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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 11149 Date: December 10, 2021 Change Request 12533 SUBJECT: January 2022 Integrated Outpatient Code Editor (I/OCE) Specifications Version I. SUMMARY OF CHANGES: This notification provides the Integrated OCE instructions and specifications for the Integrated OCE that will be utilized under the Outpatient Prospective Payment System (OPPS) and non-OPPS for hospital outpatient departments, community mental health centers, all non-OPPS providers, and for limited services when provided in a home health agency not under the Home Health Prospective Payment System or to a hospice patient for the treatment of a non-terminal illness. The attached recurring update notification applies to publication 100-04, chapter 4, section EFFECTIVE DATE: January 1, 2022 *Unless otherwise specified, the effective date is the date of service.
waiver of coinsurance for colorectal cancer screenings and other surgical services reported on the same day, in addition to the waiver of the deductible (new Payment Adjustment Flag 25). This change in logic adds category III CPT code range 0000T-9999T, in addition to the surgical range codes (10000-69999). 3.
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GUIDE TO INFECTION PREVENTION, Outpatient, Surgical, Site, Procedures, GENERAL SURGERY, General surgery procedures, Ablative Procedures for Venous Insufficiency, Ablative Procedures for Venous Insufficiency and Varicose Veins, COLORECTAL SURGERY, Infection Control And Prevention Plan, Surgical procedures, CMS Manual System