[Federal Register Volume 67, Number 188 (Friday, September 27, 2002)]
[Notices]
[Pages 61130-61139]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-24108]



[[Page 61130]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-9014-N]


Medicare and Medicaid Programs; Quarterly Listing of Program 
Issuances--April 2002 Through June 2002

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: This notice lists CMS manual instructions, substantive and 
interpretive regulations, and other Federal Register notices that were 
published from April 2002, through June 2002, relating to the Medicare 
and Medicaid programs. This notice also provides information on 
national coverage determinations affecting specific medical and health 
care services under Medicare.
    Section 1871(c) of the Social Security Act requires that we publish 
a list of Medicare issuances in the Federal Register at least every 3 
months. Although we are not mandated to do so by statute, for the sake 
of completeness of the listing, we are also including all Medicaid 
issuances and Medicare and Medicaid substantive and interpretive 
regulations (proposed and final) published during this timeframe.

FOR FURTHER INFORMATION CONTACT: It is possible that an interested 
party may have a specific information need and not be able to determine 
from the listed information whether the issuance or regulation would 
fulfill that need. Consequently, we are providing information contact 
persons to answer general questions concerning these items. Copies are 
not available through the contact persons. (See Section III of this 
notice for how to obtain listed material.)
    Questions concerning Medicare items in Addendum III may be 
addressed to Karen Bowman, Office of Strategic Operations and 
Regulatory Affairs, Regulations Development and Issuances Group, 
Centers for Medicare & Medicaid Services, C5-13-27, 7500 Security 
Boulevard, Baltimore, MD 21244-1850, (410) 786-5252.
    Questions concerning Medicaid items in Addendum III may be 
addressed to Cindy Potter, Center for Medicaid State Operations, Policy 
Coordination and Planning Group, Centers for Medicare & Medicaid 
Services, S2-01-01, 7500 Security Boulevard, Baltimore, MD 21244-1850, 
(410) 786-6714.
    Questions concerning national coverage determinations should be 
directed to Kimberly Long, Office of Clinical Standards and Quality, 
Coverage and Analysis Group, Centers for Medicare & Medicaid Services, 
S3-11-15, 7500 Security Boulevard, Baltimore, MD 21244-1850, (410) 786-
5702.
    Questions concerning all other information may be addressed to 
Glenn McGuirk, Office of Strategic Operations and Regulatory Affairs, 
Regulations Development and Issuances Group, Centers for Medicare & 
Medicaid Services, C5-12-18, 7500 Security Boulevard, Baltimore, MD 
21244-1850, (410) 786-5723.

SUPPLEMENTARY INFORMATION:

I. Program Issuances

    The Centers for Medicare & Medicaid Services (CMS) is responsible 
for administering the Medicare and Medicaid programs. These programs 
pay for health care and related services for 39 million Medicare 
beneficiaries and 35 million Medicaid recipients. Administration of 
these programs involves (1) furnishing information to Medicare 
beneficiaries and Medicaid recipients, health care providers, and the 
public and (2) maintaining effective communications with regional 
offices, State governments, State Medicaid agencies, State survey 
agencies, various providers of health care, fiscal intermediaries and 
carriers that process claims and pay bills, and others. To implement 
the various statutes on which the programs are based, we issue 
regulations under the authority granted to the Secretary of the 
Department of Health and Human Services under sections 1102, 1871, 
1902, and related provisions of the Social Security Act (the Act). We 
also issue various manuals, memoranda, and statements necessary to 
administer the programs efficiently.
    Section 1871(c)(1) of the Act requires that we publish a list of 
all Medicare manual instructions, interpretive rules, statements of 
policy, and guidelines of general applicability not issued as 
regulations at least every 3 months in the Federal Register. We 
published our first notice June 9, 1988 (53 FR 21730). Although we are 
not mandated to do so by statute, for the sake of completeness of the 
listing of operational and policy statements, we are continuing our 
practice of including Medicare substantive and interpretive regulations 
(proposed and final) published during the 3-month time frame.

II. How to Use the Addenda

    This notice is organized so that a reader may review the subjects 
of manual issuances, memoranda, substantive and interpretive 
regulations, and national coverage determinations published during the 
timeframe to determine whether any are of particular interest. We 
expect this notice to be used in concert with previously published 
notices. Those unfamiliar with a description of our Medicare manuals 
may wish to review Table I of our first three notices (53 FR 21730, 53 
FR 36891, and 53 FR 50577) published in 1988, and the notice published 
March 31, 1993 (58 FR 16837). Those desiring information on the 
Medicare Coverage Issues Manual may wish to review the August 21, 1989 
publication (54 FR 34555). Those interested in the procedures used in 
making national coverage determinations may review the April 27, 1999 
publication (64 FR 22619). In this publication, the 1989 proposed rule 
affecting national coverage procedures and decisions (54 FR 4302) was 
withdrawn, and the procedures for national coverage determinations 
established.
    To aid the reader, we have organized and divided this current 
listing into six addenda:
    [sbull] Addendum I lists the publication dates of the most recent 
quarterly listings of program issuances.
    [sbull] Addendum II identifies previous Federal Register documents 
that contain a description of all previously published CMS Medicare and 
Medicaid manuals and memoranda.
    [sbull] Addendum III lists a unique CMS transmittal number for each 
instruction in our manuals or Program Memoranda and its subject matter. 
A transmittal may consist of a single instruction or many. Often, it is 
necessary to use information in a transmittal in conjunction with 
information currently in the manuals.
    [sbull] Addendum IV lists all substantive and interpretive Medicare 
and Medicaid regulations and general notices published in the Federal 
Register during the quarters covered by this notice. For each item we 
list the--
    [cir] Date published;
    [cir] Federal Register citation;
    [cir] Parts of the Code of Federal Regulations (CFR) that have 
changed (if applicable);
    [cir] Agency file code number; and
    [cir] Title of the regulation.
    [sbull] Addendum V includes completed national coverage 
determinations from June 28, 1999, the effective date of Medicare's new 
coverage process. Completed decisions are identified by title, a brief 
description, effective date,

[[Page 61131]]

and section in the appropriate federal publication.

III. How to Obtain Listed Material

A. Manuals

    Those wishing to subscribe to program manuals should contact either 
the Government Printing Office (GPO) or the National Technical 
Information Service (NTIS) at the following addresses:

Superintendent of Documents, Government Printing Office, ATTN: New 
Orders, P.O. Box 371954, Pittsburgh, PA 15250-7954, Telephone (202) 
512-1800, Fax number (202) 512-2250 (for credit card orders); or
National Technical Information Service, Department of Commerce, 5825 
Port Royal Road, Springfield, VA 22161, Telephone (703) 487-4630.

    In addition, individual manual transmittals and Program Memoranda 
listed in this notice can be purchased from NTIS. Interested parties 
should identify the transmittal(s) they want. GPO or NTIS can give 
complete details on how to obtain the publications they sell. 
Additionally, most manuals are available at the following Internet 
address: http://www.hcfa.gov/pubforms/progman.htm.

B. Regulations and Notices

    Regulations and notices are published in the daily Federal 
Register. Interested individuals may purchase individual copies or 
subscribe to the Federal Register by contacting the GPO at the address 
given above. When ordering individual copies, it is necessary to cite 
either the date of publication or the volume number and page number.
    The Federal Register is also available on 24x microfiche and as an 
online database through GPO Access. The online database is updated by 6 
a.m. each day the Federal Register is published. The database includes 
both text and graphics from Volume 59, Number 1 (January 2, 1994) 
forward. Free public access is available on a Wide Area Information 
Server (WAIS) through the Internet and via asynchronous dial-in. 
Internet users can access the database by using the World Wide Web; the 
Superintendent of Documents home page address is http://www.access.gpo.gov/nara/index.html, by using local WAIS client 
software, or by telnet to swais.access.gpo.gov, then log in as guest 
(no password required). Dial-in users should use communications 
software and modem to call (202) 512-1661; type swais, then log in as 
guest (no password required).

C. Rulings

    We publish rulings on an infrequent basis. Interested individuals 
can obtain copies from the nearest CMS Regional Office or review them 
at the nearest regional depository library. We have, on occasion, 
published rulings in the Federal Register. Rulings, beginning with 
those released in 1995, are available online, through the CMS home 
page. The Internet address is http://www.hcfa.gov/regs/rulings.htm.

D. CMS's Compact Disk-Read Only Memory (CD-ROM)

    Our laws, regulations, and manuals are also available on CD-ROM and 
may be purchased from GPO or NTIS on a subscription or single copy 
basis. The Superintendent of Documents list ID is HCLRM, and the stock 
number is 717-139-00000-3. The following material is on the CD-ROM 
disk:
    [sbull] Titles XI, XVIII, and XIX of the Act.
    [sbull] CMS-related regulations.
    [sbull] CMS manuals and monthly revisions.
    [sbull] CMS program memoranda.
    The titles of the Compilation of the Social Security Laws are 
current as of January 1, 1999. (Updated titles of the Social Security 
Laws are available on the Internet at http://www.ssa.gov/OP_Home/ssact/comp-toc.htm.) The remaining portions of CD-ROM are updated on a 
monthly basis.
    Because of complaints about the unreadability of the Appendices 
(Interpretive Guidelines) in the State Operations Manual (SOM), as of 
March 1995, we deleted these appendices from CD-ROM. We intend to re-
visit this issue in the near future and, with the aid of newer 
technology, we may again be able to include the appendices on CD-ROM.
    Any cost report forms incorporated in the manuals are included on 
the CD-ROM disk as LOTUS files. LOTUS software is needed to view the 
reports once the files have been copied to a personal computer disk.

IV. How to Review Listed Material

    Transmittals or Program Memoranda can be reviewed at a local 
Federal Depository Library (FDL). Under the FDL program, government 
publications are sent to approximately 1,400 designated libraries 
throughout the United States. Some FDLs may have arrangements to 
transfer material to a local library not designated as an FDL. Contact 
any library to locate the nearest FDL.
    In addition, individuals may contact regional depository libraries 
that receive and retain at least one copy of most Federal Government 
publications, either in printed or microfilm form, for use by the 
general public. These libraries provide reference services and 
interlibrary loans; however, they are not sales outlets. Individuals 
may obtain information about the location of the nearest regional 
depository library from any library.
    Superintendent of Documents numbers for each CMS publication are 
shown in Addendum III, along with the CMS publication and transmittal 
numbers. To help FDLs locate the materials, use the Superintendent of 
Documents number, plus the transmittal number. For example, to find the 
Part 3--Program Administration, (CMS Pub. 14-3) transmittal entitled 
``Correct Coding Initiative,'' use the Superintendent of Documents No. 
HE 22.8/7 and the transmittal number 1746.

(Catalog of Federal Domestic Assistance Program No. 93.773, 
Medicare--Hospital Insurance, Program No. 93.774, Medicare--
Supplementary Medical Insurance Program, and Program No. 93.714 
Medical Assistance Program)
    Dated: September 16, 2002.
Jacquelyn Y. White,
Director, Office of Strategic Operations and Regulatory Affairs.

Addendum I

    This addendum lists the publication dates of the most recent 
quarterly listings of program issuances.

August 11, 1998 (63 FR 42857)
September 16, 1998 (63 FR 49598)
December 9, 1998 (63 FR 67899)
May 11, 1999 (64 FR 25351)
November 2, 1999 (64 FR 59185)
December 7, 1999 (64 FR 68357)
January 10, 2000 (65 FR 1400)
May 30, 2000 (65 FR 34481)
June 28, 2002 (67 FR 43762)

Addendum II--Description of Manuals, Memoranda, and HCFA Rulings

    An extensive descriptive listing of Medicare manuals and 
memoranda was published on June 9, 1988, at 53 FR 21730 and 
supplemented on September 22, 1988, at 53 FR 36891 and December 16, 
1988, at 53 FR 50577. Also, a complete description of the Medicare 
Coverage Issues Manual was published on August 21, 1989, at 54 FR 
34555. (Please note that in this publication the 1989 proposed rule 
referred to, concerning the criteria for national coverage 
determinations, was withdrawn (64 FR 22619)). A brief description of 
the various Medicaid manuals and memoranda that we maintain was 
published on October 16, 1992 (57 FR 47468).

[[Page 61132]]



                             Addendum III--Medicare and Medicaid Manual Instructions
                                         [April 2002 Through June 2002]
----------------------------------------------------------------------------------------------------------------
                   Transmittal No.                                 Manual/subject/publication number
----------------------------------------------------------------------------------------------------------------
                                               Intermediary Manual
                              Part 2--Audits, Reimbursement Program Administration
                                                 (CMS Pub. 13-2)
                                  (Superintendent of Documents No. HE 22.8/6-2)
----------------------------------------------------------------------------------------------------------------
418.................................................  Beneficiary Services.
419.................................................  Beneficiary Services.
-----------------------------------------------------
                                               Intermediary Manual
                              Part 3--Audits, Reimbursement Program Administration
                                                (CMS Pub. 113-3)
                                  (Superintendent of Documents, No. HE 22.8/6)
----------------------------------------------------------------------------------------------------------------
1854................................................  Further Development Is Not Necessary.
                                                      Further Development Is Required.
                                                      Methodology for Review of Hospital Billing Data.
1855................................................  Security-Related Requirements for Subcontractor
                                                       Arrangements With Network Services.
                                                      Advise Your Provider and Network Services Vendors.
                                                      Network Services Agreement.
                                                      Notification to Provider and Eligibility Verification
                                                       Vendors.
1856................................................  Overpayments for Provider Services--General.
1857................................................  Body of Report, Section D: Miscellaneous Data
-----------------------------------------------------
                                                 Carriers Manual
                                         Part 2--Program Administration
                                                 (CMS Pub. 14-2)
                                 (Superintendent of Documents, No. HE 22.8/7.2)
----------------------------------------------------------------------------------------------------------------
143.................................................  Beneficiary Services.
144.................................................  Beneficiary Services.
-----------------------------------------------------
                                                 Carriers Manual
                                         Part 3--Program Administration
                                                 (CMS Pub. 14-3)
                                  (Superintendent of Documents, No. HE 22.8/7)
----------------------------------------------------------------------------------------------------------------
1746................................................  Correct Coding Initiative.
1747................................................  Claims Processing Procedures for Physician/Supplier
                                                       Services to Health Maintenance Organization Members.
1748................................................  The ``Do Not Forward'' Initiative.
1749................................................  Security-Related Requirements for Subcontractor
                                                       Arrangements With Network Services.
                                                      Advise Your Providers and Network Services Vendors.
                                                      Network Services Agreement.
                                                      Notification to Providers and Eligibility Verification
                                                       Vendors.
1750................................................  Unprocessable Claims.
                                                      Claims Processing Terminology.
                                                      Handling Unprocessable Claims.
                                                      Data Element Requirements Matrix.
                                                      Data Element Requirements Exhibits.
1751................................................  Payment to Supplier of Diagnostic Test for Purchased
                                                       Interpretations.
                                                      Area Carrier-Physician's Services.
                                                      Disposition of Misdirected Claims.
                                                      Physician or Supplier Information.
                                                      Purchased Diagnostic Tests.
1752................................................  Clarification of Billing Requirements for Maintenance and
                                                       Servicing for Capped Rental Items.
1753................................................  Physicians' Services Paid Under Fee Schedule.
                                                      Group Therapy Services (Code 97150).
                                                      Therapy Students.
1754................................................  Overpayments--General.
1755................................................  Furnishing Physician Fee Schedule Data for National Codes.
                                                      Furnishing Fee Schedule (Excluding Physician Fee
                                                       Schedule), Prevailing Charge and
                                                      Conversion Factor Data to Palmetto.
                                                      Government Benefits Administrators, Fiscal Intermediaries,
                                                       State Agencies, Indian Health Services and United Mine
                                                       Workers.
1756................................................  Part C--Miscellaneous Claims Data.
-----------------------------------------------------
                                                 Carriers Manual
                                         Part 4--Program Administration
                                                 (CMS Pub. 14-4)
                                   (Superintendent of Documents No. HE 22.8/7)
----------------------------------------------------------------------------------------------------------------
26..................................................  Provider of Service or Supplier Information.
-----------------------------------------------------

[[Page 61133]]

 
                                               Program Memorandum
                                          Intermediaries (CMS Pub. 60A)
                                  (Superintendent of Documents No. HE 22.8/6-5)
----------------------------------------------------------------------------------------------------------------
A-02-027............................................  Installation of Version 27.2 of the Provider Statistical
                                                       and Reimbursement Report.
A-02-028............................................  Upcoming Train-the-Trainer Session for Hospital Swing Bed
                                                       Facility Prospective Payment System.
A-02-029............................................  Implementation of the Health Insurance Portability and
                                                       Accountability Act Health Care Eligibility Benefit
                                                       Inquiry/Response Transaction (270/271) Standard.
A-02-030............................................  Revisions to the Home Health Prospective Payment System
                                                       Pricer Software--Regional Home Health Intermediaries
                                                       Only.
A-02-031............................................  Updates to Common Working File Editing of Intermediary
                                                       Claims for Durable Medical Equipment and Prosthetic/
                                                       Orthotic Devices.
A-02-032............................................  Diabetes Self Management Training Payment.
A-02-033............................................  Sending Payee Information From Fiscal Intermediary
                                                       Standard System to the Health Care Integrated General
                                                       Ledger Accounting System.
A-02-034............................................  Submission of the Swing Bed Minimum Data Set Data for
                                                       Swing Bed Hospitals.
A-02-035............................................  Revision to the 837 Interface Format for Sending Claims
                                                       Accounting Information From Fiscal Intermediary Standard
                                                       System to the Healthcare Integrated General Ledger
                                                       Accounting System.
A-02-036............................................  Health Insurance Portability and Accountability Act
                                                       Institutional 837 Health Care Claim--Outpatient Hospice
                                                       Implementation Direction.
A-02-037............................................  Health Insurance Portability and Accountability Act
                                                       Institutional 837 Health Care Claim--Home Health
                                                       Implementation Direction.
A-02-038............................................  Modification of Common Working File Administrative
                                                       Bulletin Crossover Edit 7111 and ``Alert'' 7531.
A-02-039............................................  Coverage and Billing of the Diagnosis and Treatment of
                                                       Peripheral Neuropathy With Loss of Protective Sensation
                                                       in People With Diabetes.
A-02-040............................................  Scheduled Release for July Updates to Software Programs
                                                       and Pricing/Coding Files.
A-02-041............................................  New Patient Status Code 64.
A-02-042............................................  Clarification to Periodic Interim Payment For Home Health
                                                       Provider and Clarification On Extension of Due Dates for
                                                       Filling Provider Cost Reports.
A-02-043............................................  Audit Guidance Pertaining to Write-offs of Small Debit
                                                       Balances in Patients' Account Receivable.
A-02-044............................................  Announcement of Medicare Rural Health Clinics and
                                                       Federally Qualified Health Center Payment Rate Increases,
                                                       Changes to the Rural Health Clinics Benefit Made by The
                                                       Medicare, Medicaid, and State Child Health Insurance
                                                       Program Benefits Improvement and Protection Act of 2000
                                                      Clarification Regarding Drugs Furnished By Rural Health
                                                       Clinics Federally Qualified Health Center.
A-02-045............................................  Frequently Asked Questions About Home Health Advance
                                                       Beneficiary Notice.
A-02-046............................................  Clarification of Part B Medicare Payment for 18 Health
                                                       Common Procedure Coding System Codes to Skilled Nursing
                                                       Facilities.
A-02-047............................................  July Medicare Outpatient Code Editor Specifications
                                                       Version 17.2 for Bills From Hospitals That Are Not Paid
                                                       Under the Outpatient Prospective Payment System.
A-02-048............................................  Extension of the Deadline for Hospitals to Make Elections
                                                       to Reduce Beneficiary Coinsurance for 2002 Under the
                                                       Outpatient Prospective Payment System.
A-02-049............................................  Installation of Version 27.3 of the Provider Statistical
                                                       and Reimbursement Report.
A-02-050............................................  July 2002 Update to the Hospital Outpatient Prospective
                                                       Payment System.
A-02-051............................................  Health Insurance Portability and Accountability Act
                                                       Testing and Certification Requirements and Date Changes.
A-02-052............................................  July Outpatient Code Editor Specifications Version (V3.1)
A-02-053............................................  Indian Health Service Hospital Payment Rates for Calendar
                                                       Year 2002.
A-02-054............................................  Use of Medical Review Indicators for Comprehensive Error
                                                       Rate Testing.
A-02-055............................................  Extended Repayment Schedules for Home Health Providers Who
                                                       Received the Special Periodic Interim Payment.
A-02-056............................................  Special Handling of End Stage Renal Disease Claims
                                                       Containing Healthcare Common Procedure Coding System Code
                                                       J1955 (Levocarnitine).
-----------------------------------------------------
                                               Program Memorandum
                                                    Carriers
                                                 (CMS Pub. 60B)
                                 (Superintendent of Documents, No. HE 22.8/6-5)
----------------------------------------------------------------------------------------------------------------
A-02-022............................................  Elimination of Certificate of Medical Necessity
                                                       Requirement for Continuous Positive Airway Pressure
                                                       Device.
A-02-023............................................  Revision; The Do Not Forward Initiative Using ``Return
                                                       Service Requested''.
A-02-024............................................  Deceased Physician Unique Physician Identification Number
                                                       Information--(Transmittal B-01-73).
A-02-025............................................  Reporting the Obligated to Accept as Payment in Full
                                                       Amount on the American Standards Institute Health Data
                                                       Committee X12 File Format 837 Version 4010 as Adopted
                                                       Under the Health Insurance Portability and Accountability
                                                       Act for Medicare Secondary Payer Claims.
A-02-026............................................  Revised: New Permanent Modifier for ``Specific Required
                                                       Documentation on File''.
A-02-027............................................  Annual Updating of Interface Control Document--9-Codes
                                                       Must Be Date of Service Driven.
A-02-028............................................  Sending Payee Information From Multi-Carrier System to the
                                                       Healthcare Integrated General Ledger Accounting System.
A-02-029............................................  Durable Medical Equipment Regional Carrier--New Message
                                                       for Advanced Beneficiary Note Denials.
B-02-030............................................  Reporting Claims Accounting Information to the Healthcare
                                                       Integrated General Ledger Accounting System for the
                                                       Durable Medical Equipment Regional Carriers.
B-02-031............................................  Cessation of Certain Durable Medical Equipment Regional
                                                       Carriers Activities.
B-02-032............................................  Medical Review Progressive Corrective Action.

[[Page 61134]]

 
B-02-033............................................  Implementation of the Health Insurance Portability and
                                                       Accountability Act Health Care Eligibility Benefit
                                                       Inquiry/Response Transaction (270/271) Standard.
B-02-034............................................  Implementation of the National Council for Prescription
                                                       Drug Programs Telecommunications Standard Version 5.1 and
                                                       the Equivalent Batch Standard Version for Retail Pharmacy
                                                       Drug-Transactions.
B-02-035............................................  Elimination of Certificate of Medical Necessity
                                                       Requirement for Continuous Positive Airway Pressure
                                                       Device--Clarification.
B-02-036............................................  Changes to Correct Coding Edits, Version 8.3, Effective
                                                       October 1, 2002.
B-02-037............................................  New Medicare Medical Review Guidelines for Claims for
                                                       Diabetic Testing Supplies.
B-02-038............................................  Health Insurance Portability and Accountability Act of
                                                       1996 Testing and Certification Requirements and Date
                                                       Changes.
-----------------------------------------------------
                                               Program Memorandum
                                             Intermediaries/Carriers
                                                (CMS Pub. 60A/B)
                                 (Superintendent of Documents, No. HE 22.8/6-5)
----------------------------------------------------------------------------------------------------------------
AB-02-042...........................................  Coverage and Billing of the Diagnosis and Treatment of
                                                       Peripheral Neuropathy With Loss of Protective Sensation
                                                       in People With Diabetes.
AB-02-043...........................................  Corrections to Program Memorandum A-01-135--Codes Billable
                                                       by Skilled Nursing Facility and Suppliers for Skilled
                                                       Nursing Facility Residents.
AB-02-044...........................................  July Quarterly Update for 2002 Durable Medical Equipment,
                                                       Prosthetics, Orthotics, and Supplies Fee Schedule.
AB-02-045...........................................  Clarification of the Allocation of Initial Claim Entry
                                                       Activities Where the Claim Is Paid Secondary by Medicare.
AB-02-046...........................................  Availability of Deceased Beneficiary Data of Death Files
                                                       (Calendar Years 2000 and 2001).
AB-02-047...........................................  Amended Contractor Assessment Security Tool (Cast)
                                                       Submission Instructions and Due Dates.
AB-02-048...........................................  Program Management Provider/Supplier Education and
                                                       Training.
AB-02-049...........................................  New Source of Provider Information Available on Centers
                                                       for Medicare Services Website April 22, 2002.
AB-02-050...........................................  Program Memorandum on Written Statements of Intent to
                                                       Claim Medicare Benefits.
AB-02-051...........................................  Change of Interest Citation in the Overpayment Sections of
                                                       the Medicare Intermediary Manual and the Medicare
                                                       Carriers Manual from 42 Code of Federal Regulations Sec.
                                                        405.37 to 42 Code of Federal Regulations Sec.   405.378.
AB-02-052...........................................  Revision of Medicare Reimbursement for Telehealth
                                                       Services.
AB-02-053...........................................  Correction to the Revision of Medicare Reimbursement for
                                                       Telehealth Service.
AB-02-054...........................................  Generating an Outbound Coordination of Benefits X12N 837
                                                       (4010) When Required Data Is Missing or Invalid.
AB-02-055...........................................  Claims Processing Instructions to Conclude the Durable
                                                       Medical Equipment Prosthetics, Orthotics, and Supplies
                                                       Competitive Bidding Demonstration.
AB-02-056...........................................  Expand Standard Data Format and Remove Common Working File
                                                       Y2K Wrapper Logic for Fiscal Intermediary Claims/Trailers
                                                       and Carriers/Durable Medical Equipment Regional Carrier
                                                       Trailers--Incoming and Response Transactions.
AB-02-057...........................................  Charging Fees to Providers for Medicare Education and
                                                       Training Activities Program Management.
AB-02-058...........................................  Second Update to the 2002 Medicare Physician Fee Schedule
                                                       Database.
AB-02-059...........................................  Additional Clarification for Medical Nutrition Therapy
                                                       Services.
AB-02-060...........................................  Coverage and Billing for Intravenous Immune Globulin for
                                                       the Treatment of Autoimmune Mucocutaneous Blistering
                                                       Diseases.
AB-02-061...........................................  Common Working File of Claims for Medicare Beneficiaries
                                                       in State or Local Custody Under a Penal Authority.
AB-02-062...........................................  Cost Per Treatment Code 55873 for Cryosurgery of the
                                                       Prostate: Changes to Ensure Proper Payment for Outpatient
                                                       Hospital Facility Fee and Professional Services.
AB-02-063...........................................  Instructions for Fiscal Intermediary Standard System and
                                                       Multi-Carriers System Testing of 835 Interface With the
                                                       Healthcare Integrated General Ledger Accounting System.
AB-02-064...........................................  Coverage and Billing for Home Prothrombin Time
                                                       International Normalized Ratio Monitoring for
                                                       Anticoagulation Management.
AB-02-065...........................................  Coverage an Related Claims Processing Requirements for
                                                       Positron Emission Tomography Scans--for Breast Cancer and
                                                       Revised Coverage Conditions for Myocardial Viability.
AB-02-066...........................................  Non-coverage of Perception Sensory Threshold/Nerve
                                                       Conduction Threshold Test.
AB-02-067...........................................  Remittance Advice Coding and Health Insurance Portability
                                                       and Accountability Act, Transaction 835v4010 Completion
                                                       Update.
AB-02-068...........................................  Notice of Interest Rate for Medicare Overpayments and
                                                       Underpayments.
AB-02-069...........................................  July 2002 Durable Medical Equipment, Prosthetics,
                                                       Orthotics, and Supplies Fee Schedule Files.
AB-02-070...........................................  New Waived Tests--April 12, 2002.
AB-02-071...........................................  Health Insurance Portability and Accountability Act of
                                                       1996.
AB-02-072...........................................  Medicare Payment for Drugs and Biologicals Furnished
                                                       Incident to a Physician's Service.
AB-02-073...........................................  Installation of a New Medicare Customer Service Center
                                                       Next Generation Desktop Application.
AB-02-074...........................................  Healthcare Provider Taxonomy Codes (HPTC) Crosswalk.
AB-02-075...........................................  Payment Limit for Drugs and Biologicals.
AB-02-076...........................................  Registration Process for, and Expectations for Use of, the
                                                       Healthcare Integrity and Protection Data Bank.
AB-02-077...........................................  Common Working File, Beneficiary Other Insurer Auxiliary
                                                       File.
AB-02-078...........................................  Provider Education Article: Medicare Coverage of
                                                       Rehabilitation Services for Beneficiaries With Vision
                                                       Impairment.
AB-02-079...........................................  Customer Services Representative Response to Physician and
                                                       Provider Correct Coding Initiative Questions.
AB-02-080...........................................  Payment for Services Furnished by Audiologists.
AB-02-081...........................................  Core Security Requirements and Associated
                                                       Responsibilities.
AB-02-082...........................................  Coding Changes for Sodium Hyaluronate.
AB-02-083...........................................  Effective Date Revision for Medicare Intermediary Manual,
                                                       Transmittal 1855, dated April 26, 2002, Change Request
                                                       2057, and Medicare Carriers Manual, Transmittal 1749,
                                                       dated April 26, 2002, Change Request 2057.

[[Page 61135]]

 
AB-02-084...........................................  Additional Information Regarding Medicare Payment
                                                       Allowance for Flu Vaccine.
AB-02-085...........................................  Medicare Contractor Annual Update of the International
                                                       Classification of Diseases, Ninth Revision, Clinical
                                                       Modification.
AB-02-086...........................................  Change in Procedure for State Requests for Retrospective
                                                       Medicare Claims.
AB-02-087...........................................  Delay in Enforcement of National Coverage Determinations
                                                       for Clinical Diagnostic Laboratory Services.
AB-02-088...........................................  System Networking Electronic Correspondence Referral
                                                       System 1.2 User and Installation Guides.
AB-02-089...........................................  New Automatic Notice of Change to Medicare Secondary Payer
                                                       Auxiliary File.
AB-02-090...........................................  Medicare Secondary Payer: (1) Procedures for ``Write-Off--
                                                       Closed'' of Medicare Secondary Payer Accounts Receivable;
                                                       (2) Elimination of Automated/Systems ``Write-Off--
                                                       Closed'' Actions for Medicare Secondary Payer Accounts
                                                       Receivable; Zero Backend Tolerance for Medicare Secondary
                                                       Payer Account Receivable (Reminder); and (3) Date for
                                                       Establishment of Medicare Secondary Payer Account
                                                       Receivable (Reminder).
-----------------------------------------------------
                                   Program Memorandum--Medicaid State Agencies
                                                  (CMS Pub. 17)
                                 (Superintendent of Documents, No. HE 22.8/6-5)
----------------------------------------------------------------------------------------------------------------
02-1................................................  Title XIX of The Social Security Act, Post-Eligibility
                                                       Treatment of Income.
-----------------------------------------------------
                                 State Operations Manual--Provider Certification
                                                  (CMS Pub. 7)
----------------------------------------------------------------------------------------------------------------
30..................................................  Revisions to Appendix T--Swing-Bed Hospitals.
-----------------------------------------------------
                                            Peer Review Organization
                                                  (CMS Pub. 19)
                                 (Superintendent of Documents, No. HE 22.8/8-15)
----------------------------------------------------------------------------------------------------------------
87..................................................  Background.
                                                      Eligibility
                                                      Competing for a Quality Improvement Organization Contract.
                                                      Additional Requirements for a Physician-Access or
                                                       Physician-Sponsored Organization.
                                                      Responsibilities of the Board.
                                                      Health Care Affiliated Limitation.
                                                      Consumer Representative.
                                                      Prohibition Against Sanctioned Board Members Background.
                                                      Renewal Determination.
88..................................................  Background.
                                                      Statutory Authority for Memorandum of Agreements.
                                                      Scope.
                                                      Provider Memorandum Agreement Specifications.
                                                      Memorandums of Agreements With Specific Providers.
                                                      Memorandum of Agreement Cover Letter for Providers.
                                                      Model Memorandum of Agreement for Providers.
                                                      Model Memorandum of Agreement for State Licensing/
                                                       Certification Agency.
-----------------------------------------------------
                                                 Hospice Manual
                                                  (CMS Pub. 10)
                                  (Superintendent of Documents, No. HE 22.8/2)
----------------------------------------------------------------------------------------------------------------
784.................................................  Identifying Other Primary Payers During the Admission
                                                       Process.
785.................................................  Transplantation.
786.................................................  Billing for Mammography Screening.
                                                      Diagnostic Mammography.
                                                      Diagnostic and Screening Mammograms Performed With New
                                                       Technologies.
-----------------------------------------------------
                                            Home Health Agency Manual
                                                  (CMS Pub. 11)
                                  (Superintendent of Documents, No. HE 33.8/5)
----------------------------------------------------------------------------------------------------------------
300.................................................  Billing Procedures For and Agency Being Assigned Multiple
                                                       Provider Numbers or a Change in Provider Number.
                                                      More Than One Agency Furnished Home Health Services.
                                                      Transfer to Another Agency Under the Same Plan of
                                                       Treatment.
                                                      Clinical Laboratory Improvement Amendments.
                                                      New Software for the Home Health Prospective Payment
                                                       System Environment Adjustments of Episode Payment--
                                                       Exclusivity and Multiplicity of Adjustments.
                                                      Adjustments of Episode Payment--Exclusivity and
                                                       Multiplicity of Adjustments.
                                                      General Guidance on Line Item Billing Under Home Health
                                                       Prospective Payment System.
                                                      Request for Anticipated Payment.
                                                      Home Health Prospective Payment System Claims.
                                                      Special Billing Situations Involving Outcome & Assessment
                                                       Information Set Assessments.
                                                      Beneficiary-Driven Demand Billing Under Home Health
                                                       Prospective Payment Systems.

[[Page 61136]]

 
                                                      No-Payment Billing and Receipt of Denial Notices Under
                                                       Home Health Prospective Payment Systems.
                                                      Billing and Payment for Medicare.
                                                      Secondary Payer Claims Under the Home Health Prospective
                                                       Payment System
301.................................................  Excluded Foot Care Services.
-----------------------------------------------------
                                             Coverage Issues Manual
                                                  (CMS Pub. 6)
                                  (Superintendent of Documents, No. HE 22.8/14)
----------------------------------------------------------------------------------------------------------------
152.................................................  Noncontact Normothermic Wound Therapy.
153.................................................  Services Provided for the Diagnosis and Treatment of
                                                       Diabetic Sensory Neuropathy With Loss of Protective
                                                       Sensation (Also Known as Diabetic Peripheral Neuropathy).
154.................................................  Medical Nutrition Therapy.
155.................................................  Intravenous Immune Globulins for the Treatment of
                                                       Autiommune Mucocutaneous Blistering Diseases.
156.................................................  Home Prothrombin Time International Normalized Ratio
                                                       Monitoring for Anticoagulation Management.
-----------------------------------------------------
                                                      Positron Emission Tomography Scans.
                                                      Current Perception Threshold/Sensory.
                                                      Nerve Conduction Threshold Test.
                                                      Single Photo Emission Tomography--Covered.
-----------------------------------------------------
                                      Provider Reimbursement Manual--Part 2
                                 Provider Cost Reporting Forms and Instructions
                                           Chapter 33/Form CMS-216-94
                                               (CMS Pub. 15-2-33)
----------------------------------------------------------------------------------------------------------------
2...................................................  Worksheet D.
3...................................................  Cost Report Forms.
                                                      Kidney Placement Efforts--Documentation Requirements.
-----------------------------------------------------
                                      Provider Reimbursement Manual--Part 2
                                 Provider Cost Reporting Forms and Instructions
                                           Chapter 34/Form CMS-2540-96
                                               (CMS Pub. 15-2-34)
----------------------------------------------------------------------------------------------------------------
6...................................................  Cost Report Forms Exhibit 1.
-----------------------------------------------------
                                            Program Integrity Manual
                                                  (CMS Pub. 83)
----------------------------------------------------------------------------------------------------------------
24..................................................  Medical Policy.
                                                      National Coverage Determinations.
                                                      Coverage Provisions in Interpretive Manuals.
                                                      Local Medical Review Policy Articles.
                                                      Individual Claim Determinations.
                                                      When to Develop New/Revised Local Medical Review Policy.
                                                      Content of a Local Medical Review Policy.
                                                      Coding Provisions in Local Medical Review Policy.
                                                      Documentation Provisions in Local Medical Review Policy.
                                                      Least Costly Alternative.
                                                      Use of Absolute Words in Local Medical Review Policy.
                                                      Local Medical Review Policy Requirements That Alternative
                                                       Service Be Tried First.
                                                      Local Medial Review Policy Format.
                                                      American Medical Association Current Procedural
                                                       Terminology Copyright Agreement.
                                                      Local Medical Review Policy Development.
                                                      Process Development Process.
                                                      Evidence Supporting Local Medical Review Policy.
                                                      Local Medical Review Policy That Require a Comment and
                                                       Notice Period.
                                                      Local Medical Review Policy Comment and Notice Process.
                                                      The Comment Period.
                                                      Draft Local Medical Review Policy Web Site Requirements.
                                                      The Notice Period.
                                                      Final Local Medical Review Policy Web Site Requirements.
                                                      The Local Medical Review Policy Advisory Committee.
                                                      The Carrier Advisory Committee.
                                                      Purpose of the Carrier Advisory Committee.
                                                      Membership on the Carrier Advisory Committee.
                                                      Role of Carrier Advisory Committee Members.
                                                      Carrier Advisory Committee Structure and Process.
                                                      Durable Medical Equipment Regional Carriers Advisory
                                                       Process.
                                                      Provider Education Regarding Local Medical Review Policy.

[[Page 61137]]

 
                                                      Application of Local Medical Review Policy.
                                                      Retired Local Medical Review Policy.
25..................................................  Types of Claims for Which Contractors Are Responsible.
26..................................................  Quality Issues in Skilled Nursing Facility and Referral to
                                                       Other Agencies.
-----------------------------------------------------
                                                Medicare/Medicaid
                                         Sanction--Reinstatement Report
                                                  (CMS Pub. 69)
----------------------------------------------------------------------------------------------------------------
04-02...............................................  Report of Physicians/Practitioners, Providers and/or Other
                                                       Health Care Suppliers Excluded/Reinstated--March 2002.
05-02...............................................  Report of Physicians/Practitioners, Providers and/or Other
                                                       Health Care Suppliers Excluded/Reinstated--April 2002.
06-02...............................................  Report of Physicians/Practitioners, Providers and/or Other
                                                       Health Care Suppliers Excluded/Reinstated--May 2002.
----------------------------------------------------------------------------------------------------------------


                                           Addendum IV--Regulation Documents Published in the Federal Register
                                                             [April 2002 Through June 2002]
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                     FR Vol. 67
         Publication date               page                    CFR part(s)                            File code*                  Regulation title
--------------------------------------------------------------------------------------------------------------------------------------------------------
April 15, 2002....................        18216  .........................................  CMS-0007-N                       Health Insurance Reform:
                                                                                                                              Standards for Electronic
                                                                                                                              Transactions; Announcement
                                                                                                                              of the Availability of a
                                                                                                                              Model Compliance Plan.
April 15, 2002....................        18209  .........................................  CMS-4042-N                       Medicare Program;
                                                                                                                              Solicitation for Proposals
                                                                                                                              for Medicare Preferred
                                                                                                                              Provider Organization
                                                                                                                              (PPO) Demonstrations in
                                                                                                                              the Medicare+Choice
                                                                                                                              Program.
April 26, 2002....................        20804  .........................................  ...............................  Centers for Medicare &
                                                                                                                              Medicaid Services (CMS),
                                                                                                                              Statement of Organization,
                                                                                                                              Functions, and Delegations
                                                                                                                              of Authority.
April 26, 2002....................        20803  .........................................  CMS-1215-N                       Medicare Program; June 3,
                                                                                                                              2002, Meeting of the
                                                                                                                              Practicing Physicians
                                                                                                                              Advisory Council.
April 26, 2002....................        20802  .........................................  CMS-4036-N                       Medicare Program: Meeting
                                                                                                                              of the Advisory Panel on
                                                                                                                              Medicare Education--May
                                                                                                                              23, 2002.
April 26, 2002....................        20801  .........................................  CMS-3097-N                       Medicare Program; Meeting
                                                                                                                              of the Medical and
                                                                                                                              Surgical Procedures Panel
                                                                                                                              of the Medicare Coverage
                                                                                                                              Advisory Committee--June
                                                                                                                              12, 2002.
April 26, 2002....................        20800  .........................................  CMS-4047-N                       Medicare Program; Risk
                                                                                                                              Adjustment Training, June
                                                                                                                              3-4, 2002, Las Vegas, NV;
                                                                                                                              June 6-7, 2002, St. Louis,
                                                                                                                              MO; June 10-11, 2002,
                                                                                                                              Philadelphia, PA; and June
                                                                                                                              13-14, 2002, Orlando, FL.
April 26, 2002....................        20794  .........................................  CMS-2137-N                       State Children's Health
                                                                                                                              Insurance Program (SCHIP);
                                                                                                                              Redistribution and
                                                                                                                              Continued Availability of
                                                                                                                              Unexpended SCHIP Funds
                                                                                                                              From the Appropriation for
                                                                                                                              FY 1999.
April 26, 2002....................        20791  .........................................  CMS-2149-N                       Medicaid Program;
                                                                                                                              Infrastructure Grants
                                                                                                                              Program To Support the
                                                                                                                              Design and Delivery of
                                                                                                                              Long Term Services and
                                                                                                                              Supports That Permit
                                                                                                                              People of Any Age Who Have
                                                                                                                              a Disability or Long Term
                                                                                                                              Illness To Live in the
                                                                                                                              Community.
April 26, 2002....................        20681  .........................................  CMS-1169-CN                      Medicare Program; Revisions
                                                                                                                              to Payment Policies and
                                                                                                                              Five-Year Review of and
                                                                                                                              Adjustments to the
                                                                                                                              Relative Value Units Under
                                                                                                                              the Physician Fee Schedule
                                                                                                                              for Calendar Year 2002;
                                                                                                                              Correction.
May 1, 2002.......................        21617  42 CFR 414...............................  CMS-1084-WN                      Medicare Program; Payment
                                                                                                                              for Upgraded Durable
                                                                                                                              Medical Equipment;
                                                                                                                              Withdrawal.
May 9, 2002.......................        31403  42 CFR 405, 412, 413, 482, 485, 489......  CMS-1203-P                       Medicare Program; Changes
                                                                                                                              to the Hospital Inpatient
                                                                                                                              Prospective Payment
                                                                                                                              Systems and Fiscal Year
                                                                                                                              2003 Rates.
May 17, 2002......................        35118  .........................................  CMS-1215-N2                      Medicare Program; June 3,
                                                                                                                              2002, Meeting of the
                                                                                                                              Practicing Physicians
                                                                                                                              Advisory Council.
May 24, 2002......................        36611  .........................................  CMS-2141-PN                      Medicare and Medicaid
                                                                                                                              Programs; Application by
                                                                                                                              the American Osteopathic
                                                                                                                              Association (AOA) for
                                                                                                                              Approval of Deeming
                                                                                                                              Authority for Ambulatory
                                                                                                                              Surgical Centers (ASCs).
May 24, 2002......................        36539  42 CFR Chap. IV and V....................  CMS-3088-FC                      Office of Inspector General-
                                                                                                                              Health Care; Medicare and
                                                                                                                              Medicaid Programs; Peer
                                                                                                                              Review Organizations: Name
                                                                                                                              and Other Changes-
                                                                                                                              Technical Amendments.

[[Page 61138]]

 
May 31, 2002......................        38128  .........................................  CMS-1209-N                       Medicare Program; Notice of
                                                                                                                              Modification of
                                                                                                                              Beneficiary Assessment
                                                                                                                              Requirements for Skilled
                                                                                                                              Nursing Facilities.
May 31, 2002......................        38009  45 CFR 160, 162..........................  CMS-0047-F                       Health Insurance Reform:
                                                                                                                              Standard Unique Employer
                                                                                                                              Identifier.
June 14, 2002.....................        40989  42 CFR 400, 430, 431, 434, 435, 438, 440,  CMS-2104-F                       Medicaid Program; Medicaid
                                                  447.                                                                        Managed Care: New
                                                                                                                              Provisions.
June 14, 2002.....................        40988  42 CFR 400, 430, 431, 434, 435, 438, 440,  CMS-2001-F4                      Medicaid Program; Medicaid
                                                  447.                                                                        Managed Care.
June 24, 2002.....................        42609  42 CFR 400, 430, 431, 434, 435, 438, 440,  CMS-2104-F                       Medicaid Program; Medicaid
                                                  447.                                                                        Managed Care: New
                                                                                                                              Provisions.
June 28, 2002.....................        43846  42 CFR 410, 414..........................  CMS-1204-P                       Medicare Program; Revisions
                                                                                                                              to Payment Policies Under
                                                                                                                              the Physician Fee Schedule
                                                                                                                              for Calendar Year 2003.
June 28, 2002.....................        43762  .........................................  CMS-9880-N                       Medicare and Medicaid
                                                                                                                              Programs; Quarterly
                                                                                                                              Listing of Program
                                                                                                                              Issuances--Fourth Quarter,
                                                                                                                              1999 through First
                                                                                                                              Quarter, 2002.
June 28, 2002.....................        43632  .........................................  ...............................  Centers for Medicare &
                                                                                                                              Medicaid Services (CMS),
                                                                                                                              Statement of Organization,
                                                                                                                              Functions, and Delegations
                                                                                                                              of Authority.
June 28, 2002.....................        43629  .........................................  CMS-4023-FN                      Medicare Program;
                                                                                                                              Medicare+Choice
                                                                                                                              Organizations--Approval of
                                                                                                                              the Accreditation
                                                                                                                              Association for Ambulatory
                                                                                                                              Health Care, Inc. (AAAHC)
                                                                                                                              for Medicare+Choice (M+C)
                                                                                                                              Deeming Authority of M+C
                                                                                                                              Organizations That Are
                                                                                                                              Licensed as Health
                                                                                                                              Maintenance Organizations
                                                                                                                              (HMOs) or Preferred
                                                                                                                              Provider Organizations
                                                                                                                              (PPOs).
June 28, 2002.....................        43616  .........................................  CMS-1198-NC                      Medicare Program; Update to
                                                                                                                              the Prospective Payment
                                                                                                                              System for Home Health
                                                                                                                              Agencies for FY 2003.
June 28, 2002.....................        43613  .........................................  CMS-3082-NC                      Medicare Program; Revised
                                                                                                                              Evaluation Criteria for
                                                                                                                              the End-Stage Renal
                                                                                                                              Disease (ESRD) Networks.
June 28, 2002.....................        43612  .........................................  CMS-2154-PN                      Medicare and Medicaid
                                                                                                                              Programs; Application by
                                                                                                                              the Joint Commission on
                                                                                                                              Accreditation of
                                                                                                                              Healthcare Organizations
                                                                                                                              for Continued Deeming
                                                                                                                              Authority for Ambulatory
                                                                                                                              Surgical Centers.
June 28, 2002.....................        43610  .........................................  CMS-2155-PN                      Medicare and Medicaid
                                                                                                                              Programs; Application by
                                                                                                                              the Accreditation
                                                                                                                              Association for Ambulatory
                                                                                                                              Health Care, Inc. for
                                                                                                                              Continued Deeming
                                                                                                                              Authority for Ambulatory
                                                                                                                              Surgical Centers.
June 28, 2002.....................        43555  42 CFR 414...............................  CMS-1223-IFC                     Medicare Program; Criteria
                                                                                                                              for Submitting
                                                                                                                              Supplemental Practice
                                                                                                                              Expense Survey Data Under
                                                                                                                              the Physician Fee
                                                                                                                              Schedule.
--------------------------------------------------------------------------------------------------------------------------------------------------------
* N=General Notice; PN=Proposed Notice; NC=Notice with Comment Period; FN=Final Notice; P=Notice of Proposed Rulemaking (NPRM); F=Final Rule; FC=Final
  Rule with Comment Period; CN=Correction Notice; IFC=Interim Final Rule with Comment Period; GNC=General Notice with Comment Period.

Addendum V--National Coverage Determinations (April 2002 Through June 
2002)

    A national coverage determination (NCD) is a determination by the 
Secretary with respect to whether or not a particular item or service 
is covered nationally under Title XVIII of the Social Security Act, but 
does not include a determination of what code, if any, is assigned to a 
particular item or service covered under this title or determination 
with respect to the amount of payment made for a particular item or 
service so covered. We include below all of the NCDs that have been 
effective since June 28, 1999, the effective date of Medicare's new 
coverage process. Please note that because we order the NCDs by 
effective date, some of the decisions are dated later than June 2002, 
the terminus for most other information listed in this notice. The 
entries below include information concerning completed decisions as 
well as sections on program and decision memoranda, which also announce 
impending decisions or, in some cases, explain why it was not 
appropriate to issue a NCD. We identify completed decisions by title, 
effective date, and section of the publication where the decision can 
be found. Also, please note that in some cases more than one NCD was 
made affecting a single procedure. Information on completed decisions 
as well as pending decisions has also been posted on the CMS Web site 
at http://www.hcfa.gov/coverage.

[[Page 61139]]



                                                    National Coverage Decisions for Quarterly Notices
                                                           [Coverage Issues Manual CMS Pub. 6]
--------------------------------------------------------------------------------------------------------------------------------------------------------
                 Section                                                     Title                                              Effective date
--------------------------------------------------------------------------------------------------------------------------------------------------------
35-100...................................  Photodynamic Therapy....................................................  August 20, 2002.
40-31....................................  Intravenous Immune Globulin (IVIg) for the Treatment of Autoimmune        October 1, 2002.
                                            Mucocutaneous Blistering Diseases.
45-30....................................  Photosensitive Drugs....................................................  August 20, 2002.
50-36....................................  Positron Emission Tomography (PET) Scans................................  October 1, 2002.
50-57....................................  Current Perception Threshold/Sensory Nerve Conduction Threshold Test....  October 1, 2002.
50-58....................................  Single Photon Emission Tomography.......................................  October 1, 2002.
50-59....................................  Percutaneous Image-Guided Breast Biopsy.................................  January 1, 2003.
80-3.....................................  Medical Nutrition Therapy...............................................  October 1, 2002.
--------------------------------------------------------------------------------------------------------------------------------------------------------

[FR Doc. 02-24108 Filed 9-26-02; 8:45 am]
BILLING CODE 4120-01-P