MLN Matters articles are a series of national articles designed to inform the physician, provider, and supplier community about the latest changes to the Medicare program. Please use the links below to review the articles released by CMS in 2022. The following MLN Matters articles issued in 2022 are relevant to our regions only. Visit the CMS MLN Matters page for a complete listing of all MLNs issued nationwide.
A/B |
CMS release date |
Subject |
MM# |
 
|
12/02/2022 |
DMEPOS Fee Schedule: CY 2023 Update |
MM13006 |
|
12/01/1022 |
National Coverage Determination 110.24: Chimeric Antigen Receptor T-cell Therapy |
MM12928 |
|
12/01/2022 |
Inpatient & Long-Term Care Hospital Prospective Payment System: FY 2023 Changes |
MM12814 |
|
11/29/2022 |
Rural Health Clinic All-Inclusive Rate: CY 2023 Update |
MM12999 |
|
11/23/2022 |
New waived tests |
MM12996 |
|
11/21/2022 |
National Fee Schedule for Medicare Part B Vaccine Administration |
MM12943 |
|
11/17/2022 |
Summary of Policies in the Calendar Year (CY) 2023 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 List |
MM12982 |
|
11/10/2022 |
Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2023 (Revised) |
MM12888 |
|
11/10/2022 |
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) 2023 |
MM12978 |
|
11/07/2022 |
Provider Enrollment Instructions: Seventh General Update |
MM12880 |
|
11/03/2022 |
International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--April 2023 Update |
MM12960 |
|
10/24/2022 |
October 2022 Update of the Ambulatory Surgical Center (ASC) Payment System (Revised) |
MM12915 |
|
10/21/2022 |
Extension of Changes to the Low-Volume Hospital Payment Adjustment and the Medicare Dependent Hospital Program |
MM12970 |
|
10/20/2022 |
Enhancements to Patient Driven Payment Model (PDPM) Claim Edits to Improve Claim Processing |
MM12896 |
|
10/13/2022 |
Update to Medicare Deductible, Coinsurance and Premium Rates for Calendar Year (CY) 2023 |
MM12903 |
|
10/06/2022 |
New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician National Provider Identifier (NPI) |
MM12889 |
|
09/29/2022 |
Changes to Beneficiary Coinsurance for Additional Procedures Furnished During the Same Clinical Encounter As Certain Colorectal Cancer Screening Tests (Revised) |
MM12656 |
|
09/29/2022 |
October Quarterly Update for 2022 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule |
MM12918 |
|
09/29/2022 |
The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Years (FYs) 2019 and 2020 for Inpatient Prospective Payment System (IPPS) Hospitals with Updated Data for Hospitals in the 9th Circuit |
MM12906 |
|
09/26/2022 |
October 2022 Update of the Ambulatory Surgical Center (ASC) Payment System |
MM12915 |
|
09/19/2022 |
Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment (Revised) |
MM12870 |
|
09/13/2022 |
October 2022 Update of the Hospital Outpatient Prospective Payment System (OPPS) (Revised) |
MM12885 |
|
9/06/2022 |
Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2023 |
MM12888 |
|
8/31/2022 |
MM12854 - Exceptions to Average Sales Price (ASP) Payment Methodology – Claims Processing Manual Changes |
MM12854 |
|
8/31/2022 |
International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--January 2023 Update (Revised) |
MM12822 |
|
8/15/2022 |
Significant Updates to Internet Only Manual (IOM) Publication (Pub.) 100-05 Medicare Secondary Payer (MSP) Manual, Chapter 5 |
MM12765 |
|
8/15/2022 |
Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment |
MM12870 |
|
8/15/2022 |
International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--January 2023 Update--2 of 2 |
MM12842 |
|
8/15/2022 |
International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--January 2023 Update |
MM12822 |
|
8/5/2022 |
Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2023 |
MM12807 |
|
8/4/2022 |
Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY) 2023 |
MM12859 |
|
8/4/2022 |
New Waived Tests |
MM12841 |
|
8/2/2022 |
Implementation of the Capital Related Assets Adjustment (CRA) for the Transitional Add-on Payment Adjustment for New and Innovative Equipment and Supplies (TPNIES) Under the End Stage Renal Disease Prospective Payment System (ESRD PPS) (Revised) |
MM12347 |
|
6/24/2022 |
Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2022 |
MM12803 |
|
6/24/2022 |
July 2022 Update of the Ambulatory Surgical Center (ASC) Payment System (Revised) |
MM12773 |
|
6/23/2022 |
Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update |
MM12774 |
|
6/22/2022 |
International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--July 2021 (Revised) |
MM12124 |
|
6/22/2022 |
International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--October 2022 Update (Revised) |
MM12705 |
|
6/15/2022 |
July 2022 Update of the Hospital Outpatient Prospective Payment System (OPPS) |
MM12761 |
|
6/9/2022 |
July 2022 Update of the Ambulatory Surgical Center (ASC) Payment System |
MM12773 |
|
6/9/2022 |
July Quarterly Update for 2022 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule |
MM12772 |
|
6/7/2022 |
Revisions to Medicare Part B Coverage of Pneumococcal Vaccinations for the Medicare Benefit Policy Manual Chapter 15, Section 50.4.4.2 (Revised) |
MM12723 |
|
5/31/2022 |
Update to 'J' Drug Code List for Billing Home Infusion Therapy (HIT) Services |
MM12667 |
|
5/31/2022 |
July 2022 Update of the Hospital Outpatient Prospective Payment System (OPPS) |
MM12761 |
|
5/27/2022 |
New/Modifications to the Place of Service (POS) Codes for Telehealth (Revised) |
MM12427 |
|
5/23/2022 |
An Omnibus CR Covering: (1) Removal of Two National Coverage Determination (NCDs), (2) Updates to the Medical Nutrition Therapy (MNT) Policy, and (3) Updates to the Pulmonary Rehabilitation (PR), Cardiac Rehabilitation (CR), and Intensive Cardiac Rehabilitation (ICR) Conditions of Coverage (Revised) |
MM12613 |
|
5/23/2022 |
Update to the Payment for Grandfathered Tribal Federally Qualified Health Centers (FQHCs) for Calendar Year (CY) 2022 (Revised) |
MM12738 |
|
5/9/2022 |
International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--October 2022 Update |
MM12705 |
|
5/9/2022 |
Revisions to Medicare Part B Coverage of Pneumococcal Vaccinations for the Medicare Benefit Policy Manual Chapter 15, Section 50.4.4.2 |
MM12723 |
|
5/5/2022 |
Quarterly Update to the End-Stage Renal Disease Prospective Payment System (ESRD PPS) |
MM12741 |
|
5/5/2022 |
Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment |
MM12737 |
|
5/5/2022 |
New Waived Tests (Revised) |
MM12581 |
|
5/3/2022 |
National Coverage Determination (NCD) 210.14 Reconsideration – Screening for Lung Cancer with Low Dose Computed Tomography (LDCT) |
MM12691 |
|
4/29/2022 |
Calendar Year 2023 Modifications/Improvements to Value-Based Insurance Design (VBID) Model – Implementation |
MM12688 |
|
4/29/2022 |
Changes to Beneficiary Coinsurance for Additional Procedures Furnished During the Same Clinical Encounter as Certain Colorectal Cancer Screening Tests |
MM12656 |
|
4/29/2022 |
International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) -- July 2022 (Revised) |
MM12606 |
|
4/28/2022 |
Update to the Payment for Grandfathered Tribal Federally Qualified Health Centers (FQHCs) for Calendar Year (CY) 2022 |
MM12738 |
|
4/28/2022 |
Section 127 of the Consolidated Appropriations Act: Graduate Medical Education (GME) Payment for Rural Track Programs (RTPs) |
MM12709 |
|
4/28/2022 |
Update of Internet Only Manual (IOM), Pub. 100-04, Chapter 15 - Ambulance |
MM12707 |
|
4/14/2022 |
Update to Publication 100-04, Chapter 18 and Publication 100-02, Chapter 15, Section to Add Data Regarding Novel Coronavirus (COVID-19) and its Administration to Current Claims Processing Requirements and Other General Updates |
MM12634 |
|
3/30/2022 |
Mental Health Visits via Telecommunications for Rural Health Clinics & Federally Qualified Health Centers |
SE22001 |
|
3/30/2022 |
Claims Processing Instructions for the New Pneumococcal 15-valent Conjugate Vaccine Code 90671 and Pneumococcal 20- valent Conjugate Vaccine Code 90677 (Revised) |
MM12439 |
|
3/28/2022 |
Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update |
MM12676 |
|
3/28/2022 |
April 2022 Update of the Hospital Outpatient Prospective Payment System (OPPS) |
MM12666 |
|
3/24/2022 |
April 2022 Update of the Ambulatory Surgical Center (ASC) Payment System (PDF) |
MM12679 |
|
3/21/2022 |
Quarterly Update to the End-Stage Renal Disease Prospective Payment System (ESRD PPS) |
MM12583 |
|
3/14/2022 |
April Quarterly Update for 2022 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule |
MM12654 |
|
3/7/2022 |
April 2022 Update to the Fiscal Year (FY) 2022 Inpatient Prospective Payment System (IPPS) |
MM12631 |
|
3/2/2022 |
Internet-Only Manual Updates for Critical Care Evaluation and Management Services (Revised) |
MM12550 |
|
2/24/2022 |
The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year (FY) 2020 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long-Term Care Hospitals (LTCHs) |
MM12628 |
|
2/22/2022 |
An Omnibus CR Covering: (1) Removal of Two National Coverage Determination (NCDs), (2) Updates to the Medical Nutrition Therapy (MNT) Policy, and (3) Updates to the Pulmonary Rehabilitation (PR), Cardiac Rehabilitation (CR), and Intensive Cardiac Rehabilitation (ICR) Conditions of Coverage |
MM12613 |
|
2/17/2022 |
Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2022 Update |
MM12623 |
|
2/16/2022 |
Common Working File (CWF) Editing - National Coverage Determination (NCD) 270.3 Blood-Derived Products for Chronic, Non-Healing Wounds |
MM12611 |
|
2/16/2022 |
International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) -- July 2022 |
MM12606 |
|
2/9/2022 |
April 2022 Update to the Medicare Severity – Diagnosis Related Group (MS-DRG) Grouper and Medicare Code Editor (MCE) Version 39.1 for the International Classification of Diseases, Tenth Revision (ICD-10) Diagnosis Codes for 2019 Novel Coronavirus (COVID-19) Vaccination Status and ICD-10 Procedure Coding System (PCS) Codes for Introduction or Infusion of Therapeutics and Vaccines for COVID-19 Treatment (Revised) |
MM12578 |
|
1/27/2022 |
Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment |
MM12612 |
|
1/21/2022 |
Expedited Review Process for Hospital Inpatients in Original Medicare |
MM12456 |
|
1/20/2022 |
Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits |
MM12573 |
|
1/19/2022 |
CY2022 Telehealth Update Medicare Physician Fee Schedule |
MM12549 |
|
1/18/2022 |
New Waived Tests |
MM12581 |
|
1/18/2022 |
Internet-Only Manual Updates (IOM) for Critical Care, Split/ Shared Evaluation and Management Visits, Teaching Physicians, and Physician Assistants |
MM12543 |
|
1/18/2022 |
Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens |
MM12593 |
|
1/13/2022 |
International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) -- April 2022 (CR 1 of 2) |
MM12480 |
|
1/13/2022 |
Calendar Year (CY) 2022 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment (Revised) |
MM12558 |
|
1/13/2022 |
Implementation of the GV Modifier for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) for Billing Hospice Attending Physician Services (Revised) |
MM12357 |
|
1/12/2022 |
Skilled Nursing Facility (SNF) Claims Processing Update to Fiscal Year End (FYE) Edits (Revised) |
MM12457 |
|
12/21/2021 |
Implementation of the Capital Related Assets (CRA) Adjustment for the Transitional Add-on Payment Adjustment for New and Innovative Equipment and Supplies (TPNIES) Under the End Stage Renal Disease Prospective Payment System (ESRD PPS) (Revised) |
MM12347 |
|
12/22/2021 |
Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2022 |
MM12575 |
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