April 2023

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

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Articles Source
2022 1099 Tax Forms Available on NMP
2023 Annual Update of HCPCS Codes for SNF CB Update CR12829
2023 Annual Update of Per-Beneficiary Threshold Amounts CR12923
A2011-A2018 - Priced per Invoice
Ambulatory Surgical Center Payment System: April 2023 Update CR13143
Ambulatory Surgical Center Payment System: January 2023 Update CR13041
April 2023 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files CR13044
Billing and Coding: Artificial Hearts and Percutaneous Endovascular Cardiac Assist Procedures and Devices (A52967) - R13 - Effective October 1, 2022
Billing and Coding: Botulinum Toxin Types A and B Policy (A57186) - R4 - Effective October 01, 2019
Billing and Coding: Complex Drug Administration Coding (A58533) - R13 - Effective January 01, 2023
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55323) - R12 - Effective April 1, 2023
Billing and Coding: Intraocular Bevacizumab (A53009) - R13 - Effective April 1, 2023
Billing and Coding: JW and JZ Modifier Billing Guidelines (A55932) - R5 - Effective January 10, 2023
Billing and Coding: JW Modifier Billing Guidelines (A55932) - R4 - Effective January 10, 2023
Billing and Coding: Lab: Controlled Substance Monitoring and Drugs of Abuse Testing (A55030) - R17 - Effective April 1, 2023
Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment (A57055) - R5 - Effective January 01, 2023
Billing and Coding: MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease (A57422) - R8 - Effective January 01, 2023
Billing and Coding: MolDX: Know error (A55275) - R3 - Effective January 01, 2023
Billing and Coding: MolDX: Minimal Residual Disease Testing for Hematologic Cancers (A58997) - R2 - Effective January 01, 2023
Billing and Coding: MolDX: Minimal Residual Disease Testing for Hematologic Cancers (A58997) - R3 - Effective February 18, 2022
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58456) - R2 - Effective October 1, 2022
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58456) - R3 - Effective January 01, 2023
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57527) - R10 - Effective January 01, 2023
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57527) - R11 - Effective October 01, 2022
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57527) - R9 - Effective January 01, 2023
Billing and Coding: MolDX: myPap (A55293) - R4 - Effective January 1, 2023
Billing and Coding: MolDX: Next-Generation Sequencing for Solid Tumors (A57905) - R3 - Effective January 01, 2023
Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies (A57892) - R5 - Effective January 01, 2023
Billing and Coding: MolDX: Pharmacogenomics (A57385) - R7 - Effective December 07, 2022
Billing and Coding: MolDX: Plasma-Based Genomic Profiling in Solid Tumors (A58975) - R1 - Effective January 01, 2023
Billing and Coding: MolDX: Repeat Germline Testing (A57332) - R5 - Effective January 01, 2023
Billing and Coding: MolDX: SMPD1 Genetic Testing (A55627) - R5 - Effective January 01, 2023
Billing and Coding: Routine Dental Services Article Retirement - January 1, 2023
CLFS Subject to Reasonable Charge Payment: Quarterly Update CR13082
CMS Medicare Secondary Payer (MSP) Alert
Correction of Split (or Shared) Critical Care Billing Requirement in Section 30.6.12.5. of Chapter 12 of the Medicare Claims Processing Manual CR13065
Critical Access Hospital (CAH) Provider Reassignment
DMEPOS Fee Schedule: April 2023 Update CR13153
DMEPOS Fee Schedules and Labor Payment - 2023 Update
DMEPOS: Updates to Face-to-Face Encounter and Written Order Prior to Delivery List
HCPCS Code G0249 Denied in Error - Resolved 01/20/23 Alert
HCPCS Codes Used for Skilled Nursing Facility Consolidated Billing: April 2023 Update CR13089
HCPCS J7326 Paid Incorrectly - Resolved 02/08/23 Alert
Hospitals: Revised Beneficiary Notices Required April 27
ICD-10 & Other Coding Revisions to NCDs: July 2023 Update CR13070
Internet-Only Manual (IOM) Updates for NPs and CNSs CR13029
Manual Update Pub. 100-02 Medicare Benefit Policy, Chapter 15, Section 110.8 DMEPOS Benefit Category Determinations CR13028
Manual Update to Pub. 100-04, Chapter 20, Pre-Discharge Delivery of DMEPOS for Fitting and Training, Section 110.3 CR13005
March Into Medicare Basics - Part B On-Demand Webinars Available
MBI Claim Denials CO16 and N382 Due to Outdated MBI Numbers
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