal Number: R10356CP
Related Change Request (CR) Number: 11958
Effective Date: October 19, 2020
Implementation Date: October 19, 2020

CR 11958 updates the Medicare Claims Processing Manual, Chapters 12 and 23. The list of non-facility Place of Service (POS) codes in the Medicare Claims Processing Manual, Chapter 12, Section 20.4.2, is updated to reflect previous updates to the POS list in Chapter 26, Section 10.5. Therefore, the Non-Residential Opioid Treatment Facility (POS code 58) setting is now included in Chapter 12, Section 20.4.2.

Also, the Medicare Physician Fee Schedule Database (MPFSDB) file layout in the Chapter 23 Addendum is updated to show the procedure code series that are not included on the MPFSBD file.

There are no policy changes, and no changes to the function of the MPFSBD file.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11958.


            Last Updated Mon, 21 Sep 2020 16:38:37 +0000