The Centers for Medicare & Medicaid Services (CMS) requests Medicare Administrative Contractors (MACs) comply with updates related to Pub. 100-04, Chapter 24, Section 50.3.4 dealing with external code sets for shared system maintainers. SSMs are instructed to update tables and communicate with CMS to ensure proper implementation of Accredited Standards Committee (ASC) X12 version 5010 837 Institutional, 837 Professional claims, and the 276 Claim Status Inquiry in the Medicare fee-for-service program.
Subject: Common Edits and Enhancements Modules (CEM) Code Set Update
Release Date: May 18, 2018
Effective Date: October 1, 2018
Implementation Date: October 1, 2018
Special Notes: NA