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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 51 Date: DECEMBER 19, 2003 CHANGE REQUEST 3027 I. SUMMARY OF CHANGES: January Medicare Outpatient Code Editor (OCE) Specifications Version For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) NEW/REVISED MATERIAL - EFFECTIVE DATE: Various dates as described in the instruction *IMPLEMENTATION DATE: January 5, 2004 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. II. CHANGES IN Manual INSTRUCTIONS: (N/A if Manual not updated.) (R = REVISED, N = NEW, D = DELETED (Only One Per Row.) R/N/D CHAPTER/SECTION/SUBSECTION/TITLE N/A *III. FUNDING: These instructions should be implemented within your current operating budget.)
B. Policy: The following are changes made to version 19.1 of the non-OPPS OCE: • The new HCPCS/CPT codes as described in Appendix A have been added to the list of valid codes for the non-OPPS OCE. • The HCPCS/CPT codes listed in Appendices B and C have been deleted from the non- OPPS OCE.
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