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CMS Manual System Department of Health & Human Services (DHHS) Pub 100-04 Medicare Claims Processing Centers for Medicare & Medicaid Services (CMS) Transmittal 3368 Date: October 9, 2015 Change Request 9317 NOTE: This Transmittal is no longer sensitive/controversial and is being re-communicated November 9, 2015. The Transmittal Number, date of Transmittal and all other information remain the same. This instruction may now be posted to the Internet. SUBJECT: New Values for Incomplete Colonoscopies Billed with Modifier 53 I. SUMMARY OF CHANGES: The method for calculating payment for discontinued procedures is being revised. New payment rates will apply when modifier 53 (discontinued procedure) is appended to codes 44388, 45378, G0105, and G0121. EFFECTIVE DATE: January 1, 2016 *Unless otherwise specified, the effective date is the date of service. IMPLEMENTATION DATE: January 1, 2016 Disclaimer for Manual changes only: The revision date and transmittal number apply only to red italicized material.
CMS Manual System Department of Health & Human Services (DHHS) Pub 100-04 Medicare Claims Processing Centers for Medicare & Medicaid Services (CMS) Transmittal 3368 Date: October 9, 2015
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