I/OCE Specifications Version 20.2 - July 2019 - Revised

MLN Matters Number: MM11298 Revised
Related CR Release Date: June 28, 2019
Related CR Transmittal Number: R4327CP
Related Change Request (CR) Number: 11298
Effective Date: July 1, 2019
Implementation Date: July 1, 2019

Note: CMS revised this article on July 3, 2019, to reflect the revised CR11298 that CMS issued on June 28. In the article, CMS revised the CR release date, transmittal number, and the Web address of the CR. All other information remains the same.

CR11298 provides the Integrated Outpatient Code Editor (I/OCE) instructions and specifications for the Integrated OCE that Medicare uses:

  • Under the Outpatient Prospective Payment System (OPPS)
  • For Non-OPPS hospital outpatient departments, community mental health centers and all non-OPPS providers
  • For limited services when provided in a Home Health Agency (HHA) not under the Home Health Prospective Payment System
  • For a hospice patient for the treatment of a non-terminal illness.

Make sure your billing staffs are aware of these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11298.

Last Updated Jul 09, 2019