CMS Manual System

CMS Manual System Department of Health & Human Services (DHHS)Pub. 100-04 Medicare Claims Processing Centers for Medicare & Medicaid Services (CMS)Transmittal 147 Date: APRIL 23, 2004 CHANGE REQUEST 3192 I. SUMMARY OF CHANGES: This Change Request (CR) incorporates the policy included in CR 3028 (Transmittal 34, dated December 24, 2003) pursuant to section 303 of the Medicare Modernization Act which affects payment for chemotherapy administration and nonchemotherapy drug infusion services furnished on or after January 1, 2004. In section , the old section D has been deleted and replaced with the old section E. NEW/REVISED MATERIAL - EFFECTIVE DATE: January 1, 2004 *IMPLEMENTATION DATE: May 24, 2004 Disclaimer for Manual changes only: The revision date and transmittal number apply to the red italicized material only. Any other material was previously published and remains unchanged. However, if this revision contains a table of contents, you will receive the new/revised information only, and not the entire table of contents.

administration codes, 96400, 96408 to 96425, 96520, or 96530. 3192.5 (Manual ref: Chapter 12 Section 30.5 B) The carrier shall pay for code 96408 if it is furnished more than once per day for each drug administered and the service is furnished on or after January 1, 2004. Medicare Carriers 3192.6 (Manual re: Chapter 12 Section 30.5 A)

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