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Physician Transmittals

The list below shows the transmittals that are directed to the physician community, but the list may not include all instructions for which physicians are responsible. For a list of all instructions, view the Transmittals web page under Regulations and Guidance.

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CR # Release Date Subject MLN Article #
5409 12/08/2006 Additional Codes for Physician Voluntary Reporting Program (PVRP) N/A
5419 12/22/2006 Provider Migration N/A
5426 12/22/2006 Private Contracting- Definition of Physician/Practitioner MM5426
5386 12/22/2006 Revisions to Procedure to Establish Good Cause and Qualified Independent Contractor Jurisdictions MM5386
5459 12/22/2006 Emergency Update to the 2007 Medicare Physician Fee Schedule Database MM5459
5443 12/22/2006 Payment Amounts and Policies in the 2007 Medicare Physician Fee Schedule and the Telehealth Originating Site Facility Fee Payment Amount MM5443
5428 12/22/2006 Medicare Payment for Preadministration-Related Services Associated with IVIG Administration-Payment Extended through CY 2007 MM5428
5365 12/22/2006 Payment Allowances for the Influenza Virus Vaccine (CPT 90655, 90656, 90657, and 90658) and the Pneumococcal Vaccine (CPT 90732) When Payment is Based on 95 Percent of the Average Wholesale Price (AWP) MM5365
5409 01/05/2007 Additional Codes for Physician Voluntary Reporting Program (PVRP) N/A
5468 01/05/2007 Tax Relief and Health Care Act of 2006 Changes to Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services MM5468
7243 12/14/2010 Medicare Physician Fee Schedule Database (MPFSDB) 2011 File Layout Manual N/A
7046 12/14/2010 NPI Verification for Physician and Non-Physician Practitioner Providers for Critical Access Hospital (CAH) Claims Processed by Medicare Fiscal Intermediaries and Part A Medicare Administrative Contractors (A/B MAC). MM7046
6417 2010/12/16 Expansion of the Current Scope of Editing for Ordering/Referring Providers for Claims Processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs) N/A
5043 10/16/07 Revise the Fiscal Intermediary Shared System (FISS) to Expand Files to Include a National Provider Identifier (NPI) for Each Legacy Provider Identifier N/A
5674 10/26/07 How to Handle the National Provider Identifier (NPI) for Ordering/Referring and Attending/Operating/Other/Service Facility for Medicare Claims MM5674
5774 10/26/07 Medicare Physician Fee Schedule Database (MPFSDB) 2008 File N/A
5726 2007-11-02 Rejection of X12 276 Claim Status Requests That Lack National Provider Identifiers (NPIs) MM5726
5777 11/02/07 Update to Place of Service (POS) Code Set: New Code for Temporary Lodging MM5777
5795 11/02/07 Update to Requirement to Submit National Provider Identifier (NPI) Notification MM5795
5716 11/02/07 NCPDP Inbound Claim and COB Companion Documents Updated for NPI Reporting MM5716
5590 11/02/07 Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes for Implementation of Stage 3 of National Provider Identifier (NPI) N/A
5459 01/11/2007 Emergency Update to the 2007 Medicare Physician Fee Schedule Database N/A
6856 04/28/2010 Expansion of the Current Scope of Editing for Attending Physician Providers for Free-Standing and Provider-Based Home Health Agency Claims Processed by Medicare Regional Home Health Intermediaries MM6856
7300 01/07/2011 Emergency Update to CY 2011 Medicare Physician Fee Schedule (MPFS) Database N/A
5044 06/12/2007 Revise the VIPS Medicare System (VMS) and Medicare Contractor System (MCS) to Expand Files to Include a National Provider Identifier for Each Legacy Provider Identifier N/A
7300 12/29/2010 Emergency Update to the CY 2011 Medicare Physician Fee Schedule (MPFS) Database MM7300
7264 12/29/2010 Summary of Policies in the CY 2011 Medicare Physician Fee Schedule (MPFS) and the Telehealth Originating Site Facility Fee Payment Amount MM7264
6085 06/20/2008 Screening Pelvic Examinations MM6085
6104 06/13/2008 2008 Physician Quality Reporting Initiative (PQRI) Establishment of Alternative Reporting Periods and Reporting Criteria MM6104
5761 01/04/2008 NPI Number for Medical Review N/A
5698 12/28/2007 2008 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payment MM5698
5838 01/11/2008 Annual Type of Service (TOS) Update N/A
5285 03/21/2007 Provider/Supplier Enrollment Approval Letters N/A
5654 12/21/2007 National Provider Identifier Accounts Receivable Netting Process N/A
7176 01/21/2011 Accreditation for Physicians and Non-Physician Practitioners Supplying the Technical Component of Advanced Diagnostic Imaging Services N/A
5649 06/08/2007 Medicare Fee For Service (FFS) National Provider Identifier (NPI) Crosswalk Status Review N/A
5621 06/22/07 Limiting Numbers of Letters Automatically Generated For Claims Suspended When There is No One-to-One Match of National Provider Identifier (NPI) to Legacy Provider Number N/A
5476 06/19/07 Revisions to the Medicare Physician Fee Schedule (MPFS) Disclosure Format N/A
5597 06/29/2007 IOM Pub 100-09, Chapters 3, Provider Inquiries and Chapter 6 - Provider Customer Service Program Updates MM5597
5629 06/29/07 Claims Processing Change for Services Submitted with the Health Professional Shortage Area (HPSA) Modifiers QB or QU for Claims with Dates of Service On or After January 1, 2006 MM5629
5625 06/29/07 Billing and Payment in a Health Professional Shortage Area (HPSA) MM5625
5597 07/13/07 IOM Pub. 100-09, Chapters 3- Provider Inquiries and Chapter6- Provider Customer Service Program Updates N/A
5980 03/21/2008 April Update to the 2008 Medicare Physician Fee Schedule Database MM5980
5977 03/21/08 Type of Service (TOS) Corrections N/A
5995 03/28/08 Carrier Assignment of Provider Identification Numbers (PINs). N/A
5968 04/11/2008 Nursing Facility Services (Codes 99304 -99318) MM5968
5956 04/04/2008 Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes N/A
5972 04/11/2008 Prolonged Services (Codes 99354 - 99359) MM5972
5993 05/30/2008 Critical Care Visits and Neonatal Intensive Care (Codes 99291 - 99292) MM5993
5890 01/18/2008 Additional Information on Reporting a National Provider Identifier (NPI) for Ordering/Referring and Attending/Operating/Other/Service Facility for Medicare Claims MM5890
7319 02/04/2011 April Update to the CY 2011 Medicare Physician Fee Schedule Database (MPFSDB) MM7319
7228 02/04/2011 Auto Denial of Claim Line(s) Items Submitted With a GZ Modifier MM7228
7228 02/04/2011 Auto Denial of Claim Line(s) Items Submitted With a GZ Modifier MM7228
7176 02/04/2011 Accreditation for Physicians and Non-Physician Practitioners Supplying the Technical Component of Advanced Diagnostic Imaging Services MM7176
7267 02/11/2011 Primary Care Incentive Payment Program (PCIP) Eligibility for New Providers Enrolled in Medicare N/A
5750 11/30/2007 Medicare Exclusion Database (MED) Addition of National Provider Identifier (NPI) N/A
5771 11/02/2007 Reporting an NPI and the 'EY' Modifier on Claims for DMEPOS Items Dispensed Without a Physician's Order to Obtain a Medicare Denial for Coordination of Benefits (COB) MM5771
5732 11/02/2007 Calendar Year (CY) 2008 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures N/A
5750 2007/11/30 Medicare Exclusion Database (MED) Addition of National Provider Identifier (NPI) N/A
5812 12/14/2007 Include NPI for the MBD/NGD extracts from CWF for Hospice and Home Health Episodes N/A
6024 05/16/2008 Coordination of Benefits Agreement (COBA) and Affiliate National Provider Identifier (NPI) Process Modifications N/A
5972 04/18/2008 Prolonged Services (Codes 99354 - 99359) MM5972
5979 04/18/2008 Assignment of Providers to MACs MM5979
6013 05/16/2008 Physician Fee Schedule Payment Policy Indicator File Record Layout for Use in Processing Method II Critical Access Hospital (CAH) Claims for Professional Services N/A
5990 05/30/2008 Institutional Services Paid on the Medicare Physician Fee Schedule (MPFS) N/A
6087 05/30/2008 July Update to the 2008 Medicare Physician Fee Schedule Database (MPFSDB) MM6087
6023 05/30/2008 Instructions for Institutional Providers and Suppliers Billing Self-Referred Mammography Claims Regarding the Attending/Referring Physician National Provider Identifier (NPI) MM6023
5595 04/20/2007 Medicare Fee For Service (FFS) National Provider Identifier (NPI) Implementation Contingency Plan MM5595
7049 02/28/2011 Expansion of Medicare Telehealth Services for CY 2011 MM7049
7049 02/28/2011 Expansion of Medicare Telehealth Services for CY 2011 MM7049
7115 03/03/2011 Incentive Payment Program for Primary Care Services, Section 5501(a) of the Patient Protection and Afforable Care Act (the ACA), Payment to a CAH Paid Under the Optional Method MM7115
6953 06/04/2010 Dermal Injections for Treatment of Facial Lipodystrophy Syndrome (LDS) MM6953
6953 06/04/2010 Dermal Injections for Treatment of Facial Lipodystrophy Syndrome (LDS) MM6953
6998 06/04/2010 Analysis for FISS, CWF and NCH for Physician and Non-Physician Practitioner Specialty Codes N/A
7010 05/28/2010 Revised Payment Files for the 2010 Ambulatory Surgical Center Payment System MM7010
6935 06/11/2010 Physician Quality Reporting Initiative (PQRI) and E-Prescribing (eRx) Medicare Quality Reporting Incentive Programs Manual MM6935
6912 07/09/2010 Mailing To All Individual Practitioners, Medical Groups and Clinics and Independent Diagnostic Testing Facilities (IDTF) Who Are Billing or Have Billed For Advanced Diagnostic Imaging Services MM6912
6533 N/A New Physician Specialty Code for Geriatric Psychiatry N/A
6447 07/23/2010 Revisions and Re-issuance of Audiology Policies MM6447
6447 07/23/2010 Revisions and Re-issuance of Audiology Policies MM6447
7080 07/30/2010 Timely Claims Filing: Additional Instructions MM7080
5944 02/01/08 EMERGENCY -- Legislative Change Affecting the 2008 Medicare Physician Fee Schedule (MPFS), and Extension of the 2008 Participation Open Enrollment Period. MM5944
6968 08/06/2010 Payment for Implantable Tissue Markers (HCPCS Code A4648) and Implantable Radiation Dosimeters (HCPCS Code A4650) MM6968
6890 08/27/2010 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 16.3, Effective October 1, 2010 MM6890
5858 02/01/2008 Medicare Fee For Service Legacy Provider IDs Prohibited on Form CMS-1500 and Form CMS-1450 (UB-04) Claims MM5858
7319 03/18/2011 April Update to the CY 2011 Medicare Physician Fee Schedule Database (MPFSDB) MM7319
6447 09/03/2010 Revisions and Re-issuance of Audiology Policies MM6447
7112 09/17/2010 October Update to the 2010 Medicare Physician Fee Schedule Database (MPFSDB) MM7112
7097 09/17/2010 Eligible Physicians and Practitioners Who Need to Enroll in the Medicare Program for the Sole Purpose of Ordering and Referring Services for Medicare Beneficiaries MM7097
7159 09/10/2010 2011 Annual Update of Healthcare Common Procedure Code System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update MM7159
5043 05/11/2007 Revise the Fiscal Intermediary Shared System (FISS) to Expand Files to Include a National Provider Identifier (NPI) for Each Legacy Provider Identifier MM5640
7046 09/10/2010 Expansion of the Current Scope of Editing for Attending, Operating, or Other Physician or Non-Physician Practitioner Providers for Critical Access Hospital (CAH) Claims Processed by Medicare Fiscal Intermediaries and Part A Medicare Administrative Contractors (A/B MAC) MM7046
7108 09/24/2010 Revised Mailing To All Individual Practitioners, Medical Groups and Clinics and Independent Diagnostic Testing Facilities (IDTF) Who Are Billing or Have Billed For Advanced Diagnostic Imaging Services N/A
7124 09/24/2010 2010 Reminder for Roster Billing and Centralized Billing for Influenza and Pneumococcal Vaccinations MM7124
6856 09/28/2010 Expansion of the Current Scope of Editing for Attending Physician Providers for Free-Standing and Provider-Based Home Health Agency(HHA) Claims Processed by Medicare Regional Home Health Intermediaries (RHHIs) MM6856
6856 10/08/2010 Expansion of the Current Scope of Editing for Attending Physician Providers for Free-Standing and Provider-Based Home Health Agency (HHA) Claims Processed by Medicare Regional Home Health Intermediaries (RHHIs) MM6856
5895 02/01/2008 Summary of Policies in the 2008 Medicare Physician Fee Schedule and the Telehealth Originating Site Facility Fee Payment Amount MM5895
5044 04/06/2007 Revise the VIPS Medicare System (VMS) and Medicare Contractor System (MCS) to Expand Files to Include a National Provider Identifier (NPI) for Each Legacy Provider Identifier N/A
5937 02/05/08 Extension of the Dates of Service Eligible for the Physician Scarcity Area (PSA) Bonus Payment N/A
5902 02/08/2008 Emergency Update to the 2008 Medicare Physician Fee Schedule Database N/A
5943 02/07/08 Medicare, Medicaid, and SCHIP Extension Act of 2007 Changes to Independent Laboratory Billing for the Technical Component of Physician Pathology Services MM5943
5853 02/01/08 Use of HCPCS V2787 When Billing Approved Astigmatism-Correcting Intraocular Lens (A-CIOLs) in Ambulatory Surgery Centers (ASCs), Physician Offices, and Hospital Outpatient Departments (HOPDs) MM5853
5698 08/20/07 2008 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payment MM5698
5711 08/24/07 Sunset of the Physician Scarcity Area (PSA) Bonus Payment MM5711
5608 09/12/07 Ultrasound Diagnostic Procedures MM5608
5708 09/14/07 Updating the Internet Only Manual (IOM) to Include Language "";or NPI When Required""; N/A
5729 09/21/2007 Unlabeled Use for Anti-Cancer Drugs: Medical Literature Used to Determine Medically Accepted Indications for Drugs and Biologicals Used in Anti-Cancer Treatment MM5729
5677 09/21/2007 Magnetic Resonance Imaging (MRI) Procedures MM5677
5543 05/25/2007 Implementation of the Carrier Jurisdictional Pricing Rules for All Purchased Diagnostic Service Claims MM5543
5549 05/25/2007 Continuation of Legacy Number Reporting on Outbound Claims for COBA Process N/A
5433 05/25/2007 Guidelines for Payment of Diabetes Self-Management Training (DSMT N/A
5564 05/25/2007 Clarification of the National Provider Identifier (NPI) Reporting Requirements for Ambulance Service Claims N/A
5615 05/25/2007 Department of Veterans Affairs Medicare-equivalent Remittance Advice (MRA) Project: Continued Use of Part A Legacy Provider Numbers After National Provider Identifiers (NPIs) Are Fully Implemented N/A
5616 05/25/2007 New Deadline for Required Submission of the Form CMS-1500 (08-05) N/A
5640 05/11/2007 Physician Quality Reporting Initiative (PQRI) Coding & Reporting Principles MM5640
5584 09/14/07 Discontinuance of the Unique Physician Identification Number (UPIN) Registry N/A
5730 09/21/07 Revisions to 9-Digit ZIP Code List Provided in Change Request 5208 MM5730
5708 09/28/07 Updating the Internet Only Manual (IOM) to Include Language "";or NPI When Required N/A
5728 10/05/07 Medicare Fee For Service (FFS) National Provider Identifier (NPI) Final Implementation MM5728
6042 07/29/08 Medicare Improvements for Patients and Providers Act of 2008- Legislative Change Concerning Independent Laboratory Billing for the Technical Component of Physician Pathology Services. MM6042
6036 07/25/08 The National Provider and Plan Enumeration System (NPPES) and the Unique Physician Identification Number (UPIN) Data MM6036
6121 08/15/2008 2008 Reminder For Roster Billing and Centralized Billing For Influenza and Pneumococcal Vaccinations MM6121
6131 08/15/2008 Implementation of a New Claim Adjustment Reason Code (CARC) No.213. "";Non-compliance with the Physician Self-referral Prohibition Legislation or Payer Policy""; MM6131
7132 10/29/2010 Move the Physician Specialty Code to the FISS Claim Record and Forward to the Common Working File (CWF) and National Claims History (NCH) N/A
7061 10/29/2010 Edit to Deny Payment to Physicians and Other Suppliers for the Technical Component (TC) of Pathology Services Furnished on Same Date as Inpatient and Outpatient Services and Implements New Messages N/A
5697 09/27/07 Participating Physicians Report - Deletion of Requirement to Forward a Memorandum to CMS Detailing Adjustments to Form F Column 1 (PAR Prior) (from previous enrollment period). N/A
7377 04/22/2011 Physician Certification and Recertification of Services Manual Changes N/A
6908 10/28/2010 Implementation of Section 2902 of the Patient Protection and Affordable Care Act (the Affordable Care Act) for Indian Health Service (IHS) Part B Services and All Inclusive Rate (AIR) Billing for Return Visits N/A
7093 10/28/2010 Change the Name of Physician Specialty Code 12 from Osteopathic Manipulative Therapy to Osteopathic Manipulative Medicine N/A
7005 08/06/2010 Payment for Certified Nurse-Midwife Services MM7005
7163 11/12/2010 Update to the Frequency Billing Requirements MM7163
7063 08/27/2010 Section 5501(b) Incentive Payment Program for Major Surgical Procedures Furnished in Health Professional Shortage Areas of the Affordable Care Act (ACA) N/A
7060 08/27/2010 Primary Care Incentive Payment Program (PCIP), Section 5501(a) of the Affordable Care Act (ACA) N/A
7225 11/19/2010 Reasonable Charge Update for 2011 for Splints, Casts, and Certain Intraocular Lenses MM7225
7209 11/19/2010 New Physician Specialty Codes for Cardiac Electrophysiology and Sports Medicine MM7209
7157 10/18/2010 Calendar Year (CY) 2011 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures N/A
5881 2008-02-22 ZIP Code Files by Date of Service N/A
5855 02/22/08 Systems Changes for Prescription Order Numbers for the Competitive Acquisition Program (CAP) for Part B Drugs and Biologicals MM5855
5948 02/22/08 Part B Drug Competitive Acquisition Program (CAP) Quarterly Drug List Update MM5948
5793 2008-02-22 Payment for Initial Hospital Care Services (Codes 99221 - 99233) and Observation or Inpatient Care Services (Including Admission and Discharge Services) (Codes 99234 - 99236) MM5793
5791 2008-02-22 Payment for Hospital Observation Services (Codes 99217 - 99220) and Observation or Inpatient Care Services (Including Admission and Discharge Services - Codes 99234 - 99236) MM5791
5931 2008-02-22 MANUALIZATION of Payment for Outpatient ESRD-Related Services MM5931
5932 2008-02-22 Teaching Physician Requirements For ESRD Monthly Capitation Payment (MCP) MM5932
5794 2008-02-22 Subsequent Hospital Visits and Hospital Discharge Day Management Services Codes (99231 - 99239) MM5794
5906 2008-02-29 Collapsing Medicare Provider Transaction Access Numbers (PTANs) to Ensure a One-to-One National Provider Identifier (NPI) Match MM5906
7361 04/27/2011 Section 1833 (a)(1)(F) of the Social Security Act - Payment of Licensed Clinical Social Worker (LCSW) in a Method II Critical Access Hospital (CAH) N/A
5910 2008-02-22 Clarification to CR 5744 - Payment Allowance Update for the Influenza Virus Vaccine CPT 90660 and Further Instruction Regarding the Pneumococcal Vaccine CPT 90669 MM5910
5792 03/07/08 Payment for Inpatient Hospital Visits- General (Codes 99221-99239) MM5792
6100 08/29/08 Physician Signature Requirements for Diagnostic Tests MM6100
6180 08/22/08 October Update to the 2008 Medicare Physician Fee Schedule Database (MPFSDB) MM6180
6150 08/29/08 2009 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments MM6150
6131 08/21/08 I Implementation of a New Claim Adjustment Reason Code (CARC) No.213. "";Non-compliance with the Physician Self-referral Prohibition Legislation or Payer Policy""; MM6131
6953 11/24/2010 Dermal Injections for Treatment of Facial Lipodystrophy Syndrome (LDS) MM6953
7003 07/09/2010 End Stage Renal Disease (ESRD) Home Dialysis Monthly Capitation Payment (MCP) MM7003
7079 12/03/2010 Annual Wellness Visit (AWV), Including Personalized Prevention Plan Services (PPPS) N/A
7079 12/03/2010 Annual Wellness Visit (AWV), Including Personalized Prevention Plan Services (PPPS) N/A
7115 12/03/2010 Primary Care Incentive Payment Program (PCIP), Section 550(a) of the Patien Protection and Affordable Care Act (the Act), Payment to a CAH Paid Under the Optional Method MM7115
5909 2008-02-22 Items and Special Services Having Special DME Review Considerations MM5909
5578 05/30/2007 Update to Publication 100-4, Chapters 1 & 15 for ZIP5 and ZIP9 Medicare ZIP Code Files. N/A
5584 05/31/2007 Discontinuance of the Unique Physician Identification Number (UPIN) Registry MM5584
5393 06/01/2007 Expand PSC Data Transfer Files to Include a National Provider Identifier (NPI) for Each Legacy Provider Identifier N/A
5614 05/29/2007 Discontinuance of the Unique Physician Identification Number (UPIN) Registry N/A
5288 05/02/2008 Incident To Policy Update MM5288
5717 02/29/2008 Update to Audiology Policies MM5717
5717 02/29/2008 Update to Audiology Policies MM5717
5791 02/22/2008 Payment for Hospital Observation Services (Codes 99217 - 99220) and Observation or Inpatient Care Services (Including Admission and Discharge Services - Codes 99234 - 99236) MM5791
5792 03/07/2008 Payment for Inpatient Hospital Visits- General (Codes 99221-99239) MM5792
5792 06/27/2008 Payment for Inpatient Hospital Visits (Codes 99221 - 99239) MM5792
5793 02/22/2008 Payment for Initial Hospital Care Services (Codes 99221 - 99233) and Observation or Inpatient Care Services (Including Admission and Discharge Services) (Codes 99234 - 99236) MM5793
5794 02/22/2008 Subsequent Hospital Visits and Hospital Discharge Day Management Services Codes (99231 - 99239) MM5794
5871 01/10/2008 Outpatient Therapy Caps without KX Modifier Exceptions Start January 1, 2008 MM5871
5871 01/17/2008 Outpatient Therapy Caps without KX Modifier Exceptions Start January 1, 2008 N/A
5895 02/01/2008 Summary of Policies in the 2008 Medicare Physician Fee Schedule and the Telehealth Originating Site Facility Fee Payment Amount MM5895
5902 02/05/2008 Emergency Update to the 2008 Medicare Physician Fee Schedule Database N/A
5921 05/07/2008 Therapy Personnel Qualifications and Policies Effective January 1, 2008 MM5921
5931 02/22/2008 MANUALIZATION of Payment for Outpatient ESRD-Related Services MM5931
5932 02/22/2008 Teaching Physician Requirements For ESRD Monthly Capitation Payment (MCP) MM5932
5968 04/11/2008 Nursing Facility Services (Codes 99304 -99318) MM5968
5972 04/11/2008 Prolonged Services (Codes 99354 - 99359) MM5972
5980 03/21/2008 April Update to the 2008 Medicare Physician Fee Schedule Database MM5980
5993 06/06/2008 Critical Care Visits and Neonatal Intensive Care (Codes 99291 - 99292) MM5993
6061 07/18/2008 Clarifications to Audiology Update Transmittal 1470, Change Request 5717 MM6061
6087 05/30/2008 July Update to the 2008 Medicare Physician Fee Schedule Database (MPFSDB) MM6087
6130 12/24/2008 Expansion of Medicare Telehealth Services MM6130
6130 12/24/2008 Expansion of Medicare Telehealth Services MM6130
6180 08/22/2008 October Update to the 2008 Medicare Physician Fee Schedule Database (MPFSDB) MM6180
6208 12/31/2008 Adjustment for Medicare Mental Health Services MM6208
6215 11/14/2008 Adding Certain Entities as Originating Sites for Payment of Telehealth Services--Section 149 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) MM6215
6215 11/14/2008 Adding Certain Entities as Originating Sites for Payment of Telehealth Services--Section 149 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) N/A
6349 12/19/2008 Summary of Policies in the 2009 Medicare Physician Fee Schedule (MPFS) and the Telehealth Originating Site Facility Fee Payment Amount MM6349
6005 09/25/2009 Comprehensive Outpatient Rehabilitation Facility (CORF) Services MM6005
6303 05/01/2009 Requirements for Specialty Codes MM6303
6351 01/02/2009 Emergency Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB) MM6351
6375 10/02/2009 Place of Service (POS) and Date of Service (DOS) Instructions for the Interpretation (Professional Component) and Technical Component of Diagnostic Tests MM6375
6375 12/11/2009 Place of Service (POS) and Date of Service (DOS) Instructions for the Interpretation (Professional Component) and Technical Component of Diagnostic Tests MM6375
6381 04/24/2009 Speech-Language Pathology Private Practice Payment Policy N/A
6381 04/24/2009 Speech-Language Pathology Private Practice Payment Policy MM6381
6397 03/04/2009 April Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB) MM6397
6458 04/24/2009 List of Medicare Telehealth Services N/A
6458 04/24/2009 List of Medicare Telehealth Services MM6458
6484 05/29/2009 July Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB) MM6484
6497 06/26/2009 DME MAC Instructions for Therapy Caps 2009 N/A
6510 08/07/2009 Diabetes Self-Management Training (DSMT) Certified Diabetic Educator MM6510
6518 07/31/2009 Appropriate Use of Modifier 50 and Add-On Codes for Facet Joint Injections Services MM6518
6518 07/31/2009 Appropriate Use of Modifier 50 and Add-On Codes for Facet Joint Injections Services MM6518
6579 11/27/2009 Payment for Implantable Tissue Markers (HCPCS Code A4648) MM6579
6617 08/28/2009 October Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB) MM6617
6617 09/01/2009 October Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB) MM6617
6660 11/13/2009 Therapy Cap Values for Calendar Year (CY) 2010 MM6660
6660 11/23/2009 Therapy Cap Values for Calendar Year (CY) 2010 MM6660
6686 10/30/2009 Outpatient Mental Health Treatment Limitation MM6686
6686 10/30/2009 Outpatient Mental Health Treatment Limitation MM6686
6686 10/30/2009 Outpatient Mental Health Treatment Limitation MM6686
6705 12/18/2009 Expansion of Medicare Telehealth Services for CY 2010 MM6705
6705 12/18/2009 Expansion of Medicare Telehealth Services for CY 2010 MM6705
6740 12/14/2009 Revisions to Consultation Services Payment Policy MM6740
6756 12/23/2009 Summary of Policies in the 2010 Medicare Physician Fee Schedule (MPFS) and the Telehealth Originating Site Facility Fee Payment Amount MM6756
6447 05/28/2010 Revisions and Re-issuance of Audiology Policies MM6447
6447 05/28/2010 Revisions and Re-issuance of Audiology Policies MM6447
6796 01/06/2010 Emergency Update to the 2010 Medicare Physician Fee Schedule Database MM6796
6973 05/10/2010 Revised Payment Files for the 2010 Medicare Physician Fee Schedule Database (MPFSDB) and Retroactive Provisions under the Patient Protection and Affordable Care Act (Pub. L. 111-148) (the Affordable Care Act) MM6973
6974 06/25/2010 July Update to the 2010 Medicare Physician Fee Schedule Database MM6974
6980 06/11/2010 Clarifications and Updates of Therapy Services Policies N/A
6756 12/29/2009 Summary of Policies in the 2010 Medicare Physician Fee Schedule (MPFS) and the Telehealth Originating Site Facility Fee Payment Amount MM6756
6648 10/02/2009 Medicare Physician Fee Schedule Database (MPFSDB) 2010 File Layout N/A
6648 10/09/2009 Medicare Physician Fee Schedule Database (MPFSDB) 2010 File Layout N/A
6613 10/09/2009 Add Physician Specialty Code 27 (Geriatric Psychiatry) to CROWD Form F (Participating Physicians/Supplier Report) N/A
6613 12/04/2009 Add Physician Specialty Code 27 (Geriatric Psychiatry) to CROWD Form F (Participating Physicians/Supplier Report) N/A
5528 02/26/2007 April Update to the 2007 Medicare Physician Fee Schedule Database MM5528
5472 02/02/2007 Differentiating Mass Adjustments From Other Types of Adjustments and Claims for Crossover Purposes and Revising the Detailed Error Report Special Provider Notification Letters N/A
5208 02/02/2007 Use of 9-Digit ZIP codes for Determining the Correct Payment Locality for Services Paid Under the Medicare Physician Fee Schedule (MPFS) and Anesthesia Service N/A
5208 03/09/2007 Use of 9-Digit ZIP codes for Determining the Correct Payment Locality for Services Paid Under the Medicare Physician Fee Schedule (MPFS) and Anesthesia Services N/A
5558 03/09/2007 Program Overview: 2007 Physician Quality Reporting Initiative N/A
7397 05/13/2011 Pharmacy Billing for Drugs Provided, Incident To,a Physician Service MM7397
7430 05/20/2011 July Update to the CY 2011 Medicare Physician Fee Schedule Database (MPFSDB) N/A
7412 05/20/2011 Postcard Mailing for the Annual Participation Open Enrollment Period N/A
7109 12/10/2010 Pharmacy Billing for Drugs Provided Incident to a Physician Service N/A
7423 05/27/2011 Medicare Preventive and Screening Services N/A
7050 12/21/2010 Multiple Procedure Payment Reduction (MPPR) for Selected Therapy Services MM7050
6696 09/01/2011 Ordering/Referring Providers Who Are not Enrolled in Medicare N/A
7097 09/01/2011 Eligible Physicians and Practitioners who need to Enroll in the Medicare Program for the Sole Purpose of Ordering and Referring Services for Medicare Beneficiaries MM7097
7405 08/26/2011 Clarification of Evaluations and Management Payment Policy N/A
7542 08/26/2011 Attending Physician Identifiers on Religious Nonmedical Health Care Institution Claims MM7542
7552 08/26/2011 Title: 2012 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update MM7552
7554 08/26/2011 Medicare Physician Fee Schedule Database (MPFSDB) 2012 File Layout N/A
7538 08/26/2011 Clarification to Chapter 26, Section 10.4 - Items 14-33 - Provider of Service or Supplier Information MM7538
7378 09/14/2011 Teaching Physician Services N/A
6417 10/19/2011 Expansion of the Current Scope of Editing for Ordering/Referring Providers for claims processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs) N/A
6417 10/28/2011 Expansion of the Current Scope of Editing for Ordering/Referring Providers for claims processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs) N/A
7587 10/28/2011 Payment for Multiple Surgeries in a Method II Critical Access Hospital (CAH) MM7587
7573 10/17/2011 Calendar Year (CY) 2012 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures N/A
7419 11/04/2011 Instructions for Processing Physicians and other Suppliers Debts that have been Confirmed as Identity Theft N/A
7607 11/04/2011 Annual Medicare Physician Fee Schedule Files Delivery and Implementation Manualization N/A
7628 11/18/2011 Reasonable Charge Update for 2012 for Splints, Casts, and Certain Intraocular Lenses N/A
7397 07/01/2011 Pharmacy Billing for Drugs Provided Incident to a Physician Service This CR rescinds and fully replaces CR 7109. N/A
7397 12/15/2011 Pharmacy Billing for Drugs Provided "Incident To" a Physician Service. This CR rescinds and fully replaces CR 7109. MM7397
7671 12/16/2011 Summary of Policies in the CY 2012 Medicare Physician Fee Schedule (MPFS) Final Rule and the Telehealth Originating Site Facility Fee Payment Amount MM7671
7453 07/08/2011 Influenza Virus Vaccine N/A
7453 07/08/2011 Influenza Virus Vaccine N/A
7442 12/23/2011 Multiple Procedure Payment Reduction (MPPR) on Certain Diagnostic Imaging Procedures MM7442
7672 12/29/2011 January 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS) MM7672
7672 12/29/2011 January 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS) MM7672
7682 12/29/2011 January 2012 Update of the Ambulatory Surgery Center Payment System (ASC) MM7682
7489 11/25/2011 Instructions to Accept and Process All Ambulance Transportation Healthcare Common Procedure Coding System (HCPCS) Codes MM7489
7671 01/18/2012 Summary of Policies in the CY 2012 Medicare Physician Fee Schedule (MPFS) Final Rule and the Telehealth Originating Site Facility Fee Payment Amount N/A
7737 01/20/2012 Emergency Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB) MM7737
7177 08/03/2011 Advanced Diagnostic Imaging Accreditation Enrollment Procedures N/A
7520 08/05/2011 Clarification of Payment for ESRD-Related Services Under the Monthly Capitation Payment N/A
7397 08/05/2011 Pharmacy Billing for Drugs Provided Incident To a Physician Service. This CR rescinds and fully replaces CR 7109. N/A
7528 08/19/2011 October Update to the CY 2011 Medicare Physician Fee Schedule Database (MPFSDB) N/A
7661 01/27/2012 Analysis of Improper Overpayments to Design Edits to Correct these Overpayments in CWF, MCS, and FISS
7673 01/26/2012 Analysis and Design of Edits to Correct Recovery Auditor Identified Improper Payments in MCS.
7687 01/26/2012 Update to Abortion Condition Codes Associated With Reason Code 32809 MM7687
7684 01/26/2012 Multiple Procedure Payment Reduction (MPPR) for Physician Services for Certain Diagnostic Imaging Procedures in Critical Access Hospitals (CAH) MM7684
7730 01/25/2012 Direct Mailing to Medicare Providers About the 2012 Electronic Prescribing Payment
7578 02/17/2012 Fiscal Intermediary Shared System (FISS) and Common Working File (CWF) System Enhancement for Storing Line Level Rendering Physicians/Practitioners National Provider Identifier (NPI) and Physician Specialty Code Information MM7578
7703 02/03/2012 Interaction of Multiple Procedure Payment Reduction (MPPR) on Imaging Procedures and the Outpatient Prospective Payment System (OPPS) Cap on the Technical Component of Imaging Procedures MM7703
7631 02/03/2012 Revised and Clarified Place of Service (POS) Coding Instructions MM7631
7636 11/23/2011 Intensive Behavioral Therapy for Cardiovascular Disease MM7636
7636 11/23/2011 Intensive Behavioral Therapy for Cardiovascular Disease MM7636
7633 11/23/2011 Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse MM7633
7633 11/23/2011 Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse MM7633
7637 11/23/2011 Screening for Depression in Adults MM7637
7641 2012-03-07 Intensive Behavioral Therapy for Obesity MM7641
7767 2012-03-14 Emergency March 2012 Update (MCTRJCA) to the CY 2012 Medicare Physician Fee Schedule (MPFS) Database MM7767
7727 2012-03-23 Medicare Quality Reporting Incentive Programs Manual Update MM7727
7745 2012-03-23 April Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB) MM7745
7637 2012-03-23 Screening for Depression in Adults MM7637
7636 2012-03-23 Intensive Behavioral Therapy for Cardiovascular Disease MM7636
7633 2012-03-26 Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse MM7633
7397 2012-04-04 Pharmacy Billing for Drugs Provided "Incident To" a Physician Service. This CR rescinds and fully replaces CR 7109. N/A
7631 2012-03-29 Revised and Clarified Place of Service (POS) Coding Instructions N/A
7764 2012-04-26 Anesthesiologist Services with a Modifier GC in a Method II Critical Access Hospital (CAH) MM7764
7755 2012-04-26 Ensuring Hospice Certifying Physician Identifiers Are Fully Processed MM7755
7600 2012-04-27 New Physician Specialty Code for Sleep Medicine and Sports Medicine MM7600
7600 2012-04-27 New Physician Specialty Code for Sleep Medicine and Sports Medicine MM7600
7819 2012-05-18 Coding Changes to Ultrasound Diagnostic for Tranesophageal Doppler Monitoring MM7819
7844 2012-06-01 July Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB) N/A
7879 2012-07-27 Physician Quality reporting System and Electronic Prescribing (eRx) Incentive Program Pub 110-22 Medicare Quality reporting Incentive Programs Manual. N/A
7877 2012-08-02 Posting the Limiting Charge after Applying the e-Prescribing (eRx) Negative Adjustment MM7877
7872 2012-08-03 Payment of Global Surgical Split Care in a Method II Critical Access Hospital (CAH) Submitted with Modifier 54 and/or 55 MM7872
7884 2012-08-10 New Non-Physician Specialty Code for Centralized Flu MM7884
7884 2012-08-10 New Non-Physician Speciality Code for Centralized Flu
8017 08/24/2012 October Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB)
8037 09/07/2012 2013 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consoliadated Billing (CB) Update MM8037
8064 2012-09-21 Medicare Physician Fee Schedule Database (MPFSDB) 2013 File Layout Manual
8047 2012/09/28 Influenza Vaccine Payment Allowances - Annual Update for 2012-2013 Season MM8047
8017 2012-09-28 October Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB) MM8017
7631 2012-09-28 Revised and Clarified Place of Service (POS) Coding Instructions MM7631
8058 2012/09/28 Annual Medicare Physician Fee Schedule (MPFS) Files Delivery and Implementation
8047 2012/10/03 Influenza Vaccine Payment Allowances - Annual Update for 2012-2013 Season MM8047
7631 2012-10-11 Revised and Clarified Place of Service (POS) Coding Instructions MM7631
8051 2012-10-12 Reasonable Charge Update for 2013 for Splints, Casts, and Certain Intraocular Lenses MM8051
8064 2012-10-12 Medicare Physician Fee Schedule Database (MPFSDB)2013 File Layout Manual
7872 10/26/2012 Payment of Global Surgical Split Care in a Method II Critical Access Hospital (CAH) Submitted with Modifier 54 and/or 55
8100 10/26/2012 Effect of Beneficiary Agreements Not to Use Medicare Coverage and When Payment May be Made to a Beneficiary for Service of an Opt-Out Physician/Practitioner MM8100
CR8107 10/26/2012 Editing Update for Annual Wellness Visit (AWV) MM8107
8048 11/1/2012 Enforcing Interim Billing for Partial Hospitalization Services MM8048
7848 11/06/2012 Multiple Procedure Payment Reduction (MPPR) on the Technical Component (TC) of Diagnostic Cardiovascular and Ophthalmology Procudures MM7848
8055 2012-11-06 Calendar Year (CY) 2013 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures
8124 11/16/2012 Use of Q6 Modifier for Locum Tenens by Providing Performing Provider NPI - Analysis only CR
8010 2012-12-14 Update To Publication 100-04, Claims Processing Instructions For Chapter 12, Non-Physician Practitioners (NPPs) MM8010
7631 2012-12-14 Revised and Clarified Place of Service (POS) Coding Instructions MM7631
8124 2012-12-18 Use of Q6 Modifier for Locum Tenens by Providing the Substitute Physician’s Unique Identifier
8143 01/11/2013 Emergency Update to the CY 2013 Medicare Physician Fee Schedule Database (MPFSDB)
8191 01/09/2013 Summary of Policies in the CY 2013 Medicare Physician Fee Schedule (MPFS) Final Rule and the Telehealth Original Site Facility Fee Payment Amount MM8191
8143 02/01/2013 Emergency Update to the CY 2013 Medicare Physician Fee Schedule Database (MPFSDB) MM8143
7747 2012-12-13 Application of the Multiple Procedure Payment Reduction (MPPR) on the Professional Component (PC) and Technical Component (TC) of Certain Diagnostic Imaging Procedures to Physicians in the Same Group Practice MM7747
8191 2013-02-06 Summary of Policies in the CY 2013 Medicare Physician Fee Schedule (MPFS) Final Rule and the Telehealth Originating Site Facility Fee Payment Amount MM8191
8010 2013-02-07 Update To Publication 100-04, Claims Processing Instructions For Chapter 12, Non-Physician Practitioners (NPPs)
8153 2013-02-15 Recovery of Annual Wellness Visit (AWV) Overpayment MM8153
8196 2013-02-15 Bundled Payment for Care Improvement Model 4 – HI and SMI Payment Attribution and Outlier Payments
8169 2013-03-01 April Update to the CY 2013 Medicare Physician Fee Schedule Database (MPFSDB) MM8169
8169 2013-03/26 April Update to the CY 2013 Medicare Physician Fee Schedule Database (MPFSDB) MM8169
7631 2013-03-29 Revised and Clarified Place of Service (POS) Coding Instructions
8124 2013-04-11 Use of Q6 Modifier for Locum Tenens by Providing Performing Provider NPT “FOR ANALYSIS ONLY”
8286 05/02/2013 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2013 Update MM8286
8278 05-03-2013 Applying Multiple Procedure Payment Reductions to Therapy Cap Amounts for Critical Access Hospital Claims MM8278
8165 05/03/2013 Common Working file (CWF) Informational Unsolicited Response (IUR) or Reject for a new patient visit billed by the same physician or physician group within the past three years. MM8165
8291 05/17/2013 July Update to the CY 2013 Medicare Physician Fee Schedule Database (MPFSDB) MM8291
8165 05/31/2013 Common Working File (CWF) Informational Unsolicited Response (IUR) or Reject for a new patient visit billed by the same physician or physician group within the past three years. MM8165
7887 05/21/2013 Affordable Care Act (ACA) Model 4 Bundled Payments for Care Improvement Episode of Care Implementation Phase Two
8070 06-27-2013 Affordable Care Act (ACA) Model 4 Bundled Payments for Care Improvement - Episode of Care - Implementation Phase 3
8386 08-02-2013 October Update to the CY 2013 Medicare Physician Fee Schedule Database (MPFSDB) MM8386
8388 08-09-2013 Medicare Physician Fee Schedule Database (MPFSDB) Field Revisions for the New Purchased Diagnostic Test (PDT) Indicator and New Effective Date Field
8399 08/09/2013 Revision to the CWF Edit for Technical Component (TC) of Pathology Services Occurring on the Same Day as an Outpatient Hospital Visit MM8399
8343 09/10/2013 Corrections to the Medicare Claims Processing Manual
8386 09/10/2013 October Update to the CY 2013 Medicare Physician Fee Schedule Database (MPFSDB) MM8386
8433 09/13/2013 Influenza Vaccine Payment Allowances - Annual Update for 2013-2014 Season MM8433
8441 2013-09-20 Home Health Agency Reporting Requirements for the Certifiying Physician and the Physician Who Signs the Plan of Care MM8441
8455 09-20-2013 Medicare Physician Fee Schedule Database (MPFSDB) 2014 File Layout Manual
8537 2013-11-29 Transcatheter aortic valve replacement (TAVR) - Implementation of Permanent CPT Code
8462 2013-10-25 Annual Medicare Physician Fee Schedule (MPFS) Files Delivery and Implementation
8473 2013-11-22 New Influenza Virus Vaccine Code MM8473
8471 2013-11-15 Calendar Year (CY) 2014 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures
8441 2013-12-06 Home Health Agency Reporting Requirements for the Certifying Physician and the Physician Who Signs the Plan of Care MM8441
8533 2013-12-20 Summary of Policies in the CY 2014 Medicare Physician Fee Schedule (MPFS) Final Rule and the Telehealth Originating Site Facility Fee Payment Amount
8534 2013-12-27 Emergency Update to the CY 2014 Medicare Physician Fee Schedule Database (MPFSDB)
8266 2014-01-22 Part B Claims Submission under the Indirect Payment Procedure (IPP) MM8266