CMS Manual System Department of Health & Human Services (DHHS)Pub. 100-04 Medicare Claims Processing Centers for Medicare &

Medicaid Services (CMS)Transmittal 255 Date: JULY 30, 2004

CHANGE REQUEST 3396 I. SUMMARY OF CHANGES: This instruction informs fiscal intermediaries that the Outpatient Code Editor, used to process bills from hospitals not paid under the Outpatient Prospective Payment System (OPPS), has been updated with new additions, changes, and deletions to the Healthcare Common Procedure Coding System (HCPCS). NEW/REVISED MATERIAL - EFFECTIVE DATE: Various dates as described in

the instruction *IMPLEMENTATION DATE: October 4, 2004 II. CHANGES IN MANUAL INSTRUCTIONS: (N/A if manual not updated.) (R = REVISED, N = NEW, D = DELETED) R/N/D CHAPTER/SECTION/SUBSECTION/TITLE N/A

*III. FUNDING:

These instructions shall be implemented within your current operating budget. IV. ATTACHMENTS: Business Requirements Manual Instruction Confidential Requirements One-Time Notification X Recurring Update Notification *Medicare contractors only

Attachment – Recurring Update Notification Pub. 100-04 Transmittal: 255 Date: July 30, 2004 Change Request 3396 SUBJECT: October Update to the Medicare Outpatient Code Editor (OCE) Version 20.0 for Bills From Hospitals that are not Paid Under the Outpatient Prospective Payment System (OPPS)

I. GENERAL INFORMATION

A. Background: This Change Request (CR) informs you that the OCE has been updated with new additions, changes, and deletions to Healthcare Common Procedure Coding System/Current Procedural Terminology, Fourth Edition (HCPCS/CPT-4) codes. This OCE is used to process bills from hospitals not paid under the OPPS. CMS sent detailed information about these changes in separate communications. B. Policy: The following are changes made to version 20.0 of the non-OPPS OCE: New ICD-9-CM Diagnosis Codes

• The following diagnosis codes and descriptions have been added to the list of new diagnosis of valid ICD-9-CM diagnoses, effective October 1, 2004:

Code Short Description 06640 West Nile Fever NOS 06641 West Nile Fever w/enceph 06642 West Nile neuro man NEC 06649 West Nile w complic NEC 07070 Hpt C w/o hepat coma NOS 07071 Hpt C w hepatic coma NOS 25200 Hyperparathyroidism NOS 25201 Primary hyperparathyroid 25202 Sec hyprprthyrd nonrenal 25208 Hyperparathyroidism NEC 2734 Alpha-1-antitrypsin def 27785 Disorders acid oxidation 27786 Peroxisomal disorders 27787 Dis mitochondrial metab 34700 Narcolepsy w/o cataplexy 34701 Narcolepsy w cataplexy 34710 Narclpsy w/o cat oth dis 34711 Narcolepsy w cat oth dis 38003 Chondritis of pinna 45340 DVT/emblsm lower ext NOS

Code Short Description 45341 DVT/emb prox lower ext 45342 DVT/emb distal lower ext 4772 Allerg rhinitis-cat/dog 49122 Obs chr bronc w ac bronc 52106 Dentl caries-pit/fissure 52107 Dentl caries-smooth surf 52108 Dental caries-root surf 52110 Excessive attrition NOS 52111 Excess attrition-enamel 52112 Excess attrition-dentine 52113 Excessive attrition-pulp 52114 Excess attrition-local 52115 Excess attrition-general 52120 Abrasion NOS 52121 Abrasion-enamel 52122 Abrasion-dentine 52123 Abrasion-pulp 52124 Abrasion-localized 52125 Abrasion-generalized 52130 Erosion NOS 52131 Erosion-enamel 52132 Erosion-dentine 52133 Erosion-pulp 52134 Erosion-localized 52135 Erosion-generalized 52140 Path resorption NOS 52141 Path resorption-internal 52142 Path resorption-external 52149 Path resorption NEC 52320 Gingival recession NOS 52321 Gingival recess-minimal 52322 Gingival recess-moderate 52323 Gingival recess-severe 52324 Gingival recession-local 52325 Gingival recess-general 52407 Excessive tuberosity-jaw 52420 Anomaly dental arch NOS 52421 Angle's class I 52422 Angle's class II 52423 Angle's class III 52424 Open anterior occlusion 52425 Open posterior occlusion 52426 Excess horizontl overlap

Code Short Description 52427 Reverse articulation 52428 Anom interarch distance 52429 Anomaly dental arch NEC 52430 Tooth position anom NOS 52431 Crowding of teeth 52432 Excessive spacing-teeth 52433 Horizontl displace-teeth 52434 Vertical displace-teeth 52435 Rotation of teeth 52436 Insuf interocclusl-teeth 52437 Exces interocclusl-teeth 52439 Tooth position anom NEC 52450 Dentofac funct abnor NOS 52451 Abnormal jaw closure 52452 Limited mandibular ROM 52453 Dev open/close mandible 52454 Insuff anterior guidance 52455 Centric occl intrcsp dis 52456 Nonwork side interfrnce 52457 Lack post occlsl support 52459 Dentofac funct abnor NEC 52464 TMJ sounds opn/close jaw 52475 Vertical displace teeth 52476 Occlusal plane deviation 52481 Anterior soft tiss impg 52482 Posterior soft tiss impg 52489 Dentofacial anomaly NEC 52520 Atrophy alvlar ridge NOS 52521 Atrophy mandible-minimal 52522 Atrophy mandible-modrate 52523 Atrophy mandible-severe 52524 Atrophy maxilla-minimal 52525 Atrophy maxilla-moderate 52526 Atrophy maxilla-severe 52871 Keratin ridge mucosa-min 52872 Keratin ridge muc-excess 52879 Dist oral epithelium NEC 53086 Esophagostomy infection 53087 Mech comp esophagostomy 58881 Sec hyperparathyrd-renal 58889 Impair ren funct dis NEC 61800 Vaginal wall prolpse NOS 61801 Cystocele, midline

Code Short Description 61802 Cystocele, lateral 61803 Urethrocele 61804 Rectocele 61805 Perineocele 61809 Cystourethrocele 61881 Incomptnce pubocerv tiss 61882 Incomptnce rectovag tiss 61883 Pelvic muscle wasting 61889 Genital prolapse NEC 62130 Endometrial hyperpla NOS 62131 Simp endo hyper w/o atyp 62132 Comp endo hyper w/o atyp 62133 Endomet hyperpla w atyp 62210 Dysplasia of cervix NOS 62211 Mild dysplasia of cervix 62212 Mod dysplasia of cervix 62920 Genital mutilation NOS 62921 Genital mutilatn type I 62922 Genital mutilatn type II 62923 Genital muilatn type III 69284 Contact drmatitis-animal 70521 Primary focal hyprhidros 70522 Sec focal hyperhidrosis 70700 Decubitus ulcer site NOS 70701 Decubitus ulcer,elbow 70702 Decubitus ulcer,up back 70703 Decubitus ulcer,low back 70704 Decubitus ulcer,hip 70705 Decubitus ulcer,buttock 70706 Decubitus ulcer,ankle 70707 Decubitus ulcer,heel 70709 Decubitus ulcer,site NEC 75831 Cri-du-chat syndrome 75832 Velo-cardio-facial synd 75833 Microdeletions NEC 75839 Autosomal deletions NEC 78058 Sleep related movemt dis 78838 Overflow incontinence 79095 Elev C-reactive protein 79503 Pap smear cervix w LGSIL 79504 Pap smear cervix w HGSIL 79505 Cervical (HPV) DNA pos 79508 Pap smear unsatisfactory 7966 Abnorm neonate screening

Code Short Description V0171 Varicella contact/exp V0179 Viral dis contact NEC V0183 E. coli contact/exp V0184 Meningococcus contact V4611 Respirator depend status V4612 Resp depend-powr failure V4983 Await organ transplnt st V5844 Aftercare organ transplt V5866 Long-term use of aspirin V5867 Long-term use of insulin V694 Lack of adequate sleep V7231 Routine gyn examination V7232 Pap smear confirmation V7240 Pregnancy test unconfirm V7241 Pregnancy test negative V8401 Genetc sus mal neo brest V8402 Genetc sus mal neo ovary V8403 Genetc sus mal neo prost V8404 Genetc susc mal neo endo V8409 Genetic susc mal neo NEC V848 Genetic suscept dis NEC

Deleted ICD-9-CM Diagnosis Codes

• The following diagnosis codes, and the associated edits to which they are assigned, have been deleted from the list of valid ICD-9-CM diagnosis codes, effective October 1, 2004.

Diagnosis Code

Long Description

0664 West Nile Fever 2520 Hyperparathyroidism 347 Cataplexy and narcolepsy 5211 Excessive attrition 5212 Abrasion 5213 Erosion 5214 Pathological resorption 5232 Gingival recession 5242 Anomalies of dental arch relationship 5243 Anomalies of tooth position 5245 Dentofacial functional abnormalities 5248 Other specified dentofacial anomalies 5252 Atrophy of edentulous alveolar ridge 5287 Other disturbances of oral epithelium,including

Diagnosis Code

Long Description

tongue 5888 Other specified disorders resulting from impaired

renal function 6180 Prolapse of vaginal walls without mention of

uterine prolapse 6188 Other specified genital prolapse 6213 Endometrial cystic hyperplasia 6221 Dysplasia of cevix (uteri) 7070 Decubitus ulcer 7583 Autosomal deletion syndromes V017 Other viral diseases V461 Respirator V723 Gynecological examination V724 Pregnancy examination or test, pregnancy

unconfirmed Revised ICD-9-CM Diagnosis Code Descriptions

• The short descriptions of the following diagnosis codes have been revised as follows, effective October 1, 2004:

Diagnosis Code

Short Description

04182 Bacteroides fragilis 2865 Intr circul anticoag dis 29040 Vascular dementia,uncomp 29041 Vasc dementia w delirium 29042 Vasc dementia w delusion 29043 Vasc dementia w depressn 2911 Alcohol amnestic disordr 2912 Alcohol persist dementia 2913 Alcoh psy dis w hallucin 2915 Alcoh psych dis w delus 29189 Alcohol mental disor NEC 2919 Alcohol mental disor NOS 2920 Drug withdrawal 29211 Drug psych disor w delus 29212 Drug psy dis w hallucin 29282 Drug persisting dementia 29283 Drug persist amnestc dis 29284 Drug-induced mood disord 2930 Delirium d/t other cond

Diagnosis Code

Short Description

29381 Psy dis w delus oth dis 29382 Psy dis w halluc oth dis 29383 Mood disorder other dis 29384 Anxiety disorder oth dis 29389 Transient mental dis NEC 2939 Transient mental dis NOS 2940 Amnestic disord oth dis 2948 Mental disor NEC oth dis 2949 Mental disor NOS oth dis 29540 Schizophreniform dis NOS 29541 Schizophrenic dis-subchr 29542 Schizophren dis-chronic 29543 Schizo dis-subchr/exacer 29544 Schizophr dis-chr/exacer 29545 Schizophrenic dis-remiss 29560 Schizophr dis resid NOS 29561 Schizoph dis resid-subch 29562 Schizophr dis resid-chr 29563 Schizo resid subchr/exac 29564 Schizoph resid-chro/exac 29565 Schizoph dis resid-remis 29570 Schizoaffective dis NOS 29571 Schizoaffectv dis-subchr 29572 Schizoaffective dis-chr 29573 Schizoaff dis-subch/exac 29574 Schizoafftv dis-chr/exac 29575 Schizoaffectve dis-remis 29600 Bipol I single manic NOS 29601 Bipol I single manc-mild 29602 Bipol I single manic-mod 29603 Bipol I sing-sev w/o psy 29604 Bipo I sin man-sev w psy 29605 Bipol I sing man rem NOS 29606 Bipol I single manic rem 29640 Bipol I currnt manic NOS 29641 Bipol I curnt manic-mild 29642 Bipol I currnt manic-mod 29643 Bipol I manc-sev w/o psy 29644 Bipol I manic-sev w psy 29645 Bipol I cur man part rem 29646 Bipol I cur man full rem 29650 Bipol I cur depres NOS 29651 Bipol I cur depress-mild

Diagnosis Code

Short Description

29652 Bipol I cur depress-mod 29653 Bipol I curr dep w/o psy 29654 Bipol I currnt dep w psy 29655 Bipol I cur dep rem NOS 29656 Bipol I currnt dep remis 29660 Bipol I currnt mixed NOS 29661 Bipol I currnt mix-mild 29662 Bipol I currnt mixed-mod 29663 Bipol I cur mix w/o psy 29664 Bipol I cur mixed w psy 29665 Bipol I cur mix-part rem 29666 Bipol I cur mixed remiss 2967 Bipolor I current NOS 29680 Bipolar disorder NOS 29689 Bipolar disorder NEC 29690 Episodic mood disord NOS 29699 Episodic mood disord NEC 2971 Delusional disorder 2973 Shared psychotic disord 29900 Autistic disord-current 29901 Autistic disord-residual 29910 Childhd disintegr-active 29911 Childhd disintegr-resid 29980 Pervasv dev dis-cur NEC 29981 Pervasv dev dis-res NEC 29990 Pervasv dev dis-cur NOS 29991 Pervasv dev dis-res NOS 30001 Panic dis w/o agorphobia 30012 Dissociative amnesia 30013 Dissociative fugue 30014 Dissociatve identity dis 30016 Factitious dis w symptom 30021 Agoraphobia w panic dis 30029 Isolated/spec phobia NEC 3004 Dysthymic disorder 3006 Depersonalization disord 30089 Somatoform disorders NEC 3009 Nonpsychotic disord NOS 30122 Schizotypal person dis 3014 Obsessive-compulsive dis 30181 Narcissistic personality 30182 Avoidant personality dis 30183 Borderline personality

Diagnosis Code

Short Description

3020 Ego-dystonic sex orient 3023 Transvestic fetishism 3026 Gendr identity dis-child 30271 Hypoactive sex desire 30273 Female orgasmic disorder 30274 Male orgasmic disorder 30275 Premature ejaculation 30276 Dyspareunia,psychogenic 30285 Gend iden dis,adol/adult 30410 Sed,hyp,anxiolyt dep-NOS 30411 Sed,hyp,anxiolyt dep-con 30412 Sed,hyp,anxiolyt dep-epi 30413 Sed,hyp,anxiolyt dep-rem 30540 Sed,hyp,anxiolytc ab-NOS 30541 Sed,hyp,anxiolytc ab-con 30542 Sed,hyp,anxiolytc ab-epi 30543 Sed,hyp,anxiolytc ab-rem 3070 Stuttering 30721 Transient tic disorder 30722 Chr motor/vocal tic dis 30723 Tourette’s disorder 3073 Stereotypic movement dis 30745 Circadian rhythm sleep 30746 Sleep arousal disorder 30751 Bulimia nervosa 30753 Rumination disorder 3090 Adjustmnt dis w depressn 30924 Adjustment dis w anxiety 30928 Adjust dis w anxiety/dep 3093 Adjust disor/dis conduct 3094 Adj dis-emotion/conduct 30981 Posttraumatic stress dis 3101 Personality chg oth dis 31323 Selective mutism 31381 Opposition defiant disor 3151 Mathematics disorder 31531 Expressive language dis 31532 Recp-expres language dis 3154 Devel coordination dis 5217 Intrin posteruptv color 76070 Nox sub NOS aff NB/fetus 76071 Maternl alc aff NB/fetus 76072 Matern narc aff NB/fetus

Diagnosis Code

Short Description

76073 Matern halluc af NB/fet 76074 Mat anti-inf aff NB/fet 76075 Mat cocaine aff NB/fet 76076 Maternal DES af NB/fetus 76079 Nox sub NEC aff NB/fetus 7808 Generalizd hyperhidrosis 79500 Abn glandular pap smear 79501 Pap smear (ASC-US) 79502 Pap smear (ASC-H) 79509 Abn pap cervix HPV NEC V074 Hormone replace postmeno

New HCPCS/CPT Procedure Codes

• The following HCPCS code has been added to the list of valid codes for the OCE, effective January 1, 2004 (OCE v19.1):

HCPCS Code

Short Description

C9219 Mycophenolic acid, oral

• The following HCPCS code has been added to the list of valid codes for the OCE, effective April 1, 2004 (OCE v19.1):

HCPCS Code

Short Description

C9218 Injection, azacitidine

• The following HCPCS code has been added to the list of valid codes for the OCE, effective July 1, 2004 (OCE v19.2):

HCPCS Code

Short Description

G0336 PET imaging brain Alzheimer’s

• The following HCPCS codes have been added to the list of valid codes for the OCE, effective 10/1/04 (OCE v20.0):

HCPCS Code

Short Description

G0330 PET image initial dx cervcal G0331 PET image restage ovarian ca

G0341 Percutaneous Islet cell trans G0342 Laparoscopy Islet cell trans G0343 Laparotomy Islet cell transp

Deleted HCPCS Procedure Codes

• The following procedure codes, and the associated edits for which they were assigned, have been deleted from the list of valid HCPCS, effective January 1, 2004 (OCE v19.1):

C9408 C9416 C9434

Medicare Outpatient Code Edits

• The following new diagnosis code has been added to the list of maternity diagnoses,

effective October 1, 2004:

Dx Code Description 7966 Nonspecific abnormal findings on neonatal

screening

• The following codes have been deleted from the list of adult diagnoses, effective October 1, 2004:

Dx Code Description

2777 Dysmetabolic syndrome X 340 Multiple sclerosis 41000 AMI anterolateral,unspec 41001 AMI anterolateral, init 41002 AMI anterolateral,subseq 41010 AMI anterior wall,unspec 41011 AMI anterior wall, init 41012 AMI anterior wall,subseq 41020 AMI inferolateral,unspec 41021 AMI inferolateral, init 41022 AMI inferolateral,subseq 41030 AMI inferopost, unspec 41031 AMI inferopost, initial 41032 AMI inferopost, subseq 41040 AMI inferior wall,unspec 41041 AMI inferior wall, init 41042 AMI inferior wall,subseq 41050 AMI lateral NEC, unspec

Dx Code Description 41051 AMI lateral NEC, initial 41052 AMI lateral NEC, subseq 41060 True post infarct,unspec 41061 True post infarct, init 41062 True post infarct,subseq

41070 Subendo infarct, unspec 41071 Subendo infarct, initial 41072 Subendo infarct, subseq 41080 AMI NEC, unspecified 41081 AMI NEC, initial 41082 AMI NEC, subsequent 41090 AMI NOS, unspecified 41091 AMI NOS, initial 41092 AMI NOS, subsequent 4110 Post MI syndrome 4111 Intermed coronary synd 41181 Acute cor occlsn w/o MI 41189 Ac ischemic hrt dis NEC 412 Old myocardial infarct 4130 Angina decubitus 4131 Prinzmetal angina 4139 Angina pectoris NEC/NOS 4292 Ascvd 43300 Ocl bslr art wo infrct 43310 Ocl crtd art wo infrct 43320 Ocl vrtb art wo infrct 43330 Ocl mlt bi art wo infrct 43380 Ocl spcf art wo infrct 43390 Ocl art NOS wo infrct 4358 Trans cereb ischemia NEC 4359 Trans cereb ischemia NOS 44100 Dsct of aorta unsp site 44101 Dsct of thoracic aorta 44102 Dsct of abdominal aorta 44103 Dsct of thoracoabd aorta 4411 Ruptur thoracic aneurysm 4412 Thoracic aortic aneurysm 4413 Rupt abd aortic aneurysm 4414 Abdom aortic aneurysm 4415 Rupt aortic aneurysm NOS 4416 Thoracoabd aneurysm rupt 4417 Thracabd anurysm wo rupt

Dx Code Description 4419 Aortic aneurysm NOS 4420 Upper extremity aneurysm 4421 Renal artery aneurysm 4422 Iliac artery aneurysm 4423 Lower extremity aneurysm 44281 Aneurysm of neck 44282 Subclavian aneurysm 44283 Splenic artery aneurysm 44284 Visceral aneurysm NEC 44289 Aneurysm NEC 4429 Aneurysm NOS 496 Chr airway obstruct NEC 7220 Cervical disc displacmnt 72210 Lumbar disc displacement 72211 Thoracic disc displacmnt 7222 Disc displacement NOS 72230 Schmorl's nodes NOS 72231 Schmorls node-thoracic 72232 Schmorls node-lumbar 72239 Schmorls node-region NEC 7224 Cervical disc degen 72251 Thoracic disc degen 72252 Lumb/lumbosac disc degen 7226 Disc degeneration NOS 72270 Disc dis w myelopath NOS 72271 Cerv disc dis w myelopat 72272 Thor disc dis w myelopat 72273 Lumb disc dis w myelopat 72280 Postlaminectomy synd NOS 72281 Postlaminect synd-cerv 72282 Postlaminect synd-thorac 72283 Postlaminect synd-lumbar 72290 Disc dis NEC/NOS-unspec 72291 Disc dis NEC/NOS-cerv 72292 Disc dis NEC/NOS-thorac 72293 Disc dis NEC/NOS-lumbar 72400 Spinal stenosis NOS 72401 Spinal stenosis-thoracic 72402 Spinal stenosis-lumbar 72409 Spinal stenosis-oth site

• The following new codes have been added to the list of codes allowed for females only,

effective October 1, 2004:

Dx Code Description

61800 Unspecified prolapse of vaginal walls 61801 Cystocele, midline 61802 Cystocele, lateral 61803 Urethrocele 61804 Rectocele 61805 Perineocele 61809 Other prolapse of vaginal walls without mention of uterine prolapse 61881 Incompetence or weakening of pubocervical tissue 61882 Incompetence or weakening of rectovaginal tissue 61883 Pelvic muscle wasting 61889 Other specified genital prolapse 62130 Endometrial hyperplasia, unspecified 62131 Simple endometrial hyperplasia without atypia 62132 Complex endometrial hyperplasia without atypia 62133 Endometrial hyperplasia with atypia 62210 Dysplasia of cervix, unspecified 62211 Mild dysplasia of cervix 62212 Moderate dysplasia of cervix [CIN II] 62920 Female genital mutilation status, unspecified 62921 Female genital mutilation Type I status 62922 Female genital mutilation Type II status 62923 Female genital mutilation Type III status 79503 Papanicolaou smear of cervix with low grade squamous

intraepithelial lesion (LGSIL) 79504 Papanicolaou smear of cervix with high grade squamous

intraepithelial lesion (HGSIL) 79505 Cervical high risk human papillomavirus (HPV) DNA test positive 79508 Nonspecific abnormal Papaniocolaous smear of cervix,

unsatisfactory smear 7966 Nonspecific abnormal findings on neonatal screening

V7231 Routine gynecological examination V7232 Encounter for Papanicolaou cervical smear to confirm findings of

recent normal smear following initial abnormal smear V7240 Pregnancy examination or test, pregnancy unconfirmed V7241 Pregnancy examination or test, negative result V8402 Genetic susceptibility to malignant neoplasm of ovary

Dx Code Description V8404 Genetic susceptibility to malignant neoplasm of endometrium

• The following new code has been added to the list of diagnoses allowed for males only,

effective October 1, 2004: Dx Code Description

V8403 Genetic susceptibility to malignant neoplasm of prostate Non-Reportable Procedures • Add the following code to the list of Non-Reportable procedures, effective January 1,

2004 (OCE v19.1):

C9219

• Add the following code to the list of Non-Reportable procedures, effective April 1, 2004 (OCE v19.1):

C9218

• Remove the following codes from the list of Non-Reportable procedures, effective January 1, 2004 (OCE v19.1):

Q4054 Q4055

C. Provider Education: "A provider education article related to this instruction will be available at http://www.cms.hhs.gov/medlearn/matters shortly after the CR is released. You will receive notification of the article release via the established "medlearn matters" listserv. Contractors shall post this article, or a direct link to this article, on their Web site and include information about it in a listserv message within one week of the availability of the provider education article. In addition, the provider education article must be included in your next regularly scheduled bulletin.”

http://www.cms.hhs.gov/medlearn/matters

II. BUSINESS REQUIREMENTS “Shall" denotes a mandatory requirement "Should" denotes an optional requirement

Requirement Number

Requirements Responsibility (place an “X” in the columns that apply)

Shared System Maintainers

FI

RH

HI

Car

rier

DM

ERC

FISS

MC

S

VM

CW

Other

3396.1 The Shared System Maintainer shall install Non-OPPS OCE Version 20.0 into their systems. X

3396.2 Fiscal Intermediaries shall inform providers of the Non-OPPS OCE changes for Version 20.0 detailed in this recurring change notification. X

X

III. SUPPORTING INFORMATION AND POSSIBLE DESIGN CONSIDERATIONS

A. Other Instructions: N/A X-Ref Requirement # Instructions

B. Design Considerations: N/A X-Ref Requirement # Recommendation for Medicare System Requirements

C. Interfaces: N/A D. Contractor Financial Reporting /Workload Impact: N/A E. Dependencies: N/A F. Testing Considerations: N/A

IV. SCHEDULE, CONTACTS, AND FUNDING Effective Date: Various dates as described in the CR Implementation Date: October 4, 2004 Pre-Implementation Contact(s): Joe Bryson at jbryson2@cms.hhs.gov Post-Implementation Contact(s): Regional office

These instructions shall be implemented within your current operating budget.

mailto:jbryson2@cms.hhs.gov

R255_CP1.pdfI. GENERAL INFORMATIONThe following diagnosis codes and descriptions have been addThe following procedure codes, and the associated edits for II. BUSINESS REQUIREMENTSIII. SUPPORTING INFORMATION AND POSSIBLE DESIGN CONSIDERATIOX-Ref Requirement #X-Ref Requirement #Recommendation for Medicare System Requirements

Effective Date: Various dates as described in the CR