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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 3747 Date: April 14, 2017 Change Request 10001 SUBJECT: Payment for Moderate Sedation Services I. SUMMARY OF CHANGES: This CR clarifies existing Manual language to bring the Manual in line with current payment policy for moderate sedation and anesthesia services. EFFECTIVE DATE: January 1, 2017 *Unless otherwise specified, the effective date is the date of service. IMPLEMENTATION DATE: May 15, 2017 Disclaimer for Manual changes only: The revision date and transmittal number apply only to red italicized material. 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.

The fee schedule amount for physician anesthesia services furnished is, with the exceptions noted, based on allowable base and time units multiplied by an anesthesia conversion factor specific to that locality. The base unit for each anesthesia procedure is communicated to the A/B MACs by means of the HCPCS file released annually.

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  Manual, System, Schedule, Base, Unit, Anesthesia, Cms manual system, Fee schedule, Base unit

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