The Centers for Medicare & Medicaid Services (CMS) requests Medicare Administrative Contractors (MACs) add certain ICD-10 codes that qualify under the LTCH Prospective Payment System (PPS) for a standard federal rate payment amount. CMS defines qualifications for eligibility and instructs MACs to update their systems with the new ICD-10 codes and process claims accordingly.
Subject: Update for Additional International Classification of Diseases (ICD)-10 Codes for the System Changes to Implement Section 231 of the Consolidated Appropriations Act, 2016, Temporary Exception for Certain Severe Wound Discharges From Certain Long-Term Care Hospitals (LTCHs)
Title: Change Request 9872
Release Date: Feb. 3, 2017
Effective Date: April 21, 2016
Implementation Date: July 3, 2017
Special Notes: N/A