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CMS Transmittals Roundup
  • ICD-10 Codes For A Standard Federal Rate Payment Amount
  • Lacy Gaskins
ICD-10 Codes For A Standard Federal Rate Payment Amount

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.

Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R1786OTN.pdf

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)

Number: 1786

Title: Change Request 9872

Release Date: Feb. 3, 2017

Effective Date: April 21, 2016

Implementation Date: July 3, 2017

Special Notes: N/A

  • Lacy Gaskins

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