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Last Modified: 11/27/2017 Location: FL, PR, USVI Business: Part A, Part B

January changes to the laboratory NCD edit software

Effective date: October 1, 2017
Implementation date: January 2, 2018


The Centers for Medicare & Medicaid Services (CMS) recently released instructions for Medicare administrative contractors (MAC) regarding changes in the laboratory national coverage determination (NCD). Nationally uniform software was developed and incorporated in the Medicare shared systems so that laboratory claims subject to one of the 23 NCDs (Publication 100-03, Sections 190.12-190.34) were processed uniformly throughout the nation effective April 1, 2003.
The article provides a link to a spreadsheet that details changes to each of the NCDs. Note: MACs will not search files to either retract payment for claims already paid or retroactively pay claims, but will adjust such claims that you bring to their attention.
For more details, here is the link to the MLN MattersŪ article MM10309 external pdf file.
Source: MM10309
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