April 2021 I/OCE Specifications Version 22.1

MLN Matters Number: MM12187
Related CR Release Date: March 8, 2021
Related CR Transmittal Number: R10667CP
Related Change Request (CR) Number: 12187
Effective Date: April 1, 2021
Implementation Date: April 5, 2021

CR 12187 informs you of changes to the April 2021 version of the Integrated Outpatient Code Editor (I/OCE) instructions and specifications for the I/OCE that Medicare uses:

  • Under the Outpatient Prospective Payment System (OPPS) and non-OPPS for hospital outpatient departments, community mental health centers, all non-OPPS providers
  • For limited services when provided in a HH agency not under the HH PPS
  • For a hospice patient for treating a non-terminal illness

Please make sure your billing staffs are aware of these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)12187.


            Last Updated Wed, 10 Mar 2021 20:56:59 +0000