January 2023

A listing of the individual articles included in the Jurisdiction F Medicare A News bulletin dated January 2023 is provided. Each article title functions as a hyperlink to a specific article.

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Articles Source
0202U Incorrectly Paid - Resolved 10/04/22 Alert
2023 Annual Update for the HPSA Bonus Payments CR12806
2023 Medicare Parts A & B Premiums and Deductibles
ACT Questions and Answers - September 28, 2022
AIF for Calendar Year (CY) 2023 and Productivity Adjustment CR12948
Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement CR12911
Appeals Redetermination Level Successful Submission
Billing and Coding: Billing Medicare for the SphenoCath® and Other Similar Devices (A55585) - R3 - Effective January 1, 2023
Billing and Coding: Botulinum Toxin Types A and B Policy (A57186) - R3 - Effective January 1, 2023
Billing and Coding: COMPLEX DRUG Administration Coding (A58533) - R11 - Effective January 01, 2023
Billing and Coding: Immune Globulin Intravenous (IVIg) (A57194) - R5 - October 01, 2022
Billing and Coding: Implantable Automatic Defibrillators - (A56342) - R7 - Effective January 1, 2023
Billing and Coding: Implantable Continuous Glucose Monitors (I-CGM) - (A58138) - R2 - Effective January 1, 2023
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55323) - R10 - Effective October 1, 2022
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55323) - R11 - Effective January 1, 2023
Billing and Coding: Lab: Controlled Substance Monitoring and Drugs of Abuse Testing (A55030) - R15 - Effective January 01, 2022
Billing and Coding: Lab: Controlled Substance Monitoring and Drugs of Abuse Testing (A55030) - R16 - Effective October 1, 2022
Billing and Coding: Lab: Flow Cytometry (A57690) - R6 - Effective October 1, 2022
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58726) - R6 - Effective October 1, 2022
Billing and Coding: MolDX: Next-Generation Sequencing for Solid Tumors (A57905) - R2 - Effective October 1, 2022, and July 1, 2022
Billing and Coding: MolDX: Pharmacogenomics Testing (A57385) - R6 - Effective October 1, 2022
Billing and Coding: MolDX: Plasma-Based Genomic Profiling in Solid Tumors (A58975) Final Billing and Coding Article - Effective December 26, 2022
Billing and Coding: MolDX: Repeat Germline Testing (A57332) - R4 - Effective October 1, 2022
Billing and Coding: MolDX: ThermoFisher Oncomine Dx Target Test for Non-Small Cell Lung Cancer (A55888) Retirement - Effective October 27, 2022
Billing and Coding: Outpatient Cardiac Rehabilitation - (A54070) - R11 - Effective October 1, 2022
Billing and Coding: Peripheral Nerve Stimulation (A55531) - R3 - Effective January 1, 2023
Billing and Coding: Plastic Surgery (A57222) - R4 - Effective October 1, 2022
Billing and Coding: Tomosynthesis-Guided Breast Biopsy (A57849) - R1 - Effective January 1, 2023
Billing and Coding: Topical HBO and Physician Related Services Billing and Coding Guidelines (A56026) - R2 - Effective January 1, 2023
Billing and Coding: Treatment of Varicose Veins of the Lower Extremities - (A57707) - R1 - Effective January 1, 2023
Billing for Hospital Part B Inpatient Services CR12965
CLFS: CY 2023 Annual Update CR13023
CMS Proposes Rule to Expand Access to Health Information and Improve the Prior Authorization Process
Colorectal Cancer Screening Test: Reduced Coinsurance for Related Procedures Begins January 1
DMEPOS Fee Schedule: CY 2023 Update CR13006
DMEPOS Fee Schedule: October 2022 Quarterly Update CR12918
Extension of Changes to the Low-Volume Hospital Payment Adjustment and the Medicare Dependent Hospital Program - Revised CR12970
Help Your Patients Make Informed Health Care Decisions
Holding Claims for Pricing Based on the January 2023 FISS Release
Home or Residence Services: Billing Instructions CR13004
Hospital Outpatient Prospective Payment System: January 2023 Update CR13031
ICD-10 & Other Coding Revisions to National Coverage Determinations: April 2023 Update CR12960
International Classification of Disease (ICD-10) Code Update for Coverage of IVIG Treatment of Primary Immune Deficiency Diseases in the Home CR12973
IPPS & LTCH PPS: FY 2023 Changes CR12814
IPPS Hospitals in the 9th Circuit: Updated Fiscal Years 2019 and 2020 Supplemental Security Income Medicare Beneficiary Data CR12906
January 2023 I/OCE Specifications Version 24.0 CR12998
January 2023 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files CR12925
Laboratory Edit Software Changes: April 2023 CR13026
Manipulated, Reconstituted and/or Injectable Amniotic and Placental Derived Products - Resolved 10/03/22 Alert
Medically Unlikely Edit for J1559
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