Add DOS for PPV HCPCS Codes (90670, 90732), and Remove Next Eligible Dates for PPV HCPCS - Revised

MLN Matters Number: MM11335 Revised
Related CR Release Date: January 22, 2020
Related CR Transmittal Number: R2422OTN
Related Change Request (CR) Number: 11335
Effective Date: April 1, 2020
Implementation Date: April 6, 2020

Note: CMS revised this article on March 19, 2020, and updated the Provider Types Affected, What You Need to Know, and Background sections.

Beginning April 13, 2020, for both Pneumococcal Pneumonia Vaccination (PPV) Healthcare Common Procedural Coding System (HCPCS) codes (90670 and 90732), CMS will return for all FFS beneficiary eligibility transactions Dates of Service (DOS) and institutional National Provider Identifier (NPI) for Part A or rendering NPI for Part B, depending on the provider type who administered the service; instead of next eligibility dates, as previously returned. During the transition to return PPV dates of service vs next eligible dates, Medicare FFS will not return any PPV data from March 14, 2020, through April 12, 2020.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11335.

Last Updated Mar 20, 2020