Reminder on Billing Requirements Implemented for non-OPPS Providers


This MLN Matters® Special Edition Article conveys enforcement editing requirements for the Medicare Claims Processing Manual, Chapter 12, Section 30 which describes Correct Coding Policy, Section D. Coding Services Supplemental to Principal Procedure (Add-On Codes) Code and Chapter 23, Section 20.9 which describes the Correct Coding Initiative. These requirements are not new requirements. Previously, these requirements were discussed in CRs 10504 and 10699, which were effective on April 1, 2018 and July 1, 2018. MLN Matters article for CR 10699 and CR 10504 is available on the CMS website. Make sure your billing staff is aware of these instructions.




Last Updated: 09/05/2018