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Laboratory Edit Modules

The Centers for Medicare & Medicaid Services (CMS) notifies Medicare Administrative Contractors of changes for April 2017 according to a quarterly release of the edit module for clinical diagnostic laboratory services, and national coverage determinations (NCDs) for clinical diagnostic laboratory services established in 2001. A module developer shall update a laboratory edit module and provide the revised software as a mainframe to CMS to be distributed to the Shared System Maintainers (SSMs). SSMs shall install the edit module and distribute it to the contractors as part of their routine release. The module developer shall add or delate ICD-10-CM codes accordingly.

 Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3691CP.pdf

Subject: Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2017

Number: 3691

Title: Change Request 9934

Release Date: Jan. 13, 2017

Effective Date: Oct. 1, 2016

Transmittal Date: April 3, 2017

Special Notes: N/A

  • Post author
    Lacy Gaskins

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