I/OCE Specifications Version 21.2 - July 2020

MLN Matters Number: MM11792
Related CR Release Date: June 5, 2020
Related CR Transmittal Number: R10165CP
Related Change Request (CR) Number: 11792
Effective Date: July 1, 2020
Implementation Date: July 6, 2020

CR 11792 provides the Integrated Outpatient Code Editor (I/OCE) instructions and specifications for the I/OCE employed under the Outpatient Prospective Payment System (OPPS) and non-OPPS. The specifications are for:

  • Hospital outpatient departments
  • Community mental health centers
  • All non-OPPS hospital providers
  • For limited services when provided in a Home Health Agency (HHA) not under the HH Prospective Payment System (PPS) or to a hospice patient for the treatment of a nonterminal illness. The I/OCE specifications will be posted at https://www.cms.gov/Medicare/Coding/OutpatientCodeEdit/index

Make sure your billing staffs are aware of these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11792.


            Last Updated Mon, 08 Jun 2020 17:06:35 +0000