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  • Modifying the HCPCS Load Process
  • Post author
    Lacy Gaskins

Modifying the HCPCS Load Process

The Centers for Medicare & Medicaid Services (CMS) requests Medicare Administrative Contractors (MACs) modify the HCPCS load process to incorporate a new Clinical Lab Fee Schedule file layout in coordination with changes to the Fiscal Intermediary Shared System (FISS), according to current CLFS rules including a final rule covering elements such as applicable laboratories, applicable information, data collection periods, and data integrity.

Full Transmittal:

Subject: FISS Implementation of the Restructured Clinical Lab Fee Schedule

Number: 3740

Title: 9837

Release Date: March 23, 2017

Effective Date: January 1, 2018

Implementation Date: April 3, 2017

Special Notes: Transmittal 3653, dated November 10, 2016, is being rescinded and replaced by Transmittal 3740, dated, March 23, 2017 to revise business requirement 1.2 removing the decimal point in the rate field, and to indicate which digits are dollars and cents in order to make the new CLFS consistent with other pricing files. Attachment CLFS File Layout-Text File has also been removed from the CR. All other information remains the same.


  • Post author
    Lacy Gaskins