This article is for hospices, hospitals, and suppliers billing MACs for services they provide to Medicare hospice patients enrolled in Medicare Advantage (MA) plans participating in the voluntary value-based insurance design (VBID) model’s hospice benefit component. [MM12688]
Transmittal 11342, dated April 6, is being rescinded and replaced by transmittal 11391, dated April 29, to replace two spreadsheets: NCD 160.18 (vagus nerve stimulation (VNS)) and NCD 110.24 (CAR T-cell therapy). All other information remains the same. [MM12606]
This article provides information on a new code for a pneumococcal vaccine, how to find pricing for the code, and the basis for Medicare’s payment to institutional providers for this code. This article was revised December 14 to add instructions for vaccine code 90671 and to change the effective date for code 90677. It was revised again March 29 to indicate MACs will adjust certain previously processed and rejected claims with HCPCS code 90671 after April 4. Also revised were the CR release date, transmittal number, and the web address of the CR. All other information remains the same. [MM12439]
This article is for ESRD facilities and explains how to code for a difelikefalin injection and modifier use for code J0879. [MM12583]
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