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Medicare physician fee schedule payment policy indicators

December 23, 2025
This provides definitions of the national policy indicators for each procedure code (and modifier, where applicable) on the Medicare physician fee schedule database (MPFSDB).

ZIP codes requiring a nine-digit ZIP code (ZIP +4)

December 23, 2025
To access a file containing the quarterly additions and deletions to the list of ZIP codes requiring a plus four extension, refer to this link to the CMS website.

Additional frequently asked questions about clinical trials and device coverage

December 23, 2025
View these additional FAQs about clinical trials and device coverage.

Drugs and biologicals Part A: Using the JW and JZ modifiers

December 23, 2025
The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a single-dose containers. Read this article to understand how these modifiers should be billed.

CMS-1500 (02/12) data element requirements

December 23, 2025
This document discusses the conditions and requirements of the Item fields within the revised CMS-1500 (02/12) paper claim form and the electronic equivalent elements.

EDI Gateway login and password criteria

December 23, 2025
Help document about the EDI Gateway login ID and resetting password.

CERT awareness month: 2025 CERT documentation deadline

December 23, 2025
Read this article to learn more about the CERT awareness month campaign focusing on responding to CERT documentation requests.

CERT awareness month: Steps to take if you get a CERT documentation request

December 23, 2025
Read this article to learn more about the CERT awareness month campaign focusing on responding to CERT documentation requests.

CERT awareness month: Verify your medical records correspondence address

December 23, 2025
Read this article to learn more about the CERT awareness month campaign focusing on verifying your mailing address.

Limitation on recoupment (935) process

December 23, 2025
This information outlines the process for the 935 recoupment.
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