[Federal Register Volume 90, Number 32 (Wednesday, February 19, 2025)]
[Notices]
[Pages 9902-9910]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2025-02787]
[[Page 9902]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-9151-N]
Medicare and Medicaid Programs; Quarterly Listing of Program
Issuances--October Through December 2024
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice.
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SUMMARY: This quarterly notice lists CMS manual instructions,
substantive and interpretive regulations, and other Federal Register
notices that were published in the 3-month period, relating to the
Medicare and Medicaid programs and other programs administered by CMS.
FOR FURTHER INFORMATION CONTACT: It is possible that an interested
party may need specific information and not be able to determine from
the listed information whether the issuance or regulation would fulfill
that need. Consequently, we are providing contact persons to answer
general questions concerning each of the addenda published in this
notice.
----------------------------------------------------------------------------------------------------------------
Addenda Contact Phone number
----------------------------------------------------------------------------------------------------------------
I CMS Manual Instructions................................. Ronda Allen-Bonner............... (410) 786-4657
II Regulation Documents Published in the Federal Register. Terri Plumb...................... (410) 786-4481
III CMS Rulings........................................... Tiffany Lafferty................. (410) 786-7548
IV Medicare National Coverage Determinations.............. Wanda Belle, MPA................. (410) 786-7491
V FDA-Approved Category B IDEs............................ John Manlove..................... (410) 786-6877
VI Collections of Information............................. William Parham................... (410) 786-4669
VII Medicare-Approved Carotid Stent Facilities............ Sarah Fulton, MHS................ (410) 786-2749
VIII American College of Cardiology-National Sarah Fulton, MHS................ (410) 786-2749
Cardiovascular Data Registry Sites.
IX Medicare's Active Coverage-Related Guidance Documents.. Lori Ashby, MA................... (410) 786-6322
X One-time Notices Regarding National Coverage Provisions. JoAnna Baldwin, MS............... (410) 786-7205
XI National Oncologic Positron Emission Tomography David Dolan, MBA................. (410) 786-3365
Registry Sites.
XII Medicare-Approved Ventricular Assist Device David Dolan, MBA................. (410) 786-3365
(Destination Therapy) Facilities.
XIII Medicare-Approved Lung Volume Reduction Surgery Sarah Fulton, MHS................ (410) 786-2749
Facilities.
XIV Medicare-Approved Bariatric Surgery Facilities........ Sarah Fulton, MHS................ (410) 786-2749
XV Fluorodeoxyglucose Positron Emission Tomography for David Dolan, MBA................. (410) 786-3365
Dementia Trials.
All Other Information..................................... Annette Brewer................... (410) 786-6580
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SUPPLEMENTARY INFORMATION:
I. Background
The Centers for Medicare & Medicaid Services (CMS) is responsible
for administering the Medicare and Medicaid programs and coordination
and oversight of private health insurance. Administration and oversight
of these programs involves the following: (1) furnishing information to
Medicare and Medicaid beneficiaries, health care providers, and the
public; and (2) maintaining effective communications with CMS regional
offices, state governments, state Medicaid agencies, state survey
agencies, various providers of health care, all Medicare contractors
that process claims and pay bills, National Association of Insurance
Commissioners (NAIC), health insurers, and other stakeholders. 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) and
Public Health Service Act. We also issue various manuals, memoranda,
and statements necessary to administer and oversee the programs
efficiently.
Section 1871(c) 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.
II. Format for the Quarterly Issuance Notices
This quarterly notice provides only the specific updates that have
occurred in the 3-month period along with a hyperlink to the full
listing that is available on the CMS website or the appropriate data
registries that are used as our resources. This is the most current up-
to-date information and will be available earlier than we publish our
quarterly notice. We believe the website list provides more timely
access for beneficiaries, providers, and suppliers. We also believe the
website offers a more convenient tool for the public to find the full
list of qualified providers for these specific services and offers more
flexibility and ``real time'' accessibility. In addition, many of the
websites have listservs; that is, the public can subscribe and receive
immediate notification of any updates to the website. These listservs
avoid the need to check the website, as notification of updates is
automatic and sent to the subscriber as they occur. If assessing a
website proves to be difficult, the contact person listed can provide
information.
III. How To Use the Notice
This notice is organized into 15 addenda so that a reader may
access the subjects published during the quarter covered by the notice
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 should view the
manuals at http://www.cms.gov/manuals.
The Director of the Office of Strategic Operations and Regulatory
Affairs of the Centers for Medicare & Medicaid Services (CMS), Kathleen
Cantwell, having reviewed and approved this document, authorizes
Trenesha Fultz-Mimms, who is the Federal Register Liaison, to
electronically sign this document for purposes of publication in the
Federal Register.
Trenesha Fultz-Mimms,
Federal Register Liaison, Department of Health and Human Services.
Publication Dates for the Previous Four Quarterly Notices
We publish this notice at the end of each quarter reflecting
information released by CMS during the previous
[[Page 9903]]
quarter. The publication dates of the previous four Quarterly Listing
of Program Issuances notices are: January 30, 2024 (89 FR 5897), April
29, 2024 (89 FR 33356), July 22, 2024 (89 FR 59104) and November 7,
2024 (89 FR 88282). We are providing only the specific updates that
have occurred in the 3-month period along with a hyperlink to the
website to access this information and a contact person for questions
or additional information.
Addendum I: Medicare and Medicaid Manual Instructions (October Through
December 2024)
The CMS Manual System is used by CMS program components, partners,
providers, contractors, Medicare Advantage organizations, and State
Survey Agencies to administer CMS programs. It offers day-to-day
operating instructions, policies, and procedures based on statutes and
regulations, guidelines, models, and directives. In 2003, we
transformed the CMS Program Manuals into a web user-friendly
presentation and renamed it the CMS Online Manual System.
How To Obtain Manuals
The internet-only Manuals (IOMs) are a replica of the Agency's
official record copy. Paper-based manuals are CMS manuals that were
officially released in hardcopy. The majority of these manuals were
transferred into the internet-only manual (IOM) or retired. Pub 15-1,
Pub 15-2 and Pub 45 are exceptions to this rule and are still active
paper-based manuals. The remaining paper-based manuals are for
reference purposes only. If you notice policy contained in the paper-
based manuals that was not transferred to the IOM, send a message via
the CMS Feedback tool.
Those wishing to subscribe to old versions of CMS manuals should
contact the National Technical Information Service, Department of
Commerce, 5301 Shawnee Road, Alexandria, VA 22312 Telephone (703-605-
6050). You can download copies of the listed material free of charge
at: http://cms.gov/manuals.
How To Review Transmittals or Program Memoranda
Those wishing to review transmittals and program memoranda can
access this information 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. This information is available at http://www.gpo.gov/libraries/.
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. CMS publication and transmittal
numbers are shown in the listing entitled Medicare and Medicaid Manual
Instructions. To help FDLs locate the materials, use the CMS
publication and transmittal numbers. For example, to find the manual A
Social Determinants of Health Risk Assessment in the Annual Wellness
Visit Policy Update in the Calendar Year 2024 Physician Fee Schedule
Final Rule (CMS-Pub. 100-02) Transmittal No. 12865.
Addendum I lists a unique CMS transmittal number for each
instruction in our manuals or program memoranda and its subject number.
A transmittal may consist of a single or multiple instruction(s).
Often, it is necessary to use information in a transmittal in
conjunction with information currently in the manual.
Fee-For Service Transmittal Numbers
Please Note: Beginning Friday, March 20, 2020, there will be the
following change regarding the Advance Notice of Instructions due to a
CMS internal process change. Fee-For Service Transmittal Numbers will
no longer be determined by Publication. The Transmittal numbers will be
issued by a single numerical sequence beginning with Transmittal Number
10000.
For the purposes of this quarterly notice, we list only the
specific updates to the list of manual instructions that have occurred
in the 3-month period. This information is available on our website at
www.cms.gov/Manuals.
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Transmittal No. Manual/subject/publication No.
------------------------------------------------------------------------
Medicare General Information (CMS-Pub. 100-01)
------------------------------------------------------------------------
12980................... Update to Medicare Deductible, Coinsurance and
Premium Rates for Calendar Year (CY) 2025.
13880................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
13881................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
13883................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
13884................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
13885................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
------------------------------------------------------------------------
Medicare Benefit Policy (CMS-Pub. 100-02)
------------------------------------------------------------------------
12860................... Technical Revision Only to the Medicare
Benefit Policy (MBP) Manual, Publication
(Pub) 100-02, Chapter 15, section 50.4.2
Unlabeled Use of Drug.
12865................... A Social Determinants of Health Risk
Assessment in the Annual Wellness Visit
Policy Update in the Calendar Year 2024
Physician Fee Schedule Final Rule.
12999................... Implementation of Changes in the End-Stage
Renal Disease (ESRD) Prospective Payment
System (PPS) and Payment for Dialysis
Furnished for Acute Kidney Injury (AKI) in
ESRD Facilities for Calendar Year (CY) 2025.
13003................... Revisions to Medicare Part B Coverage of
Pneumococcal Vaccinations for the Medicare
Benefit Policy Manual Chapter 15, Section
50.4.4.2.
13011................... Updates to No Legal Obligation to Pay for or
Provide Services and Examples of Application
of Government Entity Exclusion (Pub. 100-02,
chapter 16, sections 40 and 50.3.3 and newly
created section 40.7) and Claims Submitted
for Items or Services Furnished to Medicare
Beneficiaries in State or Local Custody Under
a Penal Authority (Pub. 100-04, chapter 1,
section 10.4).
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[[Page 9904]]
Medicare National Coverage Determination (CMS-Pub. 100-03)
------------------------------------------------------------------------
12868................... Allogeneic Hematopoietic Stem Cell
Transplantation (HSCT) for Myelodysplastic
Syndromes (MDS) National Coverage
Determination (NCD) 110.23
12987................... National Coverage Determination (NCD) 210.15--
Pre-Exposure Prophylaxis (PrEP) for Human
Immunodeficiency Virus (HIV) Prevention.
------------------------------------------------------------------------
Medicare Claims Processing (CMS-Pub. 100-04)
------------------------------------------------------------------------
12864................... October 2024 Update of the Ambulatory Surgical
Center [ASC] Payment System.
12865................... A Social Determinants of Health Risk
Assessment in the Annual Wellness Visit
Policy Update in the Calendar Year 2024
Physician Fee Schedule Final Rule.
12868................... Allogeneic Hematopoietic Stem Cell
Transplantation (HSCT) for Myelodysplastic
Syndromes (MDS) National Coverage
Determination (NCD) 110.23.
12869................... Fiscal Year (FY) 2025 Inpatient Prospective
Payment System (IPPS) and Long-Term Care
Hospital (LTCH) PPS Changes.
12870................... Medicare Part A Skilled Nursing Facility (SNF)
Prospective Payment System (PPS) Pricer
Update Fiscal Year (FY) 2025.
12883................... Update to the Internet Only Manual (IOM)
Publication (Pub.) 100-04, Chapter 18 Section
170.1 and Chapter 32 Section 340.2 for Coding
Revisions to the National Coverage
Determinations (NCDs)--January 2025 Change
Request (CR) 13706.
12886................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
12887................... Correction to Editing for Inpatient Part B
Ancillary 12X Claims When Part A Benefits
Exhaust and Manual Updates for Billing of
Inpatient Pre-Entitlement Days.
12889................... Allowing Home Health (HH) Telehealth Services
During an Inpatient Stay.
12890................... Issued to a specific audience, not posted to
Internet/Intranet due to Sensitivity of
Instruction.
12895................... 2025 Annual Update of Per-Beneficiary
Threshold Amounts.
12896................... Ambulance Inflation Factor (AIF) for Calendar
Year (CY) 2025 and Productivity Adjustment.
12909................... Corrections to Change Request (CR) 7270--
Changes to the Time Limits for Filing
Medicare Fee For Service Claims.
12910................... Calendar Year (CY) 2025 Participation
Enrollment and Medicare Participating
Physicians and Suppliers Directory (MEDPARD)
Procedures.
12911................... Home Health Prospective Payment System (HH
PPS) Rate Update for Calendar Year (CY) 2025.
12914................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
12915................... Expanding the Number of Home Health (HH)
Period of Care Records--Analysis Only.
12923................... Calendar Year (CY) 2025 Home Infusion Therapy
(HIT) Payment Rates and Instructions for
Retrieving the January 2025 Home Infusion
Therapy (HIT) Services Payment Rates Through
the CMS Mainframe Telecommunications System.
12926................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
12931................... File Conversions Related to the Spanish
Translation of the Healthcare Common
Procedure Coding System (HCPCS) Descriptions.
12934................... Medicare Change of Status Notice (MCSN) Manual
Instructions.
12935................... New Waived Tests.
12936................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
12945................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
12948................... Allogeneic Hematopoietic Stem Cell
Transplantation (HSCT) for Myelodysplastic
Syndromes (MDS) National Coverage
Determination (NCD) 110.23.
12949................... National Fee Schedule for Medicare Part B
Vaccine Administration CMS--January 2025''.
12950................... Update to Rural Health Clinic (RHC) All
Inclusive Rate (AIR) Payment Limit for
Calendar Year (CY) 2025.
12951................... Update to the Federally Qualified Health
Center (FQHC) Prospective Payment System
(PPS) for Calendar Year (CY) 2025.
12957................... Implementation of System Changes for the End
Stage Renal Disease (ESRD) Prospective
Payment System (PPS) and Payment for Renal
Dialysis Services Furnished to Individuals
with Acute Kidney Injury (AKI) for Calendar
Year (CY) 2025.
12961................... Updates to the Publication 100-04 Claims
Processing Manual in the Internet Only Manual
(IOM) to Remove Obsolete Language Related to
Medicare Fee-for-Service (FFS) Systems Claims
Edits.
12964................... January 2025 Annual Rural Emergency Hospital
(REH) Monthly Facility Payment Amount.
12967................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
12970................... Claim Status Category Codes (CSCC) and Claim
Status Codes (CSC) Update.
12974................... Manual Update for Pneumococcal Vaccine for 21-
Valent Conjugate Vaccine.
12975................... Summary of Policies in the Calendar Year (CY)
2025 Medicare Physician Fee Schedule (MPFS)
Final Rule, Telehealth Originating Site
Facility Fee Payment Amount and Telehealth
Services List, CT Modifier Reduction List,
and Preventive Services.
12976................... April 2025 Update to the Inpatient Prospective
Payment System (IPPS) For Correction to Total
Pass-Through Amounts Reported on the Provider
Specific File (PSF) to Include Allogeneic
Stem Cell Costs.
12977................... April 2025 Healthcare Common Procedure Coding
System (HCPCS) Quarterly Update Reminder.
12978................... April 2025 Bi-Annual Update of the
International Classification of Diseases,
Tenth Revision, Clinical Modification (ICD-10-
CM).
12979................... Implementation of System Changes for the End
Stage Renal Disease (ESRD) Prospective
Payment System (PPS) and Payment for Renal
Dialysis Services Furnished to Individuals
with Acute Kidney Injury (AKI) for Calendar
Year (CY) 2025.
12980................... 2025 Annual Update to the Therapy Code List.
12981................... Implement Operating Rules--Phase III
Electronic Remittance Advice (ERA) Electronic
Funds Transfer (EFT): Committee on Operating
Rules for Information Exchange (CORE) 360
Uniform Use of Claim Adjustment Reason Codes
(CARC), Remittance Advice Remark Codes (RARC)
and Claim Adjustment Group Code (CAGC) Rule--
Update from Council for Affordable Quality
Healthcare (CAQH) CORE.
12982................... Quarterly Update to Home Health (HH) Grouper.
12987................... Prophylaxis (PrEP) for Human Immunodeficiency
Virus (HIV) Prevention.
12988................... Combined Common Edits/Enhancements Modules
(CCEM) Code Set Update.
12990................... Update to the Internet Only Manual (IOM)
Publication (Pub.) 100-04, Chapter 32
Sections 90, 190.2 and 300.2 for Coding
Revisions to the National Coverage
Determinations (NCDs)--April 2025 (1 of 2)
Change Request (CR) 13818.
12991................... Calendar Year 2025 Update for Durable Medical
Equipment, Prosthetics, Orthotics and
Supplies (DMEPOS) Fee Schedule.
12992................... Calendar Year (CY) 2025 Annual Update for
Clinical Laboratory Fee Schedule and
Laboratory Services Subject to Reasonable
Charge Payment.
[[Page 9905]]
12993................... Quarterly Update for the Durable Medical
Equipment, Prosthetics, Orthotics, and
Supplies (DMEPOS) Competitive Bidding Program
(CBP)--April 2025.
12994................... April 2025 Quarterly Average Sales Price (ASP)
Medicare Part B Drug Pricing Files and
Revisions to Prior Quarterly Pricing Files.
12995................... April 2025 Update to the Medicare Severity--
Diagnosis Related Group (MS-DRG) Grouper and
Medicare Code Editor (MCE) Version 42.1.
12998................... Quarterly Update to the National Correct
Coding Initiative (NCCI) Procedure-to-
Procedure (PTP) Edits, Version 31.1,
Effective April 1, 2025.
13002................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
13010................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
13011................... Updates to No Legal Obligation to Pay for or
Provide Services and Examples of Application
of Government Entity Exclusion (Pub. 100-02,
chapter 16, sections 40 and 50.3.3 and newly
created section 40.7) and Claims Submitted
for Items or Services Furnished to Medicare
Beneficiaries in State or Local Custody Under
a Penal Authority (Pub. 100-04, chapter 1,
section 10.4).
13012................... Internet Only Manual (IOM) Update to 100-04
Chapter 12, Section 30.5--Payment for Codes
for Chemotherapy Administration and
Nonchemotherapy Injections and Infusions.
13019................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
13025................... Update to the Internet Only Manual (IOM)
Publication (Pub.) 100-04, Chapter 18 Section
60.3 and Chapter 32 Sections 11.3.5, 60.4.1,
60.5.2, 320.2 and 412.1 for Coding Revisions
to the National Coverage Determinations
(NCDs)--April 2025 (2 of 2) Change Request
(CR) 13828.
13026................... Billing Instructions Related to Expedited
Determinations Based on Medicare Change of
Status Notifications (MCSNs).
------------------------------------------------------------------------
Medicare Secondary Payer (CMS-Pub. 100-05)
------------------------------------------------------------------------
12880................... Changes to The Electronic Correspondence
Referral System (ECRS) to Remove the Drug
Supplemental Type `O' (Other) as a Valid
Option from Batch Submissions.
12891................... The Recovery and Adjustment of Medicare Claims
where the Department of Veteran Affairs (VA)
also Made Payment Using the Medicare
Duplicate Payment (DP) Process.
13016................... Updates to the Medicare Carrier System (MCS),
the Viable Information Processing Systems
Medicare Systems (VMS) and the Common Working
File (CWF) Processes to Capture and Further
Automate the Medicare Secondary Payer (MSP)
Processes.
------------------------------------------------------------------------
Medicare Financial Management (CMS-Pub. 100-06)
------------------------------------------------------------------------
12968................... Requirements for Adjusting/Demanding and
Reporting Office of the Inspector General
(OIG) Identified Overpayments.
12969................... The Fiscal Intermediary Shared System (FISS)
Submission of Copybook Files to the Provider
and Statistical Reimbursement (PS&R) System.
13001................... The Fiscal Year 2025 Updates for the CMS
Internet Only Manual (IOM) Publication (Pub.)
100-06, Medicare Financial Management Manual,
Chapter 7--Internal Control Requirements.
------------------------------------------------------------------------
Medicare State Operations Manual (CMS-Pub. 100-07)
------------------------------------------------------------------------
None.
------------------------------------------------------------------------
Medicare Program Integrity (CMS-Pub. 100-08)
------------------------------------------------------------------------
12872................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
12873................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
12985................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
12996................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
12997................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
13000................... Updates of Chapter 4 and Exhibits in
Publication (Pub.) 100-08, Including the
Unified Program Integrity Contractor (UPIC)
and Medical Review Accuracy Contractor (MRAC)
Coordination Process.
13004................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
13005................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
13006................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
13007................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
13008................... Chapter 3 Revisions (Segment 1) in Publication
(Pub.) 100-08 Program Integrity Manual (PIM).
13018................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
------------------------------------------------------------------------
Medicare Contractor Beneficiary and Provider Communications (CMS-Pub.
100-09)
------------------------------------------------------------------------
None.
------------------------------------------------------------------------
Medicare Quality Improvement Organization (CMS-Pub. 100-10)
------------------------------------------------------------------------
None.
------------------------------------------------------------------------
Medicare Program of All-Inclusive Care for the Elderly (CMS-Pub. 100-11)
------------------------------------------------------------------------
None.
------------------------------------------------------------------------
[[Page 9906]]
Medicare End Stage Renal Disease Network Organizations (CMS-Pub. 100-14)
------------------------------------------------------------------------
None.
------------------------------------------------------------------------
Medicaid Program Integrity Disease Network Organizations (CMS-Pub. 100-
15)
------------------------------------------------------------------------
None.
------------------------------------------------------------------------
Medicare Managed Care (CMS-Pub. 100-16)
------------------------------------------------------------------------
None.
------------------------------------------------------------------------
Medicare Business Partners Systems Security (CMS-Pub. 100-17)
------------------------------------------------------------------------
None.
------------------------------------------------------------------------
Medicare Prescription Drug Benefit (CMS-Pub. 100-18)
------------------------------------------------------------------------
None.
------------------------------------------------------------------------
Demonstrations (CMS-Pub. 100-19)
------------------------------------------------------------------------
12983................... Making Care Primary (MCP) Informational
Unsolicited Responses (IURs).
------------------------------------------------------------------------
One Time Notification (CMS-Pub. 100-20)
------------------------------------------------------------------------
12862................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
12867................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
12878................... Reporting Identifiers for the Healthcare
Integrated General Ledger Accounting System
(HIGLAS) Payments Reported for Periodic
Interim Payment (PIP) Claims.
12879................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
12881................... Tax Equity and Fiscal Responsibility Act
(TEFRA) Reimbursement to Inpatient
Prospective Payment System (IPPS) -Excluded
Hospitals for Excess Costs Related to
Providing CAR T-cell Therapy.
12882................... Implementation of a New National Uniform
Billing Committee (NUBC) Condition Code
``KX'', ``Documentation on file. Requirements
specified in the medical policy have been
met.'' and Implementation of a New NUBC Value
Code ``92'', ``Invoice Cost of Drug/Biologic.
For use with Revenue Category 0636 when
required by federal regulation.''.
12884................... Phase 4: Implementation to Expand Monetary
Amount Fields Related to Billing and Payment
to Accommodate 10-Digits in Length
($99,999,999.99).
12885................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
12889................... Correction to Pulmonary Rehabilitation
Services for Indian Health Services (IHS).
12899................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
12903................... International Classification of Diseases, 10th
Revision (ICD-10) and Other Coding Revisions
to National Coverage Determinations (NCDs)--
April 2025 (CR 1 of 2).
12904................... International Classification of Diseases, 10th
Revision (ICD-10) and Other Coding Revisions
to National Coverage Determinations (NCDs)--
April 2025 (CR 2 of 2).
12908................... Implementation of the Award for the
Jurisdiction D Durable Medical Equipment
Medicare Administrative Contractor (JD DME
MAC).
12916................... User Enhancement Change Request (UECR): Update
the Multi-Carrier System (MCS) System Control
Facility (SCF) System Element (SE) for
Diagnosis Validation.
12917................... User Enhancement Change Request (UECR): Update
the Summary Report--Healthcare Integrated
General Ledger Accounting System (HIGLAS) 824
Status Notification Error Report (H99RJSUM).
12918................... User Enhancement Change Request (UECR): Update
Multi-Carrier System (MCS) Import File Copy
Request Screen.
12919................... Fiscal Intermediary Shared System (FISS)--User
Enhancement Change Request (UECR)--Expand
Reason Code Narrative Length.
12920................... Fiscal Intermediary Shared System (FISS)--User
Enhancement Change Request (UECR)--Expand
Provider Name Field on Provider Address
Screen.
12921................... User Enhancement Change Request (UECR): Update
Multi-Carrier System (MCS) Portal Re-Openings
Negative/Zero Adjustments Report (H99RBPRZ).
12922................... Fiscal Intermediary Shared System (FISS)--
Delete Obsolete Reason Codes--Part 6.
12924................... Implementation of the Award for the
Jurisdiction J (J-J) Part A and Part B
Medicare Administrative Contractor (JJ A/B
MAC).
12932................... Implementation of the Award for the
Jurisdiction J (J-J) Part A and Part B
Medicare Administrative Contractor (JJ A/B
MAC).
12937................... User Enhancement Change Request (UECR): ViPS
Medicare System (VMS)--Add Testing/Production
Region Identifier Field on Screens.
12938................... User Enhancement Change Request (UECR): ViPS
Medicare System (VMS)--Add Testing/Production
Region Identifier Field on Screens.
12939................... User Enhancement Change Request (UECR): ViPS
Medicare System (VMS)--Improve Processing of
Capped Rental Items Billed with RT (right)/LT
(left) Modifiers.
12940................... Fiscal Intermediary Shared System (FISS)--
Delete Obsolete Reason Codes--Part 5.
12941................... Updates to Allow Category II Codes to be
Submitted on Rural Health Clinic (RHC)
Claims.
12942................... User Enhancement Change Request (UECR): ViPS
Medicare System (VMS)--Update the Quality
Assurance (QA) subsystem to Automate Setting
Date Ranges on the QA Selection--Date Card
Screen (VMAP/2/2).
12944................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
12947................... Implementation of a New National Uniform
Billing Committee (NUBC) Condition Code
``KX'', ``Documentation on file. Requirements
specified in the medical policy have been
met.'' and Implementation of a New NUBC Value
Code ``92'', ``Invoice Cost of Drug/Biologic.
For use with Revenue Category 0636 when
required by federal regulation.''.
[[Page 9907]]
12955................... Implementation CR--To Send Provider-Based
Practice Location Types to the Fiscal
Intermediary Shared System (FISS) on Provider
Enrollment Chain & Ownership System (PECOS)
Extract Files and for FISS to Process so
Medicare Administrative Contractors (MACs) Do
Not Have to Check Manually for These
Locations.
12958................... Issued to a specific audience, not posted to
Internet/Intranet due to Sensitivity of
Instruction.
12960................... All-Inclusive Rate (AIR) Add-On Payment for
High-Cost Drugs Provided by Indian Health
Service (IHS) and Tribal Hospitals.
12965................... User Management in the Medicare Adjudication
Portal (MAP) for 837D Dental Claims.
12973................... User Management in the Medicare Adjudication
Portal (MAP) for 837D Dental Claims.
12984................... Issued to a specific audience, not posted to
Internet/Intranet due to Sensitivity of
Instruction.
12986................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
12989................... Phase 4: Implementation to Expand Monetary
Amount Fields Related to Billing and Payment
to Accommodate 10-Digits in Length
($99,999,999.99).
13009................... User Enhancement Change Request (UECR): ViPS
Medicare System (VMS)--Improve Processing of
Capped Rental Items Billed with RT (right)/LT
(left) Modifiers.
13014................... Update to Billing Requirements for Intensive
Outpatient Program (IOP) Services for Rural
Health Clinics (RHCs) and Federally Qualified
Health Centers (FQHCs).
13015................... Allow Payment for Healthcare Common Procedure
Coding System (HCPCS) Code G2211 when Certain
Part B Preventive Services are Provided on
the Same Day.
13017................... Issued to a specific audience, not posted to
Internet/Intranet due to Confidentiality of
Instruction.
13027................... Adjustments in the Medicare Adjudication
Portal (MAP) for 837D Dental Claims (Phase
2).
------------------------------------------------------------------------
Medicare Quality Reporting Incentive Programs (CMS-Pub. 100-22)
------------------------------------------------------------------------
None.
------------------------------------------------------------------------
State Payment of Medicare Premiums (CMS-Pub. 100-24)
------------------------------------------------------------------------
None.
------------------------------------------------------------------------
Information Security Acceptable Risk Safeguards (CMS-Pub. 100-25)
------------------------------------------------------------------------
None.
------------------------------------------------------------------------
For questions or additional information, contact Ismael Torres
(410-786-1864).
Addendum II: Regulation Documents Published in the Federal Register
(July Through September 2024)
Regulations and Notices
Regulations and notices are published in the daily Federal
Register. To purchase individual copies or subscribe to the Federal
Register, contact GPO at www.gpo.gov/fdsys. 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 available 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) through the present date and
can be accessed at http://www.gpoaccess.gov/fr/index.html. The
following website http://www.archives.gov/federal-register/ provides
information on how to access electronic editions, printed editions, and
reference copies.
For questions or additional information, contact Terri Plumb (410-
786-4481).
Addendum III: CMS Rulings (October Through December 2024)
CMS Rulings are decisions of the Administrator that serve as
precedent final opinions and orders and statements of policy and
interpretation. They provide clarification and interpretation of
complex or ambiguous provisions of the law or regulations relating to
Medicare, Medicaid, Utilization and Quality Control Peer Review,
private health insurance, and related matters.
The rulings can be accessed at http://www.cms.gov/Regulations-and-Guidance/Guidance/Rulings.
For questions or additional information, contact Tiffany Lafferty
(410-786-7548).
Addendum IV: Medicare National Coverage Determinations (October Through
December 2024)
Addendum IV includes completed national coverage determinations
(NCDs), or reconsiderations of completed NCDs, from the quarter covered
by this notice. Completed decisions are identified by the section of
the NCD Manual (NCDM) in which the decision appears, the title, the
date the publication was issued, and the effective date of the
decision. An NCD is a determination by the Secretary for whether or not
a particular item or service is covered nationally under the Medicare
Program (title XVIII of the Act), but does not include a determination
of the code, if any, that is assigned to a particular covered item or
service, or payment determination for a particular covered item or
service. The entries below include information concerning completed
decisions, as well as sections on program and decision memoranda, which
also announce decisions or, in some cases, explain why it was not
appropriate to issue an NCD. Additional information on NCDs, including
open NCDs and pending NCDs, can be found on the NCD Dashboard, which is
posted on the CMS website at https://www.cms.gov/files/document/ncd-dashboard.pdf. For the purposes of this quarterly notice, we are
providing only the specific updates to national coverage determinations
(NCDs), or reconsiderations of completed NCDs published in the 3-month
period. This information is available at: www.cms.gov/medicare-coverage-database/.
For questions or additional information, contact Wanda Belle, MPA
(410-786-7491).
[[Page 9908]]
----------------------------------------------------------------------------------------------------------------
Title NCDM section Transmittal No. Issue date Effective date
----------------------------------------------------------------------------------------------------------------
National Coverage Determination (NCD) 210.15 12987 12/05/2024 04/07/2025
210.15--Pre-Exposure Prophylaxis (PrEP) for
Human Immunodeficiency Virus (HIV)
Prevention.................................
----------------------------------------------------------------------------------------------------------------
Addendum V: FDA-Approved Category B Investigational Device Exemptions
(IDEs) (October Through December 2024)
(Inclusion of this addenda is under discussion internally.)
Addendum VI: Approval Numbers for Collections of Information (October
Through December 2024)
All approval numbers are available to the public at Reginfo.gov.
Under the review process, approved information collection requests are
assigned OMB control numbers. A single control number may apply to
several related information collections. This information is available
at www.reginfo.gov/public/do/PRAMain.
For questions or additional information, contact William Parham
(410-786-4669).
Addendum VII: Medicare-Approved Carotid Stent Facilities (October
Through December 2024)
Addendum VII includes listings of Medicare-approved carotid stent
facilities. All facilities listed meet CMS standards for performing
carotid artery stenting for high risk patients. On March 17, 2005, we
issued our decision memorandum on carotid artery stenting. We
determined that carotid artery stenting with embolic protection is
reasonable and necessary only if performed in facilities that have been
determined to be competent in performing the evaluation, procedure, and
follow-up necessary to ensure optimal patient outcomes. We have created
a list of minimum standards for facilities modeled in part on
professional society statements on competency. All facilities must at
least meet our standards in order to receive coverage for carotid
artery stenting for high risk patients. For the purposes of this
quarterly notice, we are providing only the specific updates that have
occurred in the 3-month period. There were no additions, deletions, or
editorial changes to the listing for Medicare-approved carotid stent
facilities for this 3-month period. This information is available at:
http://www.cms.gov/MedicareApprovedFacilitie/CASF/list.asp#TopOfPage.
For questions or additional information, contact Sarah Fulton, MHS
(410-786-2749).
Addendum VIII: American College of Cardiology's National Cardiovascular
Data Registry Sites (October Through December 2024)
The initial data collection requirement through the American
College of Cardiology's National Cardiovascular Data Registry (ACC-
NCDR) has served to develop and improve the evidence base for the use
of ICDs in certain Medicare beneficiaries. The data collection
requirement ended with the posting of the final decision memo for
Implantable Cardioverter Defibrillators on February 15, 2018.
For questions or additional information, contact Sarah Fulton, MHS
(410-786-2749).
Addendum IX: Active CMS Coverage-Related Guidance Documents (October
Through December 2024)
CMS published three final guidance documents on August 7, 2024, to
provide a framework for more predictable and transparent evidence
development and encourage innovation and accelerate beneficiary access
to new items and services. The documents are available at:
Coverage with Evidence Development: https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?mcdid=38.
CMS National Coverage Analysis Evidence Review: https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?mcdid=37.
Clinical Endpoints Guidance: Knee Osteoarthritis: https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?mcdid=36.
For questions or additional information, contact Lori Ashby, MA
(410 786 6322).
Addendum X: List of Special One-Time Notices Regarding National
Coverage Provisions (October Through December 2024)
There were no special one-time notices regarding national coverage
provisions published in the 3-month period. This information is
available at http://www.cms.gov.
For questions or additional information, contact JoAnna Baldwin, MS
(410-786 7205).
Addendum XI: National Oncologic PET Registry (NOPR) (October Through
December 2024)
Addendum XI includes a listing of National Oncologic Positron
Emission Tomography Registry (NOPR) sites. We cover positron emission
tomography (PET) scans for particular oncologic indications when they
are performed in a facility that participates in the NOPR.
In January 2005, we issued our decision memorandum on positron
emission tomography (PET) scans, which stated that CMS would cover PET
scans for particular oncologic indications, as long as they were
performed in the context of a clinical study. We have since recognized
the National Oncologic PET Registry as one of these clinical studies.
Therefore, in order for a beneficiary to receive a Medicare-covered PET
scan, the beneficiary must receive the scan in a facility that
participates in the registry. There were no additions, deletions, or
editorial changes to the listing of National Oncologic Positron
Emission Tomography Registry (NOPR) in the 3-month period. This
information is available at http://www.cms.gov/MedicareApprovedFacilitie/NOPR/list.asp#TopOfPage.
For questions or additional information, contact David Dolan, MBA
(410-786-3365).
Addendum XII: Medicare-Approved Ventricular Assist Device (Destination
Therapy) Facilities (October Through December 2024)
Addendum XII includes a listing of Medicare-approved facilities
that receive coverage for ventricular assist devices (VADs) used as
destination therapy. All facilities were required to meet our standards
in order to receive coverage for VADs implanted as destination therapy.
On October 1, 2003, we issued our decision memorandum on VADs for the
clinical indication of destination therapy. We determined that VADs
used as destination therapy are reasonable and necessary only if
performed in facilities that have been determined to have the
experience and infrastructure to ensure optimal patient outcomes. We
established facility standards and an application process. All
facilities were required to meet our standards in order to receive
coverage
[[Page 9909]]
for VADs implanted as destination therapy.
For the purposes of this quarterly notice, we are providing only
the specific updates to the list of Medicare-approved facilities that
meet our standards that have occurred in the 3-month period. This
information is available at http://www.cms.gov/MedicareApprovedFacilitie/VAD/list.asp#TopOfPage.
For questions or additional information, contact David Dolan, MBA,
(410-786-3365).
----------------------------------------------------------------------------------------------------------------
Provider Date of initial Date of re-
Facility No. certification certification State
----------------------------------------------------------------------------------------------------------------
The following are new facilities
----------------------------------------------------------------------------------------------------------------
The Valley Hospital, 4 Valley Health Plaza, 310012 09/04/2024 n/a NJ
Paramus, NJ 07652; Other information: DNV
ID #: C701535; Previous Re-certification
Dates: n/a.
Saint Francis Hospital, 6161 South Yale 370091 09/10/2024 n/a OK
Avenue, Tulsa, OK 74136; Other
information: DNV ID #: C675228; Previous
Re-certification Dates: n/a.
East Jefferson General Hospital, 4200 Houma 190176 11/12/2024 n/a LA
Blvd., Metairie, LA 70006; Other
information: DNV ID #: C694266; Previous
Re-certification Dates: n/a.
Cooper University Hospital, 1 Cooper Plaza, 31-0014 11/14/2024 n/a NJ
Camden, NJ 08103; Other information: DNV
ID #: C653305; Previous Re-certification
Dates: n/a.
----------------------------------------------------------------------------------------------------------------
The following facilities have editorial changes (in bold)
----------------------------------------------------------------------------------------------------------------
Ascension Seton, 1201 West 38th Street, 450056 03/06/2009 07/17/2024 TX
Austin, TX 78705-1056; Other information:
Joint Commission ID #8939; Previous Re-
certification Dates: 03/06/2009; 07/15/
2011; 09/04/2013; 10/20/2015; 10/03/2017;
10/23/2019; 04/13/2022.
Lehigh Valley Hospital, 1200 S Cedar Crest 390133 10/29/2013 07/31/2024 PA
Boulevard, Allentown, PA 18105; Other
information: Joint Commission ID #4880;
Previous Re-certification Dates: 10/29/
2013; 11/10/2015; 12/12/2017; 03/04/2020;
05/28/2022.
Mount Sinai Hospital, One Gustave L. Levy 330024 11/25/2008 08/14/2024 NY
Place, New York, NY 10029-6574; Other
information: Joint Commission ID #5829;
Previous Re-certification Dates: 11/25/
2008; 02/08/2011; 03/20/2013; 03/31/2015;
06/08/2017; 08/07/2019; 03/23/2022.
UPMC Presbyterian Shadyside, 200 Lothrop 390164 06/10/2008 08/14/2024 PA
Street, Pittsburgh, PA 15213; Other
information: Joint Commission ID #6169;
Previous Re-certification Dates: 06/10/
2008; 05/21/2010; 04/12/2012; 03/25/2014;
04/13/2016; 03/20/2018; 12/09/2020; 06/03/
2022.
Advocate Christ Medical Center, 4440 W 95th 140208 09/28/2015 10/01/2024 IL
Street, Oak Lawn, IL 60453; Other
information: DNV ID #: 10000504196-MSC-DNV-
USA; Previous Re-certification Dates: 9/28/
2015; 10/01/2018; 10/21/2021.
University of Texas Medical Branch, 301 450018 01/31/2012 08/28/2024 TX
University Blvd., Galveston, TX 77555;
Other information: Joint Commission ID
#9058; Previous Re-certification Dates: 01/
31/2012; 01/28/2014; 02/23/2016; 01/30/
2018; 10/08/2020; 06/08/2022.
University of California, Davis Medical 050599 10/06/2015 09/18/2024 CA
Center, 2315 Stockton Boulevard,
Sacramento, CA 95817; Other information:
Joint Commission ID #10055; Previous Re-
certification Dates: 10/06/2015; 02/06/
2018; 12/10/2020; 09/14/2022.
Carolinas Medical Center, 1000 Blythe 340113 05/11/2010 09/11/2024 NC
Boulevard, Charlotte, NC 28232; Other
information: Joint Commission ID #6480;
Previous Re-certification Dates: 05/11/
2010; 05/11/2012; 04/22/2014; 04/12/2016;
04/24/2018; 12/17/2020; 08/03/2022.
MedStar Washington Hospital Center, 110 090011 04/22/2008 11/06/2024 DC
Irving St. NW, Washington, DC 20010; Other
information: Joint Commission ID #6308;
Previous Re-certification Dates: 04/22/
2008; 04/06/2010; 03/23/2012; 03/04/2014;
05/03/2016; 05/22/2018; 12/17/2020; 07/08/
2022.
WellSpan York Hospital, 1001 South George 390046 11/19/2013 09/11/2024 PA
Street, York, PA 17405; Other information:
Joint Commission ID #6228; Previous Re-
certification Dates: 11/19/2013; 12/15/
2015; 01/23/2018; 03/14/2020; 06/18/2022.
NYU Langone Hospitals, 550 First Avenue, 330214 02/14/2012 11/06/2024 NY
New York, NY 10016; Other information:
Joint Commission ID #5820; Previous Re-
certification Dates: 02/14/2012; 01/14/
2014; 03/08/2016; 03/27/2018; 8/26/2020;
07/27/2022.
Jersey Shore University Medical Center, 310073 10/16/2018 09/17/2024 NJ
1945 Corlies Avenue, Neptune, NJ 07753;
Other information: DNV ID #: C727737;
Previous Re-certification Dates: 10/16/
2018; 10/14/2021.
Rochester General Hospital, 1425 Portland 33-0125 10/29/2018 09/19/2024 NY
Ave., Rochester, NY 14621; Other
information: DNV ID #: C729533; Previous
Re-certification Dates: 10/29/2018; 10/28/
2021.
Public Health Trust of Dade County Florida 100022 10/22/2009 09/11/2024 FL
dba Jackson Memorial Hospital, 1611
Northwest 12th Avenue, Miami, FL 33136-
1094; Other information: Joint Commission
ID #6850; Previous Re-certification Dates:
10/22/2009; 10/21/2011; 11/06/2013; 12/08/
2015; 12/08/2017; 3/3/2020; 05/22/2022.
The Johns Hopkins Hospital, 600 N Wolfe 210009 12/11/2007 08/21/2024 MD
Street, Baltimore, MD 21287; Other
information: Joint Commission ID #6252;
Previous Re-certification Dates: 12/11/
2007; 12/15/2009; 11/29/2011; 12/03/2013;
01/12/2016; 02/13/2018; 10/24/2020; 06/15/
2022.
Baptist Health Medical Center--Little Rock, 040114 11/10/2009 09/11/2024 AR
9601 Baptist Health Drive, Little Rock, AR
72205-7299; Other information: Joint
Commission ID #8656; Previous Re-
certification Dates: 11/10/2009; 11/08/
2011; 12/11/2013; 01/12/2016; 12/15/2017;
02/12/2020; 05/07/2022.
[[Page 9910]]
Summa Health, 95 Arch Street, Suite 205, 360020 11/16/2021 11/07/2024 OH
Akron, OH 44304; Other information: DNV ID
#: C738012; Previous Re-certification
Dates: 11/16/2021.
Westchester Health Care Corporation, 100 330234 11/19/2009 09/25/2024 NY
Woods Road, Valhalla, NY 10595; Other
information: Joint Commission ID #2518;
Previous Re-certification Dates: 11/19/
2009; 11/15/2011; 12/03/2013; 12/08/2015;
12/19/2017; 03/07/2020; 06/30/2022.
Scott & White Memorial Hospital, 2401 S 450054 12/07/2011 09/06/2024 TX
31st St., Temple, TX 76508-0001; Other
information: Joint Commission ID #9241;
Previous Re-certification Dates: 12/07/
2011; 12/03/2013; 01/12/2016; 12/19/2017;
03/05/2020; 07/02/2022.
----------------------------------------------------------------------------------------------------------------
Addendum XIII: Lung Volume Reduction Surgery (LVRS) (October Through
December 2024)
Addendum XIII includes a listing of Medicare-approved facilities
that are eligible to receive coverage for lung volume reduction
surgery. Until May 17, 2007, facilities that participated in the
National Emphysema Treatment Trial were also eligible to receive
coverage. The following three types of facilities are eligible for
reimbursement for Lung Volume Reduction Surgery (LVRS):
National Emphysema Treatment Trial (NETT) approved
(Beginning 05/07/2007, these will no longer automatically qualify and
can qualify only with the other programs);
Credentialed by the Joint Commission (formerly, the Joint
Commission on Accreditation of Healthcare Organizations (JCAHO)) under
their Disease Specific Certification Program for LVRS; and
Medicare approved for lung transplants.
Only the first two types are in the list. For the purposes of this
quarterly notice, there are no additions and deletions to a listing of
Medicare-approved facilities that are eligible to receive coverage for
lung volume reduction surgery. This information is available at
www.cms.gov/MedicareApprovedFacilitie/LVRS/list.asp#TopOfPage.
For questions or additional information, contact Sarah Fulton, MHS
(410-786-2749).
Addendum XIV: Medicare-Approved Bariatric Surgery Facilities (October
Through December 2024)
Addendum XIV includes a listing of Medicare-approved facilities
that meet minimum standards for facilities modeled in part on
professional society statements on competency. All facilities must meet
our standards in order to receive coverage for bariatric surgery
procedures. On February 21, 2006, we issued our decision memorandum on
bariatric surgery procedures. We determined that bariatric surgical
procedures are reasonable and necessary for Medicare beneficiaries who
have a body-mass index (BMI) greater than or equal to 35, have at least
one co-morbidity related to obesity and have been previously
unsuccessful with medical treatment for obesity. This decision also
stipulated that covered bariatric surgery procedures are reasonable and
necessary only when performed at facilities that are: (1) certified by
the American College of Surgeons (ACS) as a Level 1 Bariatric Surgery
Center (program standards and requirements in effect on February 15,
2006); or (2) certified by the American Society for Bariatric Surgery
(ASBS) as a Bariatric Surgery Center of Excellence (BSCOE) (program
standards and requirements in effect on February 15, 2006).
There were no additions, deletions, or editorial changes to
Medicare-approved facilities that meet CMS' minimum facility standards
for bariatric surgery that have been certified by ACS and/or ASMBS in
the 3-month period. This information is available at www.cms.gov/MedicareApproved Facilitie/BSF/list.asp#TopOfPage.
For questions or additional information, contact Sarah Fulton, MHS
(410-786-2749).
Addendum XV: FDG-PET for Dementia and Neurodegenerative Diseases
Clinical Trials (October Through December 2024)
There were no FDG-PET for Dementia and Neurodegenerative Diseases
Clinical Trials published in the 3-month period.
This information is available on our website at www.cms.gov/Medicare ApprovedFacilitie/PETDT/list.asp#TopOfPage.
For questions or additional information, contact David Dolan, MBA
(410-786-3365).
[FR Doc. 2025-02787 Filed 2-18-25; 8:45 am]
BILLING CODE 4120-01-P